Medica Government Programs

Summary

Medica Government Programs is a dental and medical payer. Claims route under payer ID MEDM1, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

MEDM1Also seen as 14514, 8860, MEDGP

Also known as

Dean Health Plan BadgerCare Plus

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 Medica Government Programs?

The payer ID for Medica Government Programs is MEDM1. Alternate IDs seen across clearinghouses include 14514, 8860, MEDGP.

Does Medica Government Programs require ERA enrollment?

Yes. Medica Government Programs requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What types of coverage does Medica Government Programs offer?

Medica Government Programs covers dental and medical.

Can I submit claims to Medica Government Programs electronically?

Yes. Medica Government Programs is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).