Medicare Maryland Part B Payer ID SMMD0 — EDI, Portal & Claim Status

Coverage profile

How Substrate can help you with Medicare Maryland Part B

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

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

Available

Frequently asked questions

Medicare Maryland Part B payer FAQs

Can I automate Medicare Maryland 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 Maryland Part B?

The primary payer ID for Medicare Maryland Part B is SMMD0. 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 Maryland Part B?

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

What is the 837P payer ID for Medicare Maryland Part B?

The 837P payer ID for Medicare Maryland Part B is SMMD0 via Stedi.

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

The 835 payer ID for Medicare Maryland Part B is SMMD0 via Stedi.

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

The 270 payer ID for Medicare Maryland Part B is SMMD0 via Stedi.

What state does Medicare Maryland Part B operate in?

Medicare Maryland Part B operates in MD.

Routing reference

Medicare Maryland 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 Maryland Part B payer name, operating states, and transaction-specific payer IDs
Payer name	Medicare Maryland Part B
Operating states	MD
837P professional claims payer IDStedi	`SMMD0`Enrollment required
835 ERA payer IDStedi	`SMMD0`Enrollment required
270 eligibility payer IDStedi	`SMMD0`Enrollment required

Payer contact directory

Medicare Maryland 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 Maryland 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(443) 884-9082	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	ALTERWOOD ADVANTAGE, INC.	Health Benefit Plan Coverage, Pharmacy
phone(615) 636-4554	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	BRAVO HEALTH MID-ATLANTIC, 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	EMPHESYS INSURANCE COMPANY HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY HUMANA INSURANCE COMPANY HUMANA WI HEALTH ORGANIZATION INSURANCE CORP	Health Benefit Plan Coverage, Pharmacy
phone(800) 457-8506	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	UNITEDHEALTHCARE INSURANCE COMPANY	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.	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(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 THE MID-ATLANTIC, INC.	Health Benefit Plan Coverage, Pharmacy
phone(866) 588-6967	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HIGHMARK SENIOR HEALTH COMPANY HIGHMARK SENIOR SOLUTIONS COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(866) 688-2242	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	CAPITAL ADVANTAGE INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(888) 230-7338	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	ANTHEM INSURANCE COMPANIES, INC.	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(717) 305-7388	PharmacyBenefit context: Other or Additional Payor	PSERS HOP PROGRAM	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) 327-1395	PharmacyBenefit context: Other or Additional Payor	HM HEALTH INSURANCE COMPANY	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

00901
12302
7402
SMMD0
Maryland Medicare
Novitas - Maryland
MEDICARE B - MARYLAND
MCAREBMD90
MEDICARE