MAPFRE

Summary

MAPFRE is a dental and vision payer operating in Puerto Rico. Claims route under payer ID 5251, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

5251Also seen as 10679, L0160, LZMSI

Also known as

MAPFRE Life Insurance Company of Puerto Rico

Service area

PR

Clearinghouse transaction setup

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

Common questions

What is the payer ID for MAPFRE?

The payer ID for MAPFRE is 5251. Alternate IDs seen across clearinghouses include 10679, L0160, LZMSI.

Does MAPFRE require ERA enrollment?

Yes. MAPFRE requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does MAPFRE cover?

MAPFRE operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does MAPFRE offer?

MAPFRE covers dental and vision.

Can I submit claims to MAPFRE electronically?

Yes. MAPFRE is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).