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Medicare Connecticut Part B

Medicare CT Part B

The provider portal for Medicare Connecticut Part B is https://www.ngsmedicare.com/

Primary payer ID
13102Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Medicare Connecticut Part B? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare Connecticut Part B

Substrate can help practices and billers with the following claims tasks for Medicare Connecticut Part B.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Connecticut Part B.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medicare Connecticut Part B.

Available

2027 maternity billing research

When does Medicare Connecticut Part B change OB/GYN billing?

Federal proposal—not final

Transition begins 2027-01-01. CMS proposes valuing the new CPT codes but is considering 15 Medicare-specific global maternity HCPCS codes GMAT1-GMAT15 instead.

Transition start
2027-01-01
Billing start
Not published
Published
2026-07-16
Current As Of
August 2026

Scope: federal Medicare Part B proposal; MAC instructions pending

Open Medicare Connecticut Part B in the payer explorer →
View Payer Policy ↗Upstream page ↗

CY 2027 Physician Fee Schedule proposed rule. Verify the payer source before claim submission.

Frequently asked questions

Medicare Connecticut Part B payer FAQs

What is the payer ID for Medicare Connecticut Part B?

The primary payer ID for Medicare Connecticut Part B is 13102. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Medicare Connecticut Part B?

The provider portal for Medicare Connecticut Part B is https://www.ngsmedicare.com/. Available features depend on the payer and your account.

What is the 837P payer ID for Medicare Connecticut Part B?

The 837P payer ID for Medicare Connecticut Part B is 13102 via Stedi.

What is the 835 payer ID for Medicare Connecticut Part B?

The 835 payer ID for Medicare Connecticut Part B is 13102 via Stedi.

What is the 270 payer ID for Medicare Connecticut Part B?

The 270 payer ID for Medicare Connecticut Part B is 13102 via Stedi.

What state does Medicare Connecticut Part B operate in?

Medicare Connecticut Part B operates in CT.

Resource library

Routing reference

Medicare Connecticut Part B 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.

Medicare Connecticut Part B payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Connecticut Part BSource: Substrate payer directory · last refreshed
Operating statesCTSource: Substrate payer directory · last refreshed
837P professional claims payer IDStedi13102Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi13102Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi13102Enrollment 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: Medicare Connecticut Part B. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi 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

Medicare Connecticut Part B 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.

Eligibility / benefits phone
(800) 624-0756AETNA LIFE INSURANCE COMPANY
Medicare Connecticut Part B payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 624-0756Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • AETNA LIFE INSURANCE COMPANY
Health Benefit Plan Coverage, Pharmacy
phone(888) 867-5511Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • UNITEDHEALTHCARE OF NEW ENGLAND, INC.
Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262PharmacyBenefit context: Other or Additional Payor
  • HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY
Pharmacy
phone(866) 235-5660PharmacyBenefit context: Other or Additional Payor
  • SILVERSCRIPT INSURANCE COMPANY
Pharmacy
phone(866) 460-8854PharmacyBenefit context: Other or Additional Payor
  • UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY
Pharmacy
phone(888) 543-4917PharmacyBenefit context: Other or Additional Payor
  • ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT
Pharmacy
phone(888) 888-9355PharmacyBenefit context: Other or Additional Payor
  • WELLCARE PRESCRIPTION INSURANCE, INC.
Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 13102
  • 1452
  • CTMCR
  • JSMCT0
  • SMCT0
  • Connecticut Medicare
  • National Government Services (NGS) - Connecticut
  • MEDICARECT