Managed Provider Alliance - Custom Provider Network
dentalmedical
Summary
Managed Provider Alliance - Custom Provider Network is a dental and medical payer. Claims route under payer ID 80900, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
80900Also seen as 8200- Also known as
- MDI Custom Provider Network, MDI NetworX, Medical Provider Association - Custom Provider Network, Total Plan Concepts
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for Managed Provider Alliance - Custom Provider Network?
- The payer ID for Managed Provider Alliance - Custom Provider Network is 80900. Alternate IDs seen across clearinghouses include 8200.
- Does Managed Provider Alliance - Custom Provider Network require ERA enrollment?
- Yes. Managed Provider Alliance - Custom Provider Network requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does Managed Provider Alliance - Custom Provider Network offer?
- Managed Provider Alliance - Custom Provider Network covers dental and medical.
- Can I submit claims to Managed Provider Alliance - Custom Provider Network electronically?
- Yes. Managed Provider Alliance - Custom Provider Network is reachable through clearinghouses for professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
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 Spot something out of date?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.