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MVP Health Care

CommercialNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: MVP, MVP Health Plan

Core Payer & Clearinghouse Profile

Electronic Payer ID

14165

MVP Health Plan of NY entity ID (confirmed via clearinghouses); verify the Vermont and other lines separately.

Timely Filing Limit (TFL)

Varies — confirm via portal / clearinghouse

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

Multiple clearinghouses; EFT/ERA via Zelis

Provider Services

800-684-9286

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

MVP Health Care, Claims Department, P.O. Box 2207, Schenectady, NY 12301

Provider Portal

https://www.mvphealthcare.com/providers

NY/VT plan offering commercial, Medicare Advantage, and Medicaid lines. Payer ID 14165 is the NY entity — confirm for Vermont membership.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for MVP Health Care.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under MVP Health Care.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Mvp14165Non-ParRequired
837P837I835 ERA
Mvp Health Care14165Non-ParNone
837P837I835 ERA
Mvp Health PlanDX064Non-ParNone
Mvp Healthcare (Ny)14165Non-ParNone
Mvp New York Preferred Care Hmo14165Non-ParNone
837P837I835 ERA

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing MVP Health Care Denials & Delayed Payments?

Aethera's billing specialists work MVP Health Care every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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