ID: 13265
Managed Care Organization
NY

Metro Plus Health Plan

MetroPlus Health Plan is a New York City-based Medicaid and Medicare managed care health insurer that provides managed care plans for Medicaid, Medicare, commercial, Essential Plan and special-needs populations; it is a wholly owned subsidiary of NYC Health + Hospitals and offers provider networks, care management, and member services.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
MetroPlus Health Plan 13265
METROPLUS ULTRA CARE
METROPLUS FIDA
METROPLUS ENHANCED (HARP)
METROPLUS ESSENTIAL PLAN
METROPLUS HEALTH PLAN - HHC
GOLDCARE I / GOLDCARE II

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