M
Payer Directory

Managed Provider Alliance - Custom Provider Network: payer ID and claims support

Managed Provider Alliance - Custom Provider Network uses payer ID 80900. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID 80900

Managed Provider Alliance - Custom Provider Network at a glance

What billers need before running a check.

Payer ID
80900
Also known as 8200
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
dental, medical
Operating area
Not published
Payer website
www.mdinetworx.com

Supported transactions

What can be exchanged electronically with Managed Provider Alliance - Custom Provider Network today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
SUPPORTED
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Frequently asked questions

What is the payer ID for Managed Provider Alliance - Custom Provider Network?+
Managed Provider Alliance - Custom Provider Network uses payer ID 80900. It also appears as 8200 in some systems.
Does Managed Provider Alliance - Custom Provider Network support real-time eligibility verification?+
Not electronically today. Coverage for Managed Provider Alliance - Custom Provider Network has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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From $0.50 per check, pay-as-you-go. No contract, no implementation project.

65%
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90%
of eligibility checks fully automated
$107–149K
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24 mo
in production