What is the phone number for Virginia Medicaid verification?
Asked by: Krista Erdman DVM | Last update: December 21, 2025Score: 4.6/5 (58 votes)
How to verify VA Medicaid?
Be advised, Medicaid coverage is provided at no cost and you will never be asked for payment. Please do not give out your personal or payment information. Individuals can call the CoverVA call center at 1-855-242-8282 to confirm the status of their Medicaid coverage or submit an application.
How do I check my Medicaid approval status?
Log into your state's Medicaid portal
Many states have online portals where you can check your Medicaid coverage status. If you already created an account when you applied, log in to see any updates or changes to your status. Look for a section that shows your coverage details or current eligibility.
Who handles Virginia Medicaid?
Virginia Medicaid currently has five MCOs: Aetna Better Health, Anthem HealthKeepers Plus, Molina Healthcare, Sentara Community Plan, and UnitedHealthCare Community Plan.
How do I contact Virginia Medicaid EDI?
Details on sending electronic claims to Virginia Medicaid are contained in the guide. Additionally, EDI Service Center 5–Step Testing Guidelines document is available. If you have questions about electronic billing, contact our Conduent EDI Helpdesk toll free at 866-352-0766.
Getting Started as a Provider
What is the phone number for Medicaid verification in Virginia?
Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs at 1-855-242-8282. The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues.
What is EDI in Medicaid?
What is EDI? EDI (Electronic Data Interchange) X12 is a data format based on the Accredited Standards Committee (ASC) X12 standards. The Implementation Guides adopted under the Health Insurance Portability and Accountability Act (HIPAA) can be found at http://www.wpc- edi.com/.
What is Virginia Medicaid called?
The Department of Medical Assistance Services (DMAS) rebranded Virginia's Medicaid program as Cardinal Care.
What is the provider Medicaid number?
A Medicare/Medicaid Provider Number (MPN) verifies that a provider has been Medicare certified and establishes the type of care the provider can perform. This identifier is a six-digit number.
What is the phone number for Virginia CommonHelp?
You will have to create a CommonHelp account and apply for these programs to get a final decision about assistance, but we will help guide you through that process. If you want to apply online for only Health Care Coverage, then click here or call 1-855-242-8282. Ready to get started?
How does Medicaid verify?
For instance, in California, the Income Eligibility Verification System (IEVS) is an electronic database that matches the income information provided by the applicant to other databases to verify it is accurate.
What are the 6 things Medicare doesn't cover?
- Eye exams (for prescription eyeglasses)
- Long-term care.
- Cosmetic surgery.
- Massage therapy.
- Routine physical exams.
- Hearing aids and exams for fitting them.
How to check if Medicare is active?
If you'd like to make sure you're enrolled in Original Medicare, you can call the program at 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. TTY users call 1-877-486-2048. You can also check your Medicare enrollment online at Medicare.gov.
How can I check my Medicaid status?
Ways to Check Your Medicaid Status
Log in to your online Medicaid account, and click on your application status to see if it's been approved. Alternatively, call your state's Medicaid agency or visit a local Medicaid office with your case number to find out the application status.
What is VA verification?
Identity verification is a one-time process that helps us make sure that the person creating your account is really you—and not someone pretending to be you.
How to check Medicaid status VA?
To check your status, you can log in to your account at commonhelp.virginia.gov by clicking the Check My Benefits button or call Cover Virginia at 1-855-242-8282 (TDD: 1-888-221-1590).
What number is 800 786 4346?
Provider Telecommunications Network 1-800-786-4346
The Provider Telecommunications Network (PTN) is available from 7 a.m. to 8 p.m., seven days a week. To access this automated network providers will need their Medi-Cal Provider Identification Number (PIN).
How long does it take to get credentialed with Medicaid?
It's always a good idea to assume the process will take anywhere from 90 – 120 days for each plan application that you submit. It is important to note that you will not receive in-network reimbursement from an insurance company until you have completed credentialing and contracting.
How do I contact Virginia Medicaid?
Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 833-5CALLVA (TDD: 1-888-221-1590).
What is my Virginia Medicaid provider number?
If you need assistance or have any questions related to your enrollment please contact Virginia Medicaid Provider Enrollment Services at 888-829-5373 or 804-270-5105.
Is VA the same as Medicaid?
There are three major government programs that offer healthcare benefits: Medicare, Medicaid, and the U.S. Department of Veterans Affairs (VA, formerly the Veterans Administration). Eligibility is different for each program and will depend on things like income level, age, veteran status, and other requirements.
What is the EDI eligibility check?
The EDI eligibility verification is the third most utilized transaction in the healthcare industry, after claim submission and remittance advice transactions. Most insurance companies also have some method of web-based eligibility verification.
What are the types of Medicaid data?
Types and sources. Table 1 contains seven general types of data bases available for Medicaid research: State program characteristics surveys, aggregate State-reported data, Medicaid claims data bases, the Quality Control Sample, broad national sample surveys, microsimulation data bases, and miscellaneous data bases.
What does EDI stand for?
EDI, which stands for electronic data interchange, is the intercompany communication of business documents in a standard format.