Mercy Care (Arizona Medicaid)
Also covers / subsidiaries: Mercy Care Plan, Mercy Care (Aetna)
Core Payer & Clearinghouse Profile
Electronic Payer ID
86052
86052 (Mercy Care Plan / AHCCCS) widely listed for professional and institutional AZ Medicaid claims. Mercy Care Advantage (Medicare D-SNP) may use a different ID. (Arizona)
Timely Filing Limit (TFL)
New claims: 150 days from DOS or eligibility posting, whichever is later; resubmissions within 365 days
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
602-351-2300
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.mercycareaz.org/providers
Arizona-only Medicaid managed-care plan administered by Aetna/CVS under contract with AHCCCS. Eligibility verified through the AHCCCS portal.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Mercy Care (Arizona Medicaid).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Mercy Care (Arizona Medicaid).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Mercy Care Plan | 86052 | Non-Par | Required | 837P837I835 ERA |
| Mercy Care Plan (Ahcccs) | 86052 | Non-Par | None | 837P837I835 ERA |
Resolution Tools for Mercy Care (Arizona Medicaid) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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