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Medica Provider News: September 2026

Medica·Provider News
Effective date
Jan 1, 2027
We identified it
Sep 24, 2026
Days to comply
65 days

Summary

Medica is sunsetting its internal claims platform for Medicare Advantage claims under payer ID 39113 effective January 1, 2027. Providers must submit all outstanding claims, replacements, corrections, and voids for this payer ID by December 1, 2026, to allow processing before the final system payment cycle on December 28, 2026. This affects only historical claims with dates of service through December 31, 2025.

Action Required

Before Jan 1, 2027
By December 1, 2026: Billing team must identify and submit all unsubmitted claims, claim replacements, corrections, and voids associated with Medica Medicare Advantage payer ID 39113 (dates of service through 12/31/2025). Review aging accounts receivable and claims management system for any outstanding claims under this payer ID. Confirm submission is complete before the December 1 deadline to ensure processing by the final payment cycle on December 28, 2026. Claims not submitted by the deadline will not be processed after the platform sunset on January 1, 2027.

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