Coverage profile
How Substrate can help you with Medica Individual and Family
Substrate can help practices and billers with the following claims tasks for Medica Individual and Family.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medica Individual and Family.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medica Individual and Family.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medica Individual and Family.
Frequently asked questions
Medica Individual and Family payer FAQs
How do I check claim status with Medica Individual and Family?
Providers check Medica Individual and Family via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Medica Individual and Family 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 Individual and Family?
The primary payer ID for Medica Individual and Family is 12422. 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 Individual and Family?
The provider portal for Medica Individual and Family is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Medica Individual and Family?
The 837P and 837I payer ID for Medica Individual and Family is 12422 via Stedi.
What is the 835 payer ID for Medica Individual and Family?
The 835 payer ID for Medica Individual and Family is 12422 via Stedi.
What is the 270 payer ID for Medica Individual and Family?
The 270 payer IDs for Medica Individual and Family are 12422 via Stedi and 12422 via Availity.
What is the 276 payer ID for Medica Individual and Family?
The 276 payer IDs for Medica Individual and Family are 12422 via Stedi and 12422 via Availity.
What states does Medica Individual and Family operate in?
Medica Individual and Family operates in IA, KS, MN, MO, ND, NE, OK, and WI.
Routing reference
Medica Individual and Family 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 Individual and Family |
|---|---|
| Operating states | IA, KS, MN, MO, ND, NE, OK, WI |
| 837P professional claims payer IDStedi | 12422 |
| 837I institutional claims payer IDStedi | 12422 |
| 835 ERA payer IDStedi | 12422Enrollment required |
| 270 eligibility payer IDStedi | 12422 |
| 270 eligibility payer IDAvaility | 12422 |
| 276 claim status payer IDStedi | 12422 |
| 276 claim status payer IDAvaility | 12422 |
Payer contact directory
Medica Individual and Family 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 IFB
| 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
- 11171
- 12422
- 6799
- MEDIFB
- Z95382
- Medica2
- Medica2 IFB
- MEDICAIFB