Frequently Asked Questions
If you are interested in a contract with MPC, please submit a non-binding letter of intent to the MPC Contracting Department.
Mail
Maryland Physicians Care
Attn: Contracting Department
1201 Winterson Road, 4th Floor
Linthicum Heights, MD 21090
E-mail
mpcprovidercontracts@mci-mcmi.com
Fax
410-734-5351
For additional information on the criteria we use to help make contracting decisions, visit Become A Provider.
View claims and EOPs for free through MPC’s secure web portal.
Electronic Clearinghouse Availity
Payor ID – 76498
Phone: 1-800-Availity
Mail paper claims to:
Maryland Physicians Care
P.O. Box 21099
Eagan, MN 55121
Send resubmissions to the same address — marked “Resubmission” on the claim.
Contact Provider Services at 1-800-953-8854.
MPC uses InstaMed to provide free Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA). To register, call 866-945-7990 or visit instamed.com/eraeft.
Download Current Provider Manual (PDF)
For information on how to contact MPC or submit a claim refer to our Quick Reference Guide.
Log into the secure provider portal, and search under Eligibility and PCP Panel Roster for a current member panel listing, or contact your Provider Relations Representative for assistance.
You can register to start receiving the MPC Provider Newsletter by following this link to our registration page.
Maryland Physicians Care assigns every network provider a representative. Provider representatives are in regular contact with providers and/or office staff. You can confirm your provider representative’s name and phone number by viewing the territory contact list or calling the Provider Relations Department at 1-800-953-8854.
Medication Request Through the Pharmacy Benefit
Print the applicable prior authorization forms for MPC Rx Prior Authorization Forms and fax to 1-833-896-0656 or contact the MPC Pharmacy UM department at 1-888-258-8250
Medication Request Through the Medical Benefit
Print the applicable New Prior-Authorization Form (PDF) (required form as of 4/1/21) and fax to 1-800-953-8856 or contact Pharmacy prior authorization department at 1-800-953-8854.
PRE-SERVICE REQUEST
Print the applicable prior authorization form and fax to 1-800-953-8856 or contact the prior authorization department at 1-800-953-8854.
NOTIFICATION OF INPATIENT ADMISSION
Print the applicable prior authorization form and fax to 1-800-385-4169 or contact the prior authorization department at 1-800-953-8854.
Contact the State of Maryland’s Eligibility Verification System (EVS) at 1-866-710-1447 or contact Member Services at 1-800-953-8854 to verify enrollment.
Please refer to the HealthChoice Benefit Summary page for a brief description of covered benefits. For a complete description of benefits, please refer to the Member Handbook.
Visit the Maryland Health Connection website or call Maryland Health Connection at 1-855-642-8572 for additional information.
Use the MPC Pre-Authorization tool to see if a prior authorization is needed. It’s quick and easy!
