Medicare Georgia Part B Payer ID SMGA0 — EDI & Claim Status

Coverage profile

How Substrate can help you with Medicare Georgia Part B

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

Eligibility

EDI 270/271

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

Available

Frequently asked questions

Medicare Georgia Part B payer FAQs

What is the payer ID for Medicare Georgia Part B?

The primary payer ID for Medicare Georgia Part B is SMGA0. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Medicare Georgia Part B?

The 837P and 837I payer ID for Medicare Georgia Part B is SMGA0 via Stedi.

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

The 835 payer ID for Medicare Georgia Part B is SMGA0 via Stedi.

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

The 270 payer ID for Medicare Georgia Part B is SMGA0 via Stedi.

What state does Medicare Georgia Part B operate in?

Medicare Georgia Part B operates in GA.

Routing reference

Medicare Georgia 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 Georgia Part B payer name, operating states, and transaction-specific payer IDs
Payer name	Medicare Georgia Part B
Operating states	GA
837P professional claims payer IDStedi	`SMGA0`Enrollment required
837I institutional claims payer IDStedi	`SMGA0`Enrollment required
835 ERA payer IDStedi	`SMGA0`Enrollment required
270 eligibility payer IDStedi	`SMGA0`Enrollment required

Payer contact directory

Medicare Georgia 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) 643-4845CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.

Medicare Georgia Part B payer phone and fax directory
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	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	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) 448-6262	PharmacyBenefit context: Other or Additional Payor	HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY	Pharmacy
phone(866) 235-5660	PharmacyBenefit context: Other or Additional Payor	SILVERSCRIPT INSURANCE COMPANY	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(888) 296-9790	PharmacyBenefit context: Other or Additional Payor	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	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

10212
1466
GAMCR
SMGA0
Medicare Georgia Part B (Jurisdiction 10 Cahaba)
Palmetto GBA (PGBA) - Georgia
MEDICARE GEORGIA PART B (J10 CAHABA)