Coverage profile
Work Medicare Nevada Part B across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Nevada Part B.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicare Nevada Part B.
Other aliases
Also known as
- 01312
- 1446
- NVMCR
- SMNV0
- Noridian (NHS) - Nevada
- MEDICARENV
- MEDICARE NORIDIAN
2027 maternity billing research
When does Medicare Nevada Part B change OB/GYN billing?
For CY 2027, CMS proposes revised maternity CPT work RVUs and seeks comment on creating 15 alternative HCPCS G-codes that would preserve the previous MMM global structure for Medicare PFS payment instead of adopting the new CPT codes. These are proposed alternatives, not finalized billing instructions.
- Transition start
- CY 2027 proposal; operational transition date not established
- Billing start
- Not specified in supplied text
- Published
- 2026-07-16
- Current As Of
- August 2026
Scope: Federal Medicare Part B/PFS maternity medical services only; not dental-product guidance or Nevada-specific MAC implementation instructions.
CY 2027 Physician Fee Schedule proposed rule. Verify the payer source before claim submission.
Frequently asked questions
Medicare Nevada Part B payer FAQs
Can I automate Medicare Nevada 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 Nevada Part B?
The primary payer ID for Medicare Nevada Part B is 01312. 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 Nevada Part B?
The provider portal for Medicare Nevada Part B is https://www.noridianmedicareportal.com/web/nmp/home. Available features depend on the payer and your account.
What are the 837 payer IDs for Medicare Nevada Part B?
For professional claims, use 01312 via Stedi. For institutional claims, use 01312 via Stedi.
What is the 835 payer ID for Medicare Nevada Part B?
The 835 payer ID for Medicare Nevada Part B is 01312 via Stedi.
What is the 270 payer ID for Medicare Nevada Part B?
The 270 payer ID for Medicare Nevada Part B is 01312 via Stedi.
What state does Medicare Nevada Part B operate in?
Medicare Nevada Part B operates in NV.
Routing reference
Medicare Nevada 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.
| Payer name | Medicare Nevada Part BSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 01312Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 01312Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 01312Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 01312Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicare Nevada Part B. 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 Nevada 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.
- Pharmacy phone
- (800) 448-6262HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 448-6262 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 235-5660 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 460-8854 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(888) 888-9355 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(920) 221-4087 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
Phone and fax numbers sourced directly from the payer response