MCS
dentalmedicalvision
Summary
MCS is a dental, medical, and vision payer operating in Puerto Rico. Claims route under payer ID L0170, with 5 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 a few days.
At a glance
- Payer ID
L0170Also seen as 10952, 6197P, 66039, QFVIA, Z1419- Also known as
- MCS Healthcare Holdings, MCS Life Insurance Company, MCS Puerto Rico, Medical Card System
- Service area
- PR
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for MCS?
- The payer ID for MCS is L0170. Alternate IDs seen across clearinghouses include 10952, 6197P, 66039, QFVIA.
- Does MCS require ERA enrollment?
- Yes. MCS requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does MCS cover?
- MCS operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does MCS offer?
- MCS covers dental, medical, and vision.
- Can I submit claims to MCS electronically?
- Yes. MCS 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).
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 Spot something out of date?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.