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It is important to verify the correct payer ID and claim address for each type of claim before submitting it for processing. For plan year 2021, Medica has made some claim-submission changes to administer its Individual and Family Business (IFB) and Medicare Advantage (MA) membership as well as commercial group business based in Nebraska and Iowa. Changes include different payer IDs for medical and behavioral health claims.

The payer ID for medical claims is indicated on the front of member ID cards.

The payer ID for behavioral health claims is indicated on the back of member ID cards.

Providers may experience a delay in payment if submitting claims to the incorrect payer ID or claims address. 

Be sure to verify payer ID prior to submitting claims. For more details about claims and payer IDs, refer to: 

• Claim Submission and Product Guidelines
• Medica's product fact sheets, which include ID card examples

 

 

 

 

 

 

 

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