Payer Directory

How to check Medicaid Florida eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

Payer ID 77027Real-time 270/271Medicaid

Three ways to verify Medicaid Florida coverage

Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
Phone (IVR) — hold times vary; no written record for the chart.
Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

Medicaid Florida at a glance

What billers need before running a check.

Payer ID

77027

Also known as 10086, 1478, 1647, CKFL1

Real-time eligibility

Available

Responses return in seconds, 24/7.

Coverage

dental, medical, vision

Medicaid

Operating area

Florida

Payer website

ahca.myflorida.com/medicaid

Supported transactions

What can be exchanged electronically with Medicaid Florida today.

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

Portal vs. phone vs. automated

The same verification, three ways.

	Payer portal	Phone / IVR	Automated check
Time per patient	10–15 min	15–30 min	Seconds
Cost per check	~$6.72 staff time*	~$6.72+ staff time*	from $0.50
Record for the chart	Screenshot	None	Full audit trail
Whole-day schedule	One at a time	One at a time	Batched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for Medicaid Florida?+

Medicaid Florida uses payer ID 77027. It also appears as 10086, 1478, 1647, CKFL1 in some systems.

Does Medicaid Florida support real-time eligibility verification?+

Yes. Medicaid Florida accepts real-time 270/271 eligibility transactions, so a check returns plan status and benefit detail in seconds instead of the 10–15 minutes a portal login takes.

How long does a Medicaid Florida eligibility check take?+

A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.