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Claims

Missouri Care aims to ensure that claims are handled as efficiently as possible. Please check this page for news and updates on our claims processes.

Institutional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions.

Professional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Other Resources

Explains how to receive, load and send 834 EDI files for member information.

Corrected and/or voided claims are subject to timely claims submission (i.e., timely filing) guidelines.

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Last Updated On: 12/5/2018
Welcome Prescription Drug Plan members! We have important information to share with you about your 2019 plan. Read More. ×