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CredNet

Modivcare

Summary

Modivcare is a healthcare payer. Claims route under payer ID MODIV. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
MODIV

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)RequiredSeveral weeks
Institutional claims (837I)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Modivcare?
The payer ID for Modivcare is MODIV.
Does Modivcare require ERA enrollment?
Yes. Modivcare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
Can I submit claims to Modivcare electronically?
Yes. Modivcare is reachable through clearinghouses for 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 Spot something out of date?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.