Coverage profile
How Substrate can help you with Medicare Delaware Part B
Substrate can help practices and billers with the following claims tasks for Medicare Delaware Part B.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Delaware Part B.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicare Delaware Part B.
Frequently asked questions
Medicare Delaware Part B payer FAQs
Can I automate Medicare Delaware Part B 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 B?
The primary payer ID for Medicare Delaware Part B is 00902. 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 B?
The provider portal for Medicare Delaware Part B is https://www.novitasphere.com. Available features depend on the payer and your account.
What is the 837P payer ID for Medicare Delaware Part B?
The 837P payer ID for Medicare Delaware Part B is 00902 via Stedi.
What is the 835 payer ID for Medicare Delaware Part B?
The 835 payer ID for Medicare Delaware Part B is 00902 via Stedi.
What is the 270 payer ID for Medicare Delaware Part B?
The 270 payer ID for Medicare Delaware Part B is 00902 via Stedi.
What state does Medicare Delaware Part B operate in?
Medicare Delaware Part B operates in DE.
Routing reference
Medicare Delaware 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.
| Payer name | Medicare Delaware Part B |
|---|---|
| Operating states | DE |
| 837P professional claims payer IDStedi | 00902Enrollment required |
| 835 ERA payer IDStedi | 00902Enrollment required |
| 270 eligibility payer IDStedi | 00902Enrollment required |
Payer contact directory
Medicare Delaware 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) 643-4845PREFERRED CARE PARTNERS, INC.
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 643-4845 | Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor |
| Health Benefit Plan Coverage, Pharmacy |
| phone(888) 888-9355 | Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor |
| Health Benefit Plan Coverage, Pharmacy |
| phone(800) 448-6262 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 235-5660 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 460-8854 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(888) 867-5575 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 00902
- 12102
- CSQTM
- SMDE0
- Novitas - Delaware
- MEDICARE B - DELAWARE
- BlueChoice HealthPlan BCBS South Carolina
- MCAREBDE90
- MEDICARE
