Maryland Physicians Care provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.marylandphysicianscare.com/login-options/ |
|---|---|
| Payer contact reference | 1-800-953-8854Provider Services for claim-payment and status questions. Confirm the applicable inquiry and current portal instructions. |
| Claims payer ID | Maryland Physicians Care’s billing page identifies Availity electronic claims with ID 76498. Keep this claims channel separate from eligibility and ERA; the provider resources separately identify Availity and a Valence claims/EOP link. |
| 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. Clearinghouse-specific: MPC identifies InstaMed for ERA/EFT enrollment. The accessed FAQ establishes no universal ERA payer ID; verify enrollment and distribution separately from Availity claims routing. |
| Timely filing | Initial claims: 180 days from service or institutional discharge |
| 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 Services for claim-payment and status questions. Confirm the applicable inquiry and current portal instructions.
- The current billing page specifies initial filing within 180 days: professional CMS-1500 claims count from service, and institutional UB-04 claims count from discharge. This finding does not establish secondary, corrected or appeal deadlines; verify their separate governing instructions.
- This registry has not established a payer-specific appeal ladder for Maryland Physicians 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.
- MPC identifies InstaMed for ERA/EFT enrollment. The accessed FAQ establishes no universal ERA payer ID; verify enrollment and distribution separately from Availity claims routing.
Maryland Physicians Care at a glance
| Legal name | Maryland Physicians Care |
|---|---|
| Also known as | MPC |
| Category | Medicaid MCO |
| Parent organization | Maryland Physicians Care |
| Claims payer ID | Maryland Physicians Care’s billing page identifies Availity electronic claims with ID 76498. Keep this claims channel separate from eligibility and ERA; the provider resources separately identify Availity and a Valence claims/EOP link. |
| 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. Clearinghouse-specific: MPC identifies InstaMed for ERA/EFT enrollment. The accessed FAQ establishes no universal ERA payer ID; verify enrollment and distribution separately from Availity claims routing. |
| NAIC company code | Not established in this registry |
| States covered | Maryland |
| Provider resource entry point | https://www.marylandphysicianscare.com/login-options/ |
| Provider phone | 1-800-953-8854Provider Services for claim-payment and status questions. Confirm the applicable inquiry and current portal instructions. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Maryland Physicians Care
The current billing page specifies initial filing within 180 days: professional CMS-1500 claims count from service, and institutional UB-04 claims count from discharge. This finding does not establish secondary, corrected or appeal deadlines; verify their separate governing instructions.
| Submission type | Window |
|---|---|
| Initial claim reference | Initial claims: 180 days from service or institutional discharge |
| 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 Maryland Physicians 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: Maryland Physicians Care provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Maryland Physicians 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 Maryland Physicians 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 Maryland Physicians 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 Maryland Physicians Care
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Maryland Physicians 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 | Maryland Physicians Care’s billing page identifies Availity electronic claims with ID 76498. Keep this claims channel separate from eligibility and ERA; the provider resources separately identify Availity and a Valence claims/EOP link. |
| 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. Clearinghouse-specific: MPC identifies InstaMed for ERA/EFT enrollment. The accessed FAQ establishes no universal ERA payer ID; verify enrollment and distribution separately from Availity claims routing. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
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.
portal_url
Source comparison: 2026-09-26
The official login-options page directs providers to Availity Essentials and describes eligibility and service-authorization tools. Prefer this maintained entry; the billing page also retains a separate Valence claims/EOP link, so do not conflate the systems.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
Provider FAQ confirms 1-800-953-8854 for claim payment/status questions.
Primary source for provider_phonetimely_filing_days
Source comparison: 2026-09-26
The current billing page establishes 180 days for initial claims: professional claims count from service, institutional claims from discharge. This does not establish secondary, corrected or appeal deadlines.
Primary source for timely_filing_dayspayer_ids.claims/electronic_claims_supported
Source comparison: 2026-09-26
The official billing page specifies Availity electronic claims and payer ID 76498; restrict that identifier to the documented claims channel.
Primary source for payer_ids.claims/electronic_claims_supportedpayer_ids.era/era_payer_id
Source comparison: 2026-09-26
MPC identifies InstaMed for ERA/EFT enrollment but does not provide a universal ERA payer ID in the accessed FAQ. Preserve separate enrollment verification.
Primary source for payer_ids.era/era_payer_id
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; supports_279_271/supports_278/payer_ids.eligibility: Portal eligibility and authorization functions do not establish X12 270/271 or 278 support or their routing identifiers..
Sources used for this guide
State coverage
Maryland Physicians 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 Maryland Physicians 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 Maryland Physicians Care; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Maryland Physicians Care; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Maryland Physicians Care before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Maryland Physicians Care
Where is the Maryland Physicians Care provider portal?
Use https://www.marylandphysicianscare.com/login-options/ as a starting point for Maryland Physicians 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 Maryland Physicians Care?
The current billing page specifies initial filing within 180 days: professional CMS-1500 claims count from service, and institutional UB-04 claims count from discharge. This finding does not establish secondary, corrected or appeal deadlines; verify their separate governing instructions.
Does Maryland Physicians Care publish a single claims payer ID?
This registry has not established one all-product claims payer ID for Maryland Physicians Care. Claims: Maryland Physicians Care’s billing page identifies Availity electronic claims with ID 76498. Keep this claims channel separate from eligibility and ERA; the provider resources separately identify Availity and a Valence claims/EOP link.. 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. Clearinghouse-specific: MPC identifies InstaMed for ERA/EFT enrollment. The accessed FAQ establishes no universal ERA payer ID; verify enrollment and distribution separately from Availity claims routing.. 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 Maryland Physicians Care accept electronic claims?
Verify Maryland Physicians 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 Maryland Physicians Care denial?
This registry has not established a payer-specific appeal ladder for Maryland Physicians 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 Maryland Physicians 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 Maryland Physicians Care provider phone number?
This registry lists 1-800-953-8854 as a contact reference for Maryland Physicians Care. Provider Services for claim-payment and status questions. Confirm the applicable inquiry and current portal instructions.
Automate workflows around Maryland Physicians 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 Maryland Physicians Care's current published documents before submission. CPT® is a registered trademark of the American Medical Association.