M
Payer Directory
MedCore Health Plan: payer ID and claims support
MedCore Health Plan uses payer ID 31057. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
31057MedCore Health Plan at a glance
What billers need before running a check.
Payer ID
31057Also known as 4266
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
California
Payer website
p3hp.orgSupported transactions
What can be exchanged electronically with MedCore Health Plan today.
| Transaction | Status |
|---|---|
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 | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | NOT AVAILABLE |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for MedCore Health Plan?+–
MedCore Health Plan uses payer ID 31057. It also appears as 4266 in some systems.
Does MedCore Health Plan support real-time eligibility verification?+–
Not electronically today. Coverage for MedCore Health Plan has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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