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MedCore Health Plan

medical

Summary

MedCore Health Plan is a medical payer. Claims route under payer ID 31057, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims and institutional claims.

At a glance

Payer ID
31057Also seen as 4266
Also known as
MedCore HP

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate

Common questions

What is the payer ID for MedCore Health Plan?
The payer ID for MedCore Health Plan is 31057. Alternate IDs seen across clearinghouses include 4266.
What types of coverage does MedCore Health Plan offer?
MedCore Health Plan covers medical.
Can I submit claims to MedCore Health Plan electronically?
Yes. MedCore Health Plan is reachable through clearinghouses for professional claims and institutional claims. 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 Spot something out of date?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.