Also covers / subsidiaries: MVP, MVP Health Plan
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.
Direct ANSI X12 electronic transaction support verified for MVP Health Care.
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under MVP Health Care.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Mvp | 14165 | Non-Par | Required | 837P837I835 ERA |
| Mvp Health Care | 14165 | Non-Par | None | 837P837I835 ERA |
| Mvp Health Plan | DX064 | Non-Par | None | |
| Mvp Healthcare (Ny) | 14165 | Non-Par | None | |
| Mvp New York Preferred Care Hmo | 14165 | Non-Par | None | 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.
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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