Payer ID
Varies — confirm via portal / clearinghouse
Varies by state program and managed-care organization (MCO).
Timely Filing Limit (TFL)
Varies by state — commonly 90 to 365 days from the date of service
Appeal Window
Varies by state
Clearinghouse
Varies by state portal / clearinghouse
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
Varies — confirm via portal / clearinghouse
Each state runs its own Medicaid program and MCOs, each with its own payer ID, timely filing, and claims address. Confirm with the specific state plan.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing. Last verified 2026-06-24.
Aethera's AR team works Medicaid (State Programs) every day — payer rules, appeals, and clean-claim submission, handled.
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