Claims Status/Online Claims Look Up
To obtain information on the status of your claims, please log on to the Provider Portal or call our Provider Customer Service Line at
800-261-3371, available Monday through Friday, 8:30 a.m. – 5 p.m.
Find out the guidelines for timely claims submissions and what is required for the claim to be considered clean.
Are you submitting claims electronically? Learn how to send your MedStar Family Choice claims electronically.
Electronic Funds Transfer (EFT) / Electronic Remittance Advice (ERA)
Beginning on January 1, 2023, MFC’s only direct clearinghouse partner will be Change Healthcare and ECHO Health, Inc. to provide EFT payments and 835 Electronic Remittance Advices (ERA).
To sign-up to receive EFT, through Settlement Advocate for MedStar Family Choice, Inc only, visit https://enrollments.echohealthinc.com/EFTERADirect/Medstar. No Fees apply.
All generated ERAs will be accessible to download from the ECHO provider portal (www.providerpayments.com). You can also log into www.providerpayments.com to access a detailed explanation of payment for each transaction. Changes to the ERA enrollment or ERA distribution can be made by contacting the ECHO Health Enrollment team at 440-835-3511.
Please make sure that your Practice Management System will be updated to accept the Change Healthcare Payer IDs as identified for each respective MedStar Family Choice Health Plan:
- MedStar Family Choice – District of Columbia: RP062
- MedStar Family Choice – Maryland HealthChoice: RP063
If you have any difficulty with the website or have additional questions, please call 800-317-3523.
Learn where to send refunds for errors in claims payments.
Learn how to submit a payment dispute.
Understand the laws pertaining to the prevention and detection of fraud, waste, and abuse, in accordance with the requirements of the federal Deficit Reduction Act of 2005.
Prior authorization is required for elective and direct placement into observation (e.g., from home, physician office).
Click on the link above for the ICD-10-CM version of the Emergency Room Auto-Pay List.
The National Drug Code is required to be billed on claim forms for drugs administered by physicians, outpatient hospitals, and dialysis centers.
Information current as of: