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MVP Health Care

MVP Health Care

This page contains information you can use to exchange healthcare transactions with MVP Health Care using Stedi.
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Use any of the following payer IDs to send transactions to MVP Health Care using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,,,,,,,
Parent group
MVP Group
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with MVP Health Care using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to MVP Health Care.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to MVP Health Care to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to MVP Health Care in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to MVP Health Care and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to MVP Health Care and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from MVP Health Care to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Hours
Not supported

Dental claims

(837D)
Submit dental claims to MVP Health Care and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to MVP Health Care.
Get started
Use Stedi's APIs to get fast and reliable connectivity to MVP Health Care and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and MVP Health Care today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • MVP Child Health Plus
  • MVP Health Plan
  • MVP Health Plan New York
  • MVP Medicaid Managed Care
  • New York Preferred Care
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