ID: 78857
Managed Care Organization
MN

MEDICA HEALTH CARE PLAN INC

Medica Health Care Plan, Inc. (Medica) is a regional not‑for‑profit health insurer offering commercial, Medicaid, and Medicare plans and provider networks across the Upper Midwest and select other states; it administers medical, pharmacy and care management services for employers and government programs.

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
Medica 71890
Medica Behavioral Health (MBH) 87726
Optum / chiropractic claims (associated Medica payer) 41161
UnitedHealthcare Shared Services (UHSS) — used for some non‑MSA claims 39026
Medica Government Programs MEDM1
Medica (product-specific payer ID) 94265

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