Maryland Physicians Care — Maryland
Managed MedicaidNot VerifiedMaryland
Official provider page registered; prior-authorization program verified — filing windows and remaining blocks pending verification.
⚠ Maryland-specific contact information: Heads up
- Standard timely filing
- Not yet published
- Appeal filing window
- Not yet published
- Prior authorization
- Not yet published
- Appeal channel
- Not yet published
- Provider portal
- See portal tab
- Verification
- Not Verifiedby AR Guide team
Notes
Official provider page registered; prior-authorization program verified — filing windows and remaining blocks pending verification.
Timely filing
Not yet published for this entry. Claim filing and appeal windows are published only when verified against an official source — never estimated.
- Provider Services
- 1-800-953-8854Verified · August 2026Verified Aug 19, 2026 · Official web pageView source (opens in a new tab)
Maryland Physicians Care Provider Services, Option 3; scheduled inpatient/outpatient prior authorization fax 1-800-953-8856.
Payer IDs
- electronic payer id
- 76498Verified · August 2026
Every contact is individually source-tracked and shows the date it was last verified. A green “Verified” badge only appears when a source and verification date exist.
- Features
- claims, eligibility, authorization
- Registration required
- Yes
- Notes
- MPC secure web portal for claims/EOPs and authorizations; EDI via Availity (payer ID 76498); paper claims to P.O. Box 21099, Eagan, MN 55121.
Referrals
Not yet published for this entry. Referral requirements and retro-referral rules are published only when verified against a source.
Appeals
Not yet published for this entry. Appeal levels, filing channels and external-review options are published only when verified against a source.
Documentation requirements
Not yet published for this entry. Required documentation for appeals and additional-information requests is published only when verified against a source.
- Common CARCs
- 197
- Top reasons
- Precertification / prior authorization / notification absent (CARC 197) — scheduled inpatient and outpatient services require prior authorization
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Recent updates
Change log
- Verified provider services contact · Aug 19, 2026Maryland Physicians Care — Prior Authorization & Claims
- Verified EDI payer ID · Aug 19, 2026Maryland Physicians Care — Prior Authorization & Claims
- Verified portal information · Aug 19, 2026Maryland Physicians Care — Prior Authorization & Claims
- Verified denial patterns · Aug 19, 2026Maryland Physicians Care — Prior Authorization & Claims
- Entry last reviewed · Aug 19, 2026Maryland Physicians Care — ProvidersMaryland Physicians Care — Prior Authorization & Claims
Contact information is provided for reference and is verified against the cited source as of the date shown. Payer contact information may change. Always confirm the appropriate contact for the member's plan and claim.
Source & verification
Directory record
- Geographic scope
- Maryland
- Line of business
- Managed Medicaid
- Last reviewed
- Aug 19, 2026
- Verified by
- AR Guide team
- Maryland Physicians Care — Providers — https://marylandphysicianscare.com/providers
- Maryland Physicians Care — Prior Authorization & Claims — https://www.marylandphysicianscare.com/providers