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KeyCare Advantage

medical

Summary

KeyCare Advantage is a medical payer operating in Maryland. Claims route under payer ID KCMD1, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
KCMD1Also seen as 3065, 8467
Also known as
KeyCare Maryland
Service area
MD

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for KeyCare Advantage?
The payer ID for KeyCare Advantage is KCMD1. Alternate IDs seen across clearinghouses include 3065, 8467.
Does KeyCare Advantage require ERA enrollment?
Yes. KeyCare Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does KeyCare Advantage cover?
KeyCare Advantage operates in MD. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does KeyCare Advantage offer?
KeyCare Advantage covers medical.
Can I submit claims to KeyCare Advantage electronically?
Yes. KeyCare Advantage is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.