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Medicaid District of Columbia

With this payer, your practice can check claim status and eligibility electronically using 276/277 and 270/271 transactions. Professional and institutional claims and electronic remittance are supported after payer enrollment, while dental claims, electronic funds transfer, combined ERA and EFT, coordination-of-benefits 271, and attachments are not available.

Primary payer IDDCMEDICAID
Directory IDHALVG
States1

Supported Transactions

TransactionStatus
Eligibility & benefits (270/271)Supported
Claim status (276/277)Supported
Professional claims (837P)Enrollment required
Institutional claims (837I)Enrollment required
Dental claims (837D)Not supported
Electronic remittance (ERA 835)Enrollment required
Electronic funds transfer (EFT)Not supported
ERA + EFT combinedNot supported
Coordination of benefits (271)Not supported
Attachments (275)Not supported

Other payer IDs and names

Coverage states

District of Columbia.

Enrollment requirements

Plan Your Workflow

Common questions

Do I need enrollment to submit claims or receive ERA?

Yes. 837P professional claims, 837I institutional claims, and ERA 835 are supported only after your practice completes payer enrollment.

Can I check eligibility and claim status electronically?

Yes. Standard eligibility and benefits use 270/271, and claim status uses 276/277. The coordination-of-benefits 271 transaction is not available.

Does this payer support ERA or EFT?

ERA 835 is supported after payer enrollment, but EFT and the combined ERA plus EFT option are unavailable.

Can I submit dental claims or attachments electronically?

No. Dental claims through 837D and attachments through 275 are not available in this connection.

Run this payer inside Hero EMR

Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.

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Payer connectivity data last synced 2026-05-26. Compiled by Hero EMR from its clearinghouse network, which is built on the Stedi public payer network. Support status can change; confirm during onboarding. Back to the payer directory.