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Medicare New Jersey Part B

Medicare NJ Part B

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

Primary payer ID
12402Compare 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 B? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare New Jersey Part B

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

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

7.8 days
10% of adjudications by
2 days
90% of adjudications by
14 days
Applicable state coverage
PA
Current As Of
July 2026

Five-month median trend

Days to 835 payment
Medicare New Jersey Part B median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.07.515AprMayJunJulAug
View chart data as a table
Medicare New Jersey Part B observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
AprNo qualified data
May14 days2 days14 days222PA
Jun8 days2 days14 days233PA
Jul7.8 days2 days14 days273PA
AugNo qualified data

Frequently asked questions

Medicare New Jersey Part B payer FAQs

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

The primary payer ID for Medicare New Jersey Part B is 12402. 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 B?

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

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

The 837P payer ID for Medicare New Jersey Part B is 12402 via Stedi.

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

The 835 payer ID for Medicare New Jersey Part B is 12402 via Stedi.

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

The 270 payer ID for Medicare New Jersey Part B is 12402 via Stedi.

What state does Medicare New Jersey Part B operate in?

Medicare New Jersey Part B operates in NJ.

Resource library

Routing reference

Medicare New Jersey 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 New Jersey Part B payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare New Jersey Part B
Operating statesNJ
837P professional claims payer IDStedi12402Enrollment required
835 ERA payer IDStedi12402Enrollment required
270 eligibility payer IDStedi12402Enrollment required

Payer contact directory

Medicare New Jersey 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
(551) 225-2014CLOVER INSURANCE COMPANY
Medicare New Jersey Part B 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(614) 572-7033Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • AETNA BETTER HEALTH INC. (NJ)
Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262Eligibility / 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
Health Benefit Plan Coverage, Pharmacy
phone(800) 643-4845Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
  • OXFORD HEALTH PLANS (NJ), INC.
Health Benefit Plan Coverage, Pharmacy
phone(973) 466-5503Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • HEALTHIER NEW JERSEY INSURANCE COMPANY
  • HORIZON HEALTHCARE OF NEW JERSEY, INC.
  • HORIZON INSURANCE COMPANY
Health Benefit Plan Coverage, Pharmacy
phone(202) 942-1270PharmacyBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD ASSOCIATION
Pharmacy
phone(423) 954-6977PharmacyBenefit context: Other or Additional Payor
  • MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY
Pharmacy
phone(866) 235-5660PharmacyBenefit context: Other or Additional Payor
  • SILVERSCRIPT INSURANCE COMPANY
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 and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 12402
  • 1465
  • NJMCR
  • SMNJ0
  • Novitas - New Jersey
  • MEDICARE