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CredNet

Medicaid Virginia

dentalmedicalvision

Summary

Medicaid Virginia is a dental, medical, and vision payer operating in Virginia. Claims route under payer ID 10198, with 13 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
10198Also seen as 00913, 12003, 1472, 454, 5538, 7447 and 7 more
Also known as
Cardinal Care, Virginia DMAS, Virginia Department of Medical Assistance Services, Virginia Medicaid
Service area
VA

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Medicaid Virginia?
The payer ID for Medicaid Virginia is 10198. Alternate IDs seen across clearinghouses include 00913, 12003, 1472, 454.
Does Medicaid Virginia require ERA enrollment?
Yes. Medicaid Virginia requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicaid Virginia cover?
Medicaid Virginia operates in VA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Medicaid Virginia offer?
Medicaid Virginia covers dental, medical, and vision.
Can I submit claims to Medicaid Virginia electronically?
Yes. Medicaid Virginia is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. 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 Spot something out of date?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.