Medica Health Plan Solutions

Summary

Medica Health Plan Solutions is a medical and vision payer. Claims route under payer ID 71890, 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

71890Also seen as 11131, 7859, MHSRT

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 Health Plan Solutions?

The payer ID for Medica Health Plan Solutions is 71890. Alternate IDs seen across clearinghouses include 11131, 7859, MHSRT.

Does Medica Health Plan Solutions require ERA enrollment?

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

What types of coverage does Medica Health Plan Solutions offer?

Medica Health Plan Solutions covers medical and vision.

Can I submit claims to Medica Health Plan Solutions electronically?

Yes. Medica Health Plan Solutions 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).