Contacting MVP About Provider Claims

Sending Claims Electronically

MVP offers several options for submitting claims electronically using an Electronic Data Interchange (EDI). MVP’s Payee ID is 14165.

Learn more about submitting claims electronically on our Provider EDI Information page.

Sending Claims by Mail

To send claims by mail, please use either form CMS-1500 or form UB-04 to:

MVP Health Care
Attn: Claims Department
PO Box 2207
Schenectady, NY 12301

 

Claims Adjustments 

For the fastest processing, submit a claim adjustment request in your Provider online account, where you can also find the status of claim adjustments. Or call MVP Provider Services at 1-800-684-9286.

If submitting by mail, Initial Claim Adjustment forms should be submitted to the following address for all products and Members:

MVP Health Care
Attn: Claims Department
PO Box 2207
Schenectady, NY 12301

 

Second Clinical Review Claims Adjustment forms should be submitted to:

MVP Health Care
Attn: Operations Adjustment Team
PO Box 2207
Schenectady, NY 12301

 

Appeal Requests

Appeals should be submitted to the MVP Member Appeals Department at the address below. This includes the following MVP ID numbers:

  • Not Medically Necessary

  • No Prior Authorization obtained/Eligibility (excludes medical necessity appeals)

  • Claims exceeding timely filing limits/ Contractual denials per MVP Policy


The address for the MVP Appeals Department is:

MVP Health Care 
Attn: Member Appeals Department
625 State Street Schenectady, NY 12305

Questions?

Call MVP Provider services at
1-800-684-9286