Medicare Illinois Part B Payer ID 06102 — EDI, Portal & Claim Status

Coverage profile

How Substrate can help you with Medicare Illinois Part B

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

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medicare Illinois Part B.

Available

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

8 days

10% of adjudications by: 4 days
90% of adjudications by: 14 days
Applicable state coverage: IN
Current As Of: July 2026

Five-month median trend

Days to 835 payment

View chart data as a table

Medicare Illinois Part B observed adjudication timing by service month
Service month	Median	10% of adjudications by	90% of adjudications by	Completed claims	Coverage
Apr	8 days	2 days	14 days	184	IN
May	9 days	4 days	14 days	559	IN
Jun	9 days	4 days	14 days	624	IN
Jul	8 days	4 days	14 days	384	IN
Aug	No qualified data

Frequently asked questions

Medicare Illinois Part B payer FAQs

Can I automate Medicare Illinois 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 Illinois Part B?

The primary payer ID for Medicare Illinois Part B is 06102. 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 Illinois Part B?

The provider portal for Medicare Illinois Part B is https://www.ngsmedicare.com/. Available features depend on the payer and your account.

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

The 837P and 837I payer ID for Medicare Illinois Part B is 06102 via Stedi.

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

The 835 payer ID for Medicare Illinois Part B is 06102 via Stedi.

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

The 270 payer ID for Medicare Illinois Part B is 06102 via Stedi.

What state does Medicare Illinois Part B operate in?

Medicare Illinois Part B operates in IL.

Routing reference

Medicare Illinois 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 Illinois Part B payer name, operating states, and transaction-specific payer IDs
Payer name	Medicare Illinois Part B
Operating states	IL
837P professional claims payer IDStedi	`06102`Enrollment required
837I institutional claims payer IDStedi	`06102`Enrollment required
835 ERA payer IDStedi	`06102`Enrollment required
270 eligibility payer IDStedi	`06102`Enrollment required

Payer contact directory

Medicare Illinois 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: (615) 636-4554HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.

Medicare Illinois Part B payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
phone(615) 636-4554	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 338-6833	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	DEVOTED HEALTH INSURANCE COMPANY OF ILLINOIS, INC. DEVOTED HEALTH PLAN OF ILLINOIS, INC.	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	HUMANA BENEFIT PLAN OF ILLINOIS, INC. HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY HUMANA INSURANCE COMPANY	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	COVENTRY HEALTH CARE OF ILLINOIS, INC.	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	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. UNITEDHEALTHCARE OF THE MIDLANDS, 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	AETNA LIFE INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(866) 676-6060	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	MMM HEALTHCARE, LLC	Health Benefit Plan Coverage, Pharmacy
phone(877) 774-8592	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HEALTH CARE SERVICE CORPORATION	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(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(877) 895-6448	PharmacyBenefit context: Other or Additional Payor	HEALTH CARE SERVICE CORPORATION MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(888) 230-7338	PharmacyBenefit context: Other or Additional Payor	ANTHEM INSURANCE COMPANIES, INC.	Pharmacy
phone(888) 867-5575	PharmacyBenefit context: Other or Additional Payor	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY UNITEDHEALTHCARE INSURANCE COMPANY	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

06102
1437
2224
4971
5506
ILMCR
JSMIL0
SMIL0
Wisconsin Physicians Service (WPS) - Illinois
MEDICAREIL