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Metcare Health Plans

medical

Summary

Metcare Health Plans is a medical payer. Claims route under payer ID 65113, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims and institutional claims.

At a glance

Payer ID
65113Also seen as 4282
Also known as
MetCare Health Plans

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 Metcare Health Plans?
The payer ID for Metcare Health Plans is 65113. Alternate IDs seen across clearinghouses include 4282.
What types of coverage does Metcare Health Plans offer?
Metcare Health Plans covers medical.
Can I submit claims to Metcare Health Plans electronically?
Yes. Metcare Health Plans 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 Spot something out of date?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.