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  • Mca Administrators Claims Address

Get Mca Administrators Claims Address

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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How to fill out the Mca Administrators Claims Address online

Completing the Mca Administrators Claims Address online is an essential step for filing your claim efficiently. This guide will provide clear, step-by-step instructions to help you navigate the form with ease and accuracy.

Follow the steps to complete the form effectively:

  1. Click the ‘Get Form’ button to access the Mca Administrators Claims Address form, allowing you to open it in your preferred editor.
  2. Fill out Part A, which pertains to the policy holder. Provide necessary details such as the name of the school district, address, and contact information. Ensure accuracy in inputting the telephone number and the relevant dates.
  3. Complete the information regarding the injured person, including their name, date of birth, social security number, age, and grade. Be mindful to specify the nature of the injury and provide a detailed description of how it occurred.
  4. In Part B, provide details of the parent, responsible party, or guardian. Include their relationship to the insured, contact information, and employment details.
  5. State whether the injured person has other health insurance coverage and indicate the relevant information about other insurance policies if applicable.
  6. Read through the authorization sections carefully. Sign where indicated to certify that the information provided is accurate and that you agree to the terms outlined in the authorization.
  7. Attach all supporting documentation, including any bills and reports related to the injury. Review everything for completeness and accuracy.
  8. Once all fields are completed, save your changes. You can then download, print, or share the completed form as necessary.

Begin your document submission journey by filling out your claims address online today!

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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