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CredNet

MMM

medical

Summary

MMM is a medical payer operating in Puerto Rico. Claims route under payer ID PREMD, with 4 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 a few days.

At a glance

Payer ID
PREMDAlso seen as 10959, 66059, RP081, Z60056
Also known as
MMM Healthcare, Medicare y Mucho Más, PMC, Preferred Medicare Choice
Service area
PR

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)RequiredA few days

Common questions

What is the payer ID for MMM?
The payer ID for MMM is PREMD. Alternate IDs seen across clearinghouses include 10959, 66059, RP081, Z60056.
Does MMM require ERA enrollment?
Yes. MMM requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does MMM cover?
MMM operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does MMM offer?
MMM covers medical.
Can I submit claims to MMM electronically?
Yes. MMM 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 Spot something out of date?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.