Coverage profile
How Substrate can help you with MCS Classicare
Substrate can help practices and billers with the following claims tasks for MCS Classicare.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with MCS Classicare.
Frequently asked questions
MCS Classicare payer FAQs
What is the payer ID for MCS Classicare?
The primary payer ID for MCS Classicare is 66039. 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 MCS Classicare?
The 837P and 837I payer ID for MCS Classicare is L0170 via Stedi.
What is the 835 payer ID for MCS Classicare?
The 835 payer ID for MCS Classicare is L0170 via Stedi.
What is the 270 payer ID for MCS Classicare?
The 270 payer ID for MCS Classicare is L0170 via Stedi.
What state does MCS Classicare operate in?
MCS Classicare operates in PR.
Routing reference
MCS Classicare 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 | MCS ClassicareSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | PRSource: Stedi payer catalog · catalog dated · matched by payer name |
| 837P professional claims payer IDStedi | L0170Source: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | L0170Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | L0170Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | L0170Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer name; matched record: MCS. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi 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
- 66039
- Z1419
- MCS Advantage
- MCS Healthcare Holdings
- MCS Puerto Rico
- Medical Card System
- MEDICAL CARD SYSTEM (MCS)