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Medicare New Jersey Part A

Medicare NJ Part A

The provider portal for Medicare New Jersey Part A is https://www.novitasphere.com

Primary payer ID
12005Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Medicare New Jersey Part A? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare New Jersey Part A

Substrate can help practices and billers with the following claims tasks for Medicare New Jersey Part A.

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medicare New Jersey Part A.

Available

Frequently asked questions

Medicare New Jersey Part A payer FAQs

What is the payer ID for Medicare New Jersey Part A?

The primary payer ID for Medicare New Jersey Part A is 12005. 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 New Jersey Part A?

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

What is the 837I payer ID for Medicare New Jersey Part A?

The 837I payer ID for Medicare New Jersey Part A is 12005 via Stedi.

What is the 835 payer ID for Medicare New Jersey Part A?

The 835 payer ID for Medicare New Jersey Part A is 12005 via Stedi.

What is the 270 payer ID for Medicare New Jersey Part A?

The 270 payer ID for Medicare New Jersey Part A is 12005 via Stedi.

What state does Medicare New Jersey Part A operate in?

Medicare New Jersey Part A operates in NJ.

Resource library

Routing reference

Medicare New Jersey Part A 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 New Jersey Part A payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare New Jersey Part A
Operating statesNJ
837I institutional claims payer IDStedi12005Enrollment required
835 ERA payer IDStedi12005Enrollment required
270 eligibility payer IDStedi12005Enrollment required

Payer contact directory

Medicare New Jersey Part A 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
(551) 225-2014CLOVER INSURANCE COMPANY
Medicare New Jersey Part A payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(551) 225-2014Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • CLOVER INSURANCE COMPANY
Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262PharmacyBenefit context: Other or Additional Payor
  • HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY
Pharmacy
phone(866) 460-8854PharmacyBenefit context: Other or Additional Payor
  • UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY
Pharmacy
phone(888) 888-9355PharmacyBenefit context: Other or Additional Payor
  • WELLCARE PRESCRIPTION INSURANCE, INC.
Pharmacy
phone(920) 221-4087PharmacyBenefit context: Other or Additional Payor
  • DEAN HEALTH INSURANCE, INC.
Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 12005
  • 12401
  • IMNJ0
  • NJ Medicare Part A (J12 - Highmark)
  • New Jersey Medicare Part A J12 (12005)
  • Novitas - New Jersey
  • MEDICARE