MedStar Family Choice provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.medstarfamilychoicemd.com/maryland-providers/claims-appeals-grievances/claims |
|---|---|
| Payer contact reference | Plan-specific |
| Claims payer ID | Maryland HealthChoice electronic claims through Change Healthcare use RP063. Verify Maryland versus DC, member product and service date; do not substitute the historical 39190 lead or reuse the claims ID for eligibility. |
| Eligibility payer ID | Stored eligibility references remain unverified for the current product and transaction. Claims identifiers do 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 current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
| Timely filing | Maryland HealthChoice: 180 days from service |
| 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 |
- Maryland HealthChoice claims/provider customer service: 1-800-261-3371. Confirm DC and other product contacts separately; no combined MD/DC provider hotline is established.
- The reviewed Maryland HealthChoice billing page states initial submission within 180 days of service. This comparison does not establish the same rule for DC, every provider agreement, corrections or appeals. Verify the controlling Maryland plan instructions and any exceptions before filing.
- This registry has not established a payer-specific appeal ladder for MedStar Family Choice. 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 current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier.
MedStar Family Choice at a glance
| Legal name | MedStar Family Choice |
|---|---|
| Also known as | MedStar MCO |
| Category | Medicaid MCO |
| Parent organization | MedStar Health |
| Claims payer ID | Maryland HealthChoice electronic claims through Change Healthcare use RP063. Verify Maryland versus DC, member product and service date; do not substitute the historical 39190 lead or reuse the claims ID for eligibility. |
| Eligibility (270/271) payer ID | Stored eligibility references remain unverified for the current product and transaction. Claims identifiers do 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 current product, clearinghouse and enrollment. This claims comparison does not establish an 835 identifier. |
| NAIC company code | Not established in this registry |
| States covered | Maryland, District of Columbia |
| Provider resource entry point | https://www.medstarfamilychoicemd.com/maryland-providers/claims-appeals-grievances/claims |
| Provider phone | Plan-specific |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for MedStar Family Choice
The reviewed Maryland HealthChoice billing page states initial submission within 180 days of service. This comparison does not establish the same rule for DC, every provider agreement, corrections or appeals. Verify the controlling Maryland plan instructions and any exceptions before filing.
| Submission type | Window |
|---|---|
| Initial claim reference | Maryland HealthChoice: 180 days from service |
| 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 MedStar Family Choice. 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: MedStar Family Choice provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with MedStar Family Choice
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 MedStar Family Choice 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 MedStar Family Choice. 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 MedStar Family Choice
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient MedStar Family Choice 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 HealthChoice electronic claims through Change Healthcare use RP063. Verify Maryland versus DC, member product and service date; do not substitute the historical 39190 lead or reuse the claims ID for eligibility. |
| 270 / 271 eligibility | Listed in registry; verify current scope | Stored eligibility references remain unverified for the current product and transaction. Claims identifiers do 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 current product, clearinghouse and enrollment. This claims comparison does not establish an 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
- Reviewed claims instructions are Maryland HealthChoice; the registry also includes DC, which requires separate plan 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.
record_scope
Source comparison: 2026-09-26
Reviewed claims instructions are Maryland HealthChoice; the registry also includes DC, which requires separate plan routing.
Primary source for record_scopeportal_url
Source comparison: 2026-09-26
Current Maryland provider claims page links the provider portal and claims resources; it is a public entry point, not verified authenticated access.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
Maryland claims-processing and provider customer service use 800-261-3371. No universal DC/MD phone replacement is established.
Primary source for provider_phonetimely_filing_days
Source comparison: 2026-09-26
Current Maryland billing page states 180 days from service; this supports Maryland scope only, not a combined MD/DC universal rule.
Primary source for timely_filing_dayspayer_ids.claims
Source comparison: 2026-09-26
Maryland electronic claims through Change Healthcare use RP063. Do not substitute the old manual candidate 39190 or copy this into eligibility.
Primary source for payer_ids.claims
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 / era_payer_id: No transaction-specific universal eligibility/ERA identifier established; do not copy a claims ID.; electronic_claims_supported / supports_279_271 / supports_278: No blanket transaction-capability or QuickIntell connectivity certification; unauthenticated resources do not establish all stored flags.; appeal_levels / prior_auth_required_codes_sample / qi_module_coverage: No new approval of appeals, code-specific authorization or product integrations in this bounded pass..
Sources used for this guide
State coverage
MedStar Family Choice 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 MedStar Family Choice
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 MedStar Family Choice; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for MedStar Family Choice; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for MedStar Family Choice before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about MedStar Family Choice
Where is the MedStar Family Choice provider portal?
Use https://www.medstarfamilychoicemd.com/maryland-providers/claims-appeals-grievances/claims as a starting point for MedStar Family Choice 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 MedStar Family Choice?
The reviewed Maryland HealthChoice billing page states initial submission within 180 days of service. This comparison does not establish the same rule for DC, every provider agreement, corrections or appeals. Verify the controlling Maryland plan instructions and any exceptions before filing.
Does MedStar Family Choice publish a single claims payer ID?
This registry has not established one all-product claims payer ID for MedStar Family Choice. Claims: Maryland HealthChoice electronic claims through Change Healthcare use RP063. Verify Maryland versus DC, member product and service date; do not substitute the historical 39190 lead or reuse the claims ID for eligibility.. Eligibility (270/271): Stored eligibility references remain unverified for the current product and transaction. Claims identifiers do 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 current product, clearinghouse and enrollment. This claims comparison does not establish an 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 MedStar Family Choice accept electronic claims?
Verify MedStar Family Choice 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 MedStar Family Choice denial?
This registry has not established a payer-specific appeal ladder for MedStar Family Choice. 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 MedStar Family Choice 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.
How do providers contact MedStar Family Choice?
This registry has not established one provider phone number for MedStar Family Choice. Maryland HealthChoice claims/provider customer service: 1-800-261-3371. Confirm DC and other product contacts separately; no combined MD/DC provider hotline is established. Use https://www.medstarfamilychoicemd.com/maryland-providers/claims-appeals-grievances/claims as a starting point for MedStar Family Choice 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.
Automate workflows around MedStar Family Choice 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 MedStar Family Choice's current published documents before submission. CPT® is a registered trademark of the American Medical Association.