Coverage profile
Work Medicaid Missouri across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Missouri.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Missouri.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicaid Missouri.
Other aliases
Also known as
- 100211
- 10143
- 12K15
- 431754897
- 70029
- CKMO1
- MCDMO
- MO
- MOCAID
- MOMCD
- SKMO0
- Missouri Department of Social Services
- Missouri Medicaid
- MO_MCAID
- ANTHEM - MO
Frequently asked questions
Medicaid Missouri payer FAQs
How do I check claim status with Medicaid Missouri?
Providers check Medicaid Missouri via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Medicaid Missouri 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 Medicaid Missouri?
The primary payer ID for Medicaid Missouri is 100211. 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 Medicaid Missouri?
The provider portal for Medicaid Missouri is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Medicaid Missouri?
The 837P and 837I payer ID for Medicaid Missouri is 100211 via Stedi.
What is the 835 payer ID for Medicaid Missouri?
The 835 payer ID for Medicaid Missouri is 100211 via Stedi.
What is the 270 payer ID for Medicaid Missouri?
The 270 payer IDs for Medicaid Missouri are 100211 via Stedi and 100211 via Availity.
What is the 276 payer ID for Medicaid Missouri?
The 276 payer ID for Medicaid Missouri is 100211 via Stedi.
What state does Medicaid Missouri operate in?
Medicaid Missouri operates in MO.
Routing reference
Medicaid Missouri 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 | Medicaid MissouriSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | MOSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 100211Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 100211Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 100211Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 100211Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 100211Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 100211Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Missouri. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID MISSOURI. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Medicaid Missouri. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Medicaid Missouri 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.
- Other stated context phone
- (800) 392-8030MO HEALTHNET CALL CENTER
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 392-8030Phone menu guide → | Other stated contextBenefit context: Benefit Description |
| Vision (Optometry) |
Phone and fax numbers sourced directly from the payer response
Phone menu guides
- (800) 392-8030MO HealthNet Pharmacy, Pre-certification and Exceptions Help Desk