M
Payer Directory
Metcare Health Plans: payer ID and claims support
Metcare Health Plans uses payer ID 65113. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
65113Metcare Health Plans at a glance
What billers need before running a check.
Payer ID
65113Also known as 4282
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
Not published
Supported transactions
What can be exchanged electronically with Metcare Health Plans 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 Metcare Health Plans?+–
Metcare Health Plans uses payer ID 65113. It also appears as 4282 in some systems.
Does Metcare Health Plans support real-time eligibility verification?+–
Not electronically today. Coverage for Metcare Health Plans has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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