Coverage profile
How Substrate can help you with Medicaid Delaware
Substrate can help practices and billers with the following claims tasks for Medicaid Delaware.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Delaware.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Delaware.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicaid Delaware.
Frequently asked questions
Medicaid Delaware payer FAQs
How do I check claim status with Medicaid Delaware?
Providers check Medicaid Delaware via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Medicaid Delaware portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Medicaid Delaware?
The primary payer ID for Medicaid Delaware is SKDE0. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Medicaid Delaware?
The provider portal for Medicaid Delaware is https://www.novitasphere.com. Available features depend on the payer and your account.
What are the 837 payer IDs for Medicaid Delaware?
The 837P and 837I payer ID for Medicaid Delaware is SKDE0 via Stedi.
What is the 835 payer ID for Medicaid Delaware?
The 835 payer ID for Medicaid Delaware is SKDE0 via Stedi.
What is the 270 payer ID for Medicaid Delaware?
The 270 payer IDs for Medicaid Delaware are SKDE0 via Stedi and 100371 via Availity.
What is the 276 payer ID for Medicaid Delaware?
The 276 payer ID for Medicaid Delaware is SKDE0 via Stedi.
What state does Medicaid Delaware operate in?
Medicaid Delaware operates in DE.
Routing reference
Medicaid Delaware 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.
| Payer name | Medicaid Delaware |
|---|---|
| Operating states | DE |
| 837P professional claims payer IDStedi | SKDE0 |
| 837I institutional claims payer IDStedi | SKDE0 |
| 835 ERA payer IDStedi | SKDE0Enrollment required |
| 270 eligibility payer IDStedi | SKDE0 |
| 270 eligibility payer IDAvaility | 100371 |
| 276 claim status payer IDStedi | SKDE0 |
Payer contact directory
Medicaid Delaware phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Other stated context phone
- (877) 236-1341DELAWARE FIRST HEALTH INC
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(877) 236-1341 | Other stated contextBenefit context: Managed Care Coordinator |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 100371
- 10293
- 12K87
- 1545
- 2726
- DECAID
- DEMCD
- DE_TXIX
- HPXTB
- SKDE0
- DHSS
- Delaware Health and Social Services
- Delaware Medical Assistance
- DELAWARE MEDICAID
- MEDICARE
