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Medicare District of Columbia Part A

Medicare DC Part A

The provider portal for Medicare District of Columbia Part A is https://www.novitasphere.com

Primary payer ID
12301Compare 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 District of Columbia Part A? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare District of Columbia Part A

Substrate can help practices and billers with the following claims tasks for Medicare District of Columbia Part A.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare District of Columbia Part A.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medicare District of Columbia Part A.

Available

Frequently asked questions

Medicare District of Columbia Part A payer FAQs

What is the payer ID for Medicare District of Columbia Part A?

The primary payer ID for Medicare District of Columbia Part A is 12301. 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 District of Columbia Part A?

The provider portal for Medicare District of Columbia Part A is https://www.novitasphere.com. Available features depend on the payer and your account.

What is the 837I payer ID for Medicare District of Columbia Part A?

The 837I payer ID for Medicare District of Columbia Part A is 12301 via Stedi.

What is the 835 payer ID for Medicare District of Columbia Part A?

The 835 payer ID for Medicare District of Columbia Part A is 12301 via Stedi.

What is the 270 payer ID for Medicare District of Columbia Part A?

The 270 payer ID for Medicare District of Columbia Part A is 12301 via Stedi.

What state does Medicare District of Columbia Part A operate in?

Medicare District of Columbia Part A operates in DC.

Resource library

Routing reference

Medicare District of Columbia 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.

Medicare District of Columbia Part A payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare District of Columbia Part ASource: Substrate payer directory · last refreshed
Operating statesDCSource: Substrate payer directory · last refreshed
837I institutional claims payer IDStedi12301Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi12301Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi12301Enrollment 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 District of Columbia 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.

Payer contact directory

Medicare District of Columbia Part A 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
(833) 570-6670AETNA LIFE INSURANCE COMPANY
Medicare District of Columbia Part A payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(833) 570-6670Eligibility / 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(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) 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

  • 12301
  • IMDC0
  • IMMD0
  • Medicare Maryland Part A
  • Medicare Washington D.C. Part A
  • Novitas - District of Columbia
  • MEDICARE DC PART A
  • MEDICARE