Coverage profile
How Substrate can help you with Medicaid Iowa
Substrate can help practices and billers with the following claims tasks for Medicaid Iowa.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Iowa.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Iowa.
Frequently asked questions
Medicaid Iowa payer FAQs
How do I check claim status with Medicaid Iowa?
Providers check Medicaid Iowa via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Medicaid Iowa?
The primary payer ID for Medicaid Iowa is 100171. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid Iowa?
The 837P and 837I payer ID for Medicaid Iowa is 100171 via Stedi.
What is the 835 payer ID for Medicaid Iowa?
The 835 payer ID for Medicaid Iowa is 100171 via Stedi.
What is the 270 payer ID for Medicaid Iowa?
The 270 payer IDs for Medicaid Iowa are 100171 via Stedi and 100171 via Availity.
What is the 276 payer ID for Medicaid Iowa?
The 276 payer ID for Medicaid Iowa is 100171 via Stedi.
What state does Medicaid Iowa operate in?
Medicaid Iowa operates in IA.
Routing reference
Medicaid Iowa payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid IowaSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | IASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 100171Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 100171Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 100171Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 100171Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 100171Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 100171Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Iowa. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID IOWA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Medicaid Iowa phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (515) 256-4609IOWA MEDICAID
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(515) 256-4609 |
| ||
| phone(800) 338-7909 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 100171
- 10107
- 1469
- 1665
- 18049
- CKIA1
- IACAID
- IAMCD
- SKIA0
- Iowa Department of Health and Human Services
- Iowa HHS
- Iowa Medicaid
- MEDICAID IA