Coverage profile
How Substrate can help you with Medicare Delaware Part A
Substrate can help practices and billers with the following claims tasks for Medicare Delaware Part A.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Delaware Part A.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicare Delaware Part A.
Frequently asked questions
Medicare Delaware Part A payer FAQs
Can I automate Medicare Delaware Part A portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Medicare Delaware Part A?
The primary payer ID for Medicare Delaware Part A is 12M76. 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 Delaware Part A?
The provider portal for Medicare Delaware Part A is https://www.novitasphere.com. Available features depend on the payer and your account.
What is the 837I payer ID for Medicare Delaware Part A?
The 837I payer ID for Medicare Delaware Part A is 12M76 via Stedi.
What is the 835 payer ID for Medicare Delaware Part A?
The 835 payer ID for Medicare Delaware Part A is 12M76 via Stedi.
What is the 270 payer ID for Medicare Delaware Part A?
The 270 payer ID for Medicare Delaware Part A is 12M76 via Stedi.
What state does Medicare Delaware Part A operate in?
Medicare Delaware Part A operates in DE.
Routing reference
Medicare Delaware Part A 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 | Medicare Delaware Part ASource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | DESource: Substrate payer directory · last refreshed |
| 837I institutional claims payer IDStedi | 12M76Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 12M76Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 12M76Enrollment 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 Delaware Part A. 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.
Other aliases
Also known as
- 12M76
- IMDE0
- Novitas - Delaware
- MEDICARE
