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Payer Directory

How to check Mercy Care Plan (AZ Health Care Cost Containment System) 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 86052Real-time 270/271Medicaid

Three ways to verify Mercy Care Plan (AZ Health Care Cost Containment System) coverage

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

Mercy Care Plan (AZ Health Care Cost Containment System) at a glance

What billers need before running a check.

Payer ID
86052
Also known as 00152, 10133, 3433, 3530
Real-time eligibility
Available
Responses return in seconds, 24/7.
Coverage
dental, medical, vision
Medicaid
Operating area
Arizona
Payer website
www.mercycareaz.org

Supported transactions

What can be exchanged electronically with Mercy Care Plan (AZ Health Care Cost Containment System) today.

TransactionStatus
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
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
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
SUPPORTED

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$6.72 staff time*~$6.72+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for Mercy Care Plan (AZ Health Care Cost Containment System)?+
Mercy Care Plan (AZ Health Care Cost Containment System) uses payer ID 86052. It also appears as 00152, 10133, 3433, 3530 in some systems.
Does Mercy Care Plan (AZ Health Care Cost Containment System) support real-time eligibility verification?+
Yes. Mercy Care Plan (AZ Health Care Cost Containment System) 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 Mercy Care Plan (AZ Health Care Cost Containment System) 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.

Run your first Mercy Care Plan (AZ Health Care Cost Containment System) eligibility check in 5 minutes

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

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production