Martin's Point Health Care provider portal, phone and payer ID quick facts
| Provider resource entry point | https://martinspoint.org/for-providers/provider-manual/contact-us |
|---|---|
| Payer contact reference | 1-888-732-7364Provider Inquiry for eligibility, claims and general questions. Confirm Generations Advantage versus US Family Health Plan and the applicable inquiry. |
| Claims payer ID | Martin’s Point lists MPHC1 through Office Ally and MPHC2 through Relay Health for electronic claims. Select the member program and clearinghouse; these channel-specific claims IDs do not establish eligibility or ERA routing. |
| Eligibility payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing. |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier. |
| Timely filing | Provider agreement and program control; conflicting correction text unresolved |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- Provider Inquiry for eligibility, claims and general questions. Confirm Generations Advantage versus US Family Health Plan and the applicable inquiry.
- Participating filing deadlines follow the provider agreement; the manual lists 60/90/120/180-day options. It states one year for nonparticipating clean claims. Separate sections conflict on nonparticipating corrected claims, stating 65 versus 60 days. Confirm the program and current instructions with Martin’s Point instead of selecting one correction value or applying 180 days universally.
- This registry has not established a payer-specific appeal ladder for Martin's Point Health Care. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier.
Martin's Point Health Care at a glance
| Legal name | Martin's Point Health Care |
|---|---|
| Also known as | Martin's Point, MPHC |
| Category | Commercial |
| Parent organization | Martin's Point Health Care |
| Claims payer ID | Martin’s Point lists MPHC1 through Office Ally and MPHC2 through Relay Health for electronic claims. Select the member program and clearinghouse; these channel-specific claims IDs do not establish eligibility or ERA routing. |
| Eligibility (270/271) payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing. |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier. |
| NAIC company code | Not established in this registry |
| States covered | Maine, New Hampshire |
| Provider resource entry point | https://martinspoint.org/for-providers/provider-manual/contact-us |
| Provider phone | 1-888-732-7364Provider Inquiry for eligibility, claims and general questions. Confirm Generations Advantage versus US Family Health Plan and the applicable inquiry. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Martin's Point Health Care
Participating filing deadlines follow the provider agreement; the manual lists 60/90/120/180-day options. It states one year for nonparticipating clean claims. Separate sections conflict on nonparticipating corrected claims, stating 65 versus 60 days. Confirm the program and current instructions with Martin’s Point instead of selecting one correction value or applying 180 days universally.
| Submission type | Window |
|---|---|
| Initial claim reference | Provider agreement and program control; conflicting correction text unresolved |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Martin's Point Health Care. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Martin's Point Health Care provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Martin's Point Health Care
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Martin's Point Health Care electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Martin's Point Health Care. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Martin's Point Health Care
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Martin's Point Health Care volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | Martin’s Point lists MPHC1 through Office Ally and MPHC2 through Relay Health for electronic claims. Select the member program and clearinghouse; these channel-specific claims IDs do not establish eligibility or ERA routing. |
| 270 / 271 eligibility | Listed in registry; verify current scope | Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Select Generations Advantage Medicare versus US Family Health Plan/TRICARE before applying benefit, authorization or claim instructions; the registry commercial grouping does not resolve the member program.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
category
Source comparison: 2026-09-26
The manual concerns Generations Advantage and US Family Health Plan, linked as Medicare and TRICARE products. A generic commercial label must not obscure the underlying program.
Primary source for categoryportal_url
Source comparison: 2026-09-26
The current provider manual contact page supplies the official provider-portal sign-in and registration routes; use it instead of the outdated /providers URL.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
The official manual confirms 1-888-732-7364 for provider inquiries including eligibility, claims and general questions.
Primary source for provider_phonepayer_ids.claims/electronic_claims_supported
Source comparison: 2026-09-26
Electronic claims use MPHC1 with Office Ally and MPHC2 with Relay Health. Store them as channel-specific routes rather than one universal payer ID.
Primary source for payer_ids.claims/electronic_claims_supportedtimely_filing_days
Source comparison: 2026-09-26
Participating deadlines follow agreements; the manual lists 60/90/120/180-day options. It states one year for nonparticipating clean claims, but nonparticipating corrections conflict between 65 and 60 days in separate sections. Do not resolve that conflict or apply 180 universally.
Primary source for timely_filing_days
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; payer_ids.eligibility/payer_ids.era/supports_279_271/supports_278: Claims IDs and web eligibility/auth tools do not establish X12 eligibility or authorization support or an ERA identifier. Confirm separate enrollment and transaction routing..
Sources used for this guide
State coverage
Martin's Point Health Care operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Martin's Point Health Care
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Martin's Point Health Care; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Martin's Point Health Care; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Martin's Point Health Care before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Martin's Point Health Care
Where is the Martin's Point Health Care provider portal?
Use https://martinspoint.org/for-providers/provider-manual/contact-us as a starting point for Martin's Point Health Care provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Martin's Point Health Care?
Participating filing deadlines follow the provider agreement; the manual lists 60/90/120/180-day options. It states one year for nonparticipating clean claims. Separate sections conflict on nonparticipating corrected claims, stating 65 versus 60 days. Confirm the program and current instructions with Martin’s Point instead of selecting one correction value or applying 180 days universally.
Does Martin's Point Health Care publish a single claims payer ID?
This registry has not established one all-product claims payer ID for Martin's Point Health Care. Claims: Martin’s Point lists MPHC1 through Office Ally and MPHC2 through Relay Health for electronic claims. Select the member program and clearinghouse; these channel-specific claims IDs do not establish eligibility or ERA routing.. Eligibility (270/271): Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing.. ERA (835): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier.. Do not substitute a claims ID for an unverified transaction ID. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does Martin's Point Health Care accept electronic claims?
Verify Martin's Point Health Care electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Martin's Point Health Care denial?
This registry has not established a payer-specific appeal ladder for Martin's Point Health Care. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Martin's Point Health Care prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Martin's Point Health Care provider phone number?
This registry lists 1-888-732-7364 as a contact reference for Martin's Point Health Care. Provider Inquiry for eligibility, claims and general questions. Confirm Generations Advantage versus US Family Health Plan and the applicable inquiry.
Automate workflows around Martin's Point Health Care requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Martin's Point Health Care's current published documents before submission. CPT® is a registered trademark of the American Medical Association.