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FirstCare

Primary payer ID
94998Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from FirstCare? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with FirstCare

Substrate can help practices and billers with the following claims tasks for FirstCare.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with FirstCare.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with FirstCare.

Available

Frequently asked questions

FirstCare payer FAQs

How do I check claim status with FirstCare?

Providers check FirstCare via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for FirstCare?

The primary payer ID for FirstCare is 94998. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for FirstCare?

The 837P and 837I payer ID for FirstCare is 94998 via Stedi.

What is the 835 payer ID for FirstCare?

The 835 payer ID for FirstCare is 94998 via Stedi.

What is the 270 payer ID for FirstCare?

The 270 payer IDs for FirstCare are 94998 via Stedi and 10870 via Availity.

What is the 276 payer ID for FirstCare?

The 276 payer ID for FirstCare is 94998 via Stedi.

What state does FirstCare operate in?

FirstCare operates in TX.

Resource library

Routing reference

FirstCare payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

FirstCare payer name, operating states, and transaction-specific payer IDs
Payer nameFirstCareSource: Substrate payer directory · last refreshed
Operating statesTXSource: Substrate payer directory · last refreshed
837P professional claims payer IDStedi94998Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi94998Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi94998Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi94998Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvaility10870Source: Availity payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi94998Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: FirstCare. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer name; matched record: FIRSTCARE. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Other aliases

Also known as

  • 1656
  • 5854
  • 94998
  • FirstCare Star Medicaid
  • FIRSTCARE - MEDICAID
  • 1STCRECAID