Coverage profile
How Substrate can help you with Medica Government Programs
Substrate can help practices and billers with the following claims tasks for Medica Government Programs.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medica Government Programs.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medica Government Programs.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medica Government Programs.
Frequently asked questions
Medica Government Programs payer FAQs
How do I check claim status with Medica Government Programs?
Providers check Medica Government Programs via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Medica Government Programs 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 Medica Government Programs?
The primary payer ID for Medica Government Programs is MEDM1. 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 Medica Government Programs?
The provider portal for Medica Government Programs is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Medica Government Programs?
The 837P and 837I payer ID for Medica Government Programs is MEDM1 via Stedi.
What is the 835 payer ID for Medica Government Programs?
The 835 payer ID for Medica Government Programs is MEDM1 via Stedi.
What is the 270 payer ID for Medica Government Programs?
The 270 payer IDs for Medica Government Programs are MEDM1 via Stedi and MEDM1 via Availity.
What is the 276 payer ID for Medica Government Programs?
The 276 payer IDs for Medica Government Programs are MEDM1 via Stedi and MEDM1 via Availity.
What states does Medica Government Programs operate in?
Medica Government Programs operates in AZ, MN, NE, OK, SD, and WI.
Routing reference
Medica Government Programs 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 | Medica Government Programs |
|---|---|
| Operating states | AZ, MN, NE, OK, SD, WI |
| 837P professional claims payer IDStedi | MEDM1 |
| 837I institutional claims payer IDStedi | MEDM1 |
| 835 ERA payer IDStedi | MEDM1Enrollment required |
| 270 eligibility payer IDStedi | MEDM1 |
| 270 eligibility payer IDAvaility | MEDM1 |
| 276 claim status payer IDStedi | MEDM1 |
| 276 claim status payer IDAvaility | MEDM1 |
Payer contact directory
Medica Government Programs 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.
- Payer phone
- (800) 458-5512MEDICA GOVERNMENT PROGRAMS
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 848-8327 | Behavioral healthBenefit context: Non-Covered |
| Mental Health |
| phone(800) 458-5512 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 14514
- 8860
- MEDGP
- MEDM1
- Dean Health Plan BadgerCare Plus
