Maryland Physicians Care: Secure Provider Portal for Quick Healthcare Management

maryland

Maryland Physicians Care (MPC) offers a comprehensive provider portal designed to streamline healthcare management and improve communication between healthcare professionals and the organization. This secure digital platform enables providers to efficiently manage patient information, claims, authorizations, and other critical administrative tasks.

Official Links

What Providers Can Do

The MPC Provider Portal offers multiple essential functionalities:

Claims Management

  • View claims and Electronic Remittance Advices (ERA)
  • Submit claims electronically
  • Access claims payment information

Authorization Requests

  • Submit authorization requests free of charge
  • Track existing authorization status
  • Utilize secure web portal for streamlined processing

Member Information

  • Access member panel listings
  • Verify patient enrollment
  • Check member eligibility

Access and Login

Login Process

  1. Visit the secure provider portal
  2. Enter credentials
  3. Navigate through various management tools

Supported Browsers

The portal is optimized for:

  • Google Chrome
  • Firefox
  • Safari
  • Microsoft Edge

Note: Internet Explorer is not recommended

Key Features

Provider Relations

  • Designated Provider Relations Representatives
  • Territory-based support
  • Policy change updates

Electronic Services

  • Electronic Fund Transfer (EFT)
  • Electronic Remittance Advice (ERA)
  • Claims submission via InstaMed

Privacy and Security

MPC emphasizes data protection through:

  • Secure web portal access
  • Encrypted communication
  • Compliance with healthcare privacy regulations

Support and Assistance

Provider Services

  • Phone: 1-800-953-8854 (Option 3)
  • Translation services available
  • Provider Relations Representatives support

Claims and Authorization Support

  • Electronic Clearinghouse: Availity
  • Payor ID: 76498
  • Phone: 1-800-Availity

Appeals Process

Types of Appeals

  • Member Pre-Service Appeals
  • Provider Post-Service (Claims) Appeals

Submission Methods

  • Electronic claim appeal submission
  • Fax: 1-833-656-0648
  • Mail: Maryland Physicians Care, PO Box 1104, Portland, ME 04104

Billing and Payments

Claims Submission

  • Electronic submission through portal
  • Paper claims via mail
  • Address: Maryland Physicians Care, P.O. Box 21099, Eagan, MN 55121

Unprovided Information

Some details were not explicitly available in the source documents, such as:

  • Specific mobile app download instructions
  • Detailed login screen design
  • Comprehensive portal feature list

Maryland Physicians Care’s Provider Portal represents a robust, secure platform designed to simplify healthcare provider interactions, offering comprehensive tools for efficient practice management.

© 2025 Maryland Physicians Care. All Rights Reserved.

FAQ

Is Maryland Physicians Care the same as Medicaid?Holy Cross Health is an owner of Maryland Physicians Care, a Medicaid managed care organization. It is the third largest Medicaid managed care organization in the state and currently administers health care services to over 215,000 members.

Is Maryland Physicians Care the same as Maryland Health Connection?Maryland Health Connection is also the only place to qualify for financial help. Maryland Physicians Care is a managed care organization, or MCO. MPC provides health services.

How do I check my eligibility for Maryland Physicians Care?Contact the State of Maryland’s Eligibility Verification System (EVS) at 1-866-710-1447This link opens an external website or contact Member Services at 1-800-953-8854This link opens an external website to verify enrollment.

How do I contact Maryland physician care?Call Maryland Physicians Care Member Services at 1-800-953-8854This link opens an external website.

https://www.marylandphysicianscare.com/providers/

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

https://mpmdportal.valence.care/

Maryland Physicians Care. Members click here. Providers click here. Back to login. Forgot your user name. Forgot your password. Back to login. Click here to

Leave a Comment