EDI Information and Guides
MVP’s Payor ID is 14165
- Billing Edits Effective May 21, 2015 (PDF)
- EDI Frequently Ask Questions (PDF)
- MVP Health Care’s Preferred Clearinghouse List (PDF)
- MVP Health Care's Preferred Realtime (270271) Transaction Clearinghouse Vendor List (PDF)
- Electronic Funds Transfer and Remittance Advice (EFT/ERA) (PDF)
- 2024 Routine Scheduled Maintenance (PDF)
Online Claim Submissions
Providers may create and submit medical and behavioral health claims online to MVP by accessing TransShuttle . This website is hosted and powered by AXIOM and the services available therein are offered by AXIOM to providers on behalf of MVP Health Care. AXIOM may require that users agree to AXIOM’s site requirements and certain terms of use before accessing AXIOM’s services. Please note an NPI is required in order to setup an account.
MVP Trans Shuttle Sign Up Guide (PDF)
EDI Options and Enrollment Preferences
Providers who prefer a paper check with an electronic remittance should complete the Online EDI Enrollment form . Providers who prefer EFT\ERA should contact PaySpan directly to set up your clearinghouse for permission to retrieve electronic remittance advice. If you choose this option, please do not complete the Online EDI Enrollment form. If an MVP EDI Enrollment Form is received and the provider/facility is set up with PaySpan, the form will be rejected and returned. Read our helpful Electronic Funds Transfer (EFT) and Remittance Advice for helpful information regarding registering for EFT\ERA with PaySpan.
EDI Forms
The below forms should not be completed for EFT/ERA. Please see Action Steps for Health Care Providers: Electronic Funds Transfer and Remittance Advice (EFT/ERA)
Providers may create and submit medical claims online to MVP by accessing TransShuttle . This website is hosted and powered by AXIOM and the services available therein are offered by AXIOM to providers on behalf of MVP Health Care. AXIOM may require that users agree to AXIOM’s site requirements and certain terms of use before accessing AXIOM’s services. Please note an NPI is required in order to setup an account.
EDI Guides
- Claims Submission and Electronic Data Guide (PDF)
- 5010 Secondary Payer and COB Rules (PDF)
- Transaction Standard Companion Guide – 837P (PDF)
- Transaction Standard Companion Guide – 837I (PDF)
- Transaction Standard Companion Guide—270/271 & 276/277 (PDF)
- Transaction Standard Companion Guide—835 (PDF)
- Transaction Standard Companion Guide- 837D (PDF)
Routine Scheduled Maintenance
Questions
Contact our EDI Service Department by email or phone at 1-877-461-4911.
Provider Reference Library
Our Provider Reference Library is full of helpful resources.