Coverage profile
How Substrate can help you with Medica Health Plan Solutions
Substrate can help practices and billers with the following claims tasks for Medica Health Plan Solutions.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medica Health Plan Solutions.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medica Health Plan Solutions.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medica Health Plan Solutions.
Frequently asked questions
Medica Health Plan Solutions payer FAQs
How do I check claim status with Medica Health Plan Solutions?
Providers check Medica Health Plan Solutions via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Medica Health Plan Solutions 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 Health Plan Solutions?
The primary payer ID for Medica Health Plan Solutions is 71890. 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 Health Plan Solutions?
The provider portal for Medica Health Plan Solutions is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Medica Health Plan Solutions?
The 837P and 837I payer ID for Medica Health Plan Solutions is 71890 via Stedi.
What is the 835 payer ID for Medica Health Plan Solutions?
The 835 payer ID for Medica Health Plan Solutions is 71890 via Stedi.
What is the 270 payer ID for Medica Health Plan Solutions?
The 270 payer IDs for Medica Health Plan Solutions are 71890 via Stedi and 71890 via Availity.
What is the 276 payer ID for Medica Health Plan Solutions?
The 276 payer IDs for Medica Health Plan Solutions are 71890 via Stedi and 71890 via Availity.
What states does Medica Health Plan Solutions operate in?
Medica Health Plan Solutions operates in AR, FL, IL, IN, KS, MN, MO, NE, OK, and WI.
Routing reference
Medica Health Plan Solutions 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 Health Plan Solutions |
|---|---|
| Operating states | AR, FL, IL, IN, KS, MN, MO, NE, OK, WI |
| 837P professional claims payer IDStedi | 71890 |
| 837I institutional claims payer IDStedi | 71890 |
| 835 ERA payer IDStedi | 71890Enrollment required |
| 270 eligibility payer IDStedi | 71890 |
| 270 eligibility payer IDAvaility | 71890 |
| 276 claim status payer IDStedi | 71890 |
| 276 claim status payer IDAvaility | 71890 |
Payer contact directory
Medica Health Plan Solutions 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 HEALTH PLAN SOLUTIONS
| 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
- 11131
- 71890
- 7859
- MHSRT
- MEDICAHPS