Medicare District of Columbia Part B Payer ID SMDC0 — EDI, Portal & Claim Status

Coverage profile

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

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

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 B.

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 B.

Available

Frequently asked questions

Medicare District of Columbia Part B payer FAQs

Can I automate Medicare District of Columbia 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 District of Columbia Part B?

The primary payer ID for Medicare District of Columbia Part B is SMDC0. 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 B?

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

What is the 837P payer ID for Medicare District of Columbia Part B?

The 837P payer ID for Medicare District of Columbia Part B is SMDC0 via Stedi.

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

The 835 payer ID for Medicare District of Columbia Part B is SMDC0 via Stedi.

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

The 270 payer ID for Medicare District of Columbia Part B is SMDC0 via Stedi.

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

Medicare District of Columbia Part B operates in DC.

Routing reference

Medicare District of Columbia 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 District of Columbia Part B payer name, operating states, and transaction-specific payer IDs
Payer name	Medicare District of Columbia Part B
Operating states	DC
837P professional claims payer IDStedi	`SMDC0`Enrollment required
835 ERA payer IDStedi	`SMDC0`Enrollment required
270 eligibility payer IDStedi	`SMDC0`Enrollment required

Payer contact directory

Medicare District of Columbia 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: (410) 424-4400HOPKINS HEALTH ADVANTAGE, INC.

Medicare District of Columbia Part B payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
phone(410) 424-4400	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HOPKINS HEALTH ADVANTAGE, INC.	Health Benefit Plan Coverage, Pharmacy
phone(651) 662-3727	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	BCBSM, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 234-8755	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	MEDICA HEALTH PLANS	Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	CARITEN HEALTH PLAN INC. EMPHESYS INSURANCE COMPANY HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY HUMANA INSURANCE COMPANY HUMANA MEDICAL PLAN, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 624-0756	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	AETNA HEALTH INC. (PA)	Health Benefit Plan Coverage, Pharmacy
phone(800) 643-4845	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Health Benefit Plan Coverage, Pharmacy
phone(833) 570-6670	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	ALLINA HEALTH AND AETNA INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(855) 290-5744	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	CAREFIRST ADVANTAGE PPO, INC.	Health Benefit Plan Coverage, Pharmacy
phone(866) 480-1086	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	UNITEDHEALTHCARE OF WISCONSIN, INC.	Health Benefit Plan Coverage, Pharmacy
phone(866) 842-4968	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	UNITEDHEALTHCARE OF FLORIDA, INC.	Health Benefit Plan Coverage, Pharmacy
phone(888) 230-7338	Eligibility / benefits, PharmacyBenefit context: Other or Additional Payor; Benefit context: Contact Following Entity for Eligibility or Benefit Information	ANTHEM INSURANCE COMPANIES, INC. BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.	Health Benefit Plan Coverage, Pharmacy
phone(888) 296-9790	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	Health Benefit Plan Coverage, Pharmacy
phone(202) 942-1270	PharmacyBenefit context: Other or Additional Payor	BLUE CROSS BLUE SHIELD ASSOCIATION	Pharmacy
phone(423) 954-6977	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(800) 926-6565	PharmacyBenefit context: Other or Additional Payor	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Pharmacy
phone(866) 235-5660	PharmacyBenefit context: Other or Additional Payor	SILVERSCRIPT INSURANCE COMPANY	Pharmacy
phone(866) 309-1719	PharmacyBenefit context: Other or Additional Payor	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Pharmacy
phone(866) 421-5077	PharmacyBenefit context: Other or Additional Payor	BLUE CROSS AND BLUE SHIELD OF KANSAS	Pharmacy
phone(866) 443-1095	PharmacyBenefit context: Other or Additional Payor	OPTUM INSURANCE OF OHIO, INC.	Pharmacy
phone(866) 460-8854	PharmacyBenefit context: Other or Additional Payor	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	Pharmacy
phone(866) 529-4917	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(877) 344-7364	PharmacyBenefit context: Other or Additional Payor	EMBLEMHEALTH PLAN, INC	Pharmacy
phone(877) 895-6448	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(888) 543-4917	PharmacyBenefit context: Other or Additional Payor	ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT	Pharmacy
phone(888) 832-0075	PharmacyBenefit context: Other or Additional Payor	WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY	Pharmacy
phone(888) 867-5575	PharmacyBenefit context: Other or Additional Payor	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	Pharmacy
phone(888) 888-9355	PharmacyBenefit 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

00903
2459
CYRPI
SMDC0
Medicare District of Columbia Part B (J12 Highmark)
Medicare Washington D.C. Part B
Novitas - District of Columbia
MEDICARE