For the ICD-9-CM version of the Emergency Room Auto-Pay List, please click copy of the list.
For the ICD-10-CM version of the Emergency Room Auto-Pay List, please click copy of the list.
Effective October 01, 2015, the MFC Emergency Room Auto-Pay List will be expanded to include ICD-10 coding conversions for all entries on the ICD-9-CM version of the list.
Please note that claims for emergency services 9-30-15 or prior with a primary ICD-9-CM and claims for emergency services 10-01-15 and after with a primary ICD-10-CM diagnosis code on the auto-pay list will be paid without further documentation
MFC reserves the right to audit claims in accordance with Maryland regulations for consistency between clinical documentation and information presented on the bill (including the reported diagnosis).
If you have any questions about the auto-pay list, please contact our Provider Relations Department in Maryland at 1-800-905-1722 Monday though Friday between 8:30 a.m. - 5:00 p.m. or our Provider Relations Department in Washington DC at 1-855-210-6203 Monday through Friday between 8:00 a.m. - 5:30 p.m.