VillageCareMAX

Summary

VillageCareMAX is a dental and medical payer operating in New York. Claims route under payer ID 26545, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID

26545Also seen as 14457, 26545MA, 6834, 7620

Also known as

Village Senior Services Corporation

Service area

NY

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 VillageCareMAX?

The payer ID for VillageCareMAX is 26545. Alternate IDs seen across clearinghouses include 14457, 26545MA, 6834, 7620.

Does VillageCareMAX require ERA enrollment?

Yes. VillageCareMAX requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does VillageCareMAX cover?

VillageCareMAX operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does VillageCareMAX offer?

VillageCareMAX covers dental and medical.

Can I submit claims to VillageCareMAX electronically?

Yes. VillageCareMAX is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).