Claims and Billing

As required by the Affordable Care Act and implementing regulation, all practitioners, including those who order, refer, or prescribe items or services for Pennsylvania Medical Assistance (MA) beneficiaries, must enroll in the Pennsylvania MA program.
Claims will be denied if ordering, referring, or prescribing provider is not enrolled in the MA program.

Enroll in the Pennsylvania MA program.

Billing information

Learn about our claims address, electronic payer IDs, provider dispute information, provider appeals, and more.

Billing guides

Additional billing information