What is the name of this company?

We are Mercy Benefit Administrators, formerly known as St. John’s Claims Administration.

Are we considered an in-network or participating provider for this patient?

Please visit the Mercy Provider Directory to find out, or call us at 1-877-875-7700.

What is the address of Mercy Benefit Administrators?

The claims mailing address is:
Mercy Benefit Administrators
P.O. Box 14230
Springfield, MO 65814

What is your Electronic Payer ID number?

Our Electronic Payer ID for traditional TPA clients is 37264.

Our Electronic Payer ID for re-pricing clients is 43185.

Where can I verify benefits?

Please note that verification of benefits is not a guarantee of payment. Please contact us, or call us at 1-877-875-7700.

Where can I verify a patient’s eligibility?

To check eligibility of a member: click here.

For a guide to self-registering on the provider portal: click here.

 

Please note that eligibility is not a guarantee of benefits.

Where can I check to see if pre-certification or pre-authorization is required?

If your patient belongs to any Group Health Plan administered by Mercy Benefit Administrators, pre-authorization or pre-certification is required for the following:

  • Click here for a copy of the list.
  • Please note: this is not an all-inclusive list. If you still need assistance to determine if your procedure requires pre-authorization or pre-certification, please please contact us at 1-877-875-7700.

How do I obtain a pre-certification or pre-authorization for the patient?

If your patient belongs to the Hermann Area Hospital District Group Health Plan, please call 844-841-3891.

If your patient belongs to any other Group Health Plan administered by Mercy Benefit Administrators, please call 800-330-8305.

Where can I check the status of a claim?

To check the status of a claim: click here.

For a guide to self-registering on the provider portal: click here.