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Payer Directory
Medica Health Plan Solutions: payer ID and claims support
Medica Health Plan Solutions uses payer ID 88090. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
88090CommercialMedica Health Plan Solutions at a glance
What billers need before running a check.
Payer ID
88090Also known as 41154, 7196
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Commercial
Operating area
Florida, Georgia
Payer website
partner.medica.comSupported transactions
What can be exchanged electronically with Medica Health Plan Solutions 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 Medica Health Plan Solutions?+–
Medica Health Plan Solutions uses payer ID 88090. It also appears as 41154, 7196 in some systems.
Does Medica Health Plan Solutions support real-time eligibility verification?+–
Not electronically today. Coverage for Medica Health Plan Solutions 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.
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90%
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$107–149K
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24 mo
in production
