MVP Health Care

Summary

MVP Health Care is a regional health plan, part of MVP Health Care, Inc., offering dental, medical, and vision coverage operating in New York, Vermont, and New Hampshire. Claims route under payer ID 14165, with 12 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through MVP Provider Portal, and CAQH is used for credentialing data. 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

14165Also seen as 10148, 14165MA, 14506, 1748, 6538, DX064 and 6 more

Also known as

MVP Child Health Plus, MVP Health Plan, MVP Health Plan New York, MVP Medicaid Managed Care, New York Preferred Care

Uses CAQH

YesApplication route: CAQH application only

Service area

NY, VT, NH

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 MVP Health Care?

The payer ID for MVP Health Care is 14165. Alternate IDs seen across clearinghouses include 10148, 14165MA, 14506, 1748.

How long does MVP Health Care provider enrollment take?

MVP Health Care provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does MVP Health Care require CAQH?

Yes. MVP Health Care uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does MVP Health Care require ERA enrollment?

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

What states does MVP Health Care cover?

MVP Health Care operates in NY, VT, NH. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Related payers