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MEDICAL CLAIM FORM CLAIM ASSISTANCE: 1-800-427-9308 MCA ADMINISTRATORS, INC. 1. COMPLETE THIS FORM 2. ATTACH ALL BILLS 3. MAIL TO P.O. BOX 6540 HARRISBURG, PA 17112 ? ADMINISTRATOR FOR AMERICAN MANAGEMENT.

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Electronic Data Interchange (EDI) FCE's Payer Number is 33033.

Please send claims to the following address: Mail to:ACI P.O. Box 4000 Collegeville, PA 19426-9000Fax:610-293-9299EDI Payor ID #:22384

Payer Name: CoreSource (NC, IN)

MCA Administrators, Inc.

Payer List Payer NamePayer IDServicesMCA ADMINISTRATORS25160UB04 1500 ERAMCITJ1351UB04 1500 ERAMcLaren Advantage SNP3833RUB04 1500 ERAMcLaren Health Advantage3833AUB04 1500 ERA96 more rows

The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232