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Medicare New York Downstate

Medicare NY Downstate

Primary payer ID
13202Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 270/271

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

Coverage profile

How Substrate can help you with Medicare New York Downstate

Substrate can help practices and billers with the following claims tasks for Medicare New York Downstate.

Eligibility

EDI 270/271

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

Available

Frequently asked questions

Medicare New York Downstate payer FAQs

What is the payer ID for Medicare New York Downstate?

The primary payer ID for Medicare New York Downstate is 13202. 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 837P payer ID for Medicare New York Downstate?

The 837P payer ID for Medicare New York Downstate is 13202 via Stedi.

What is the 835 payer ID for Medicare New York Downstate?

The 835 payer ID for Medicare New York Downstate is 13202 via Stedi.

What is the 270 payer ID for Medicare New York Downstate?

The 270 payer ID for Medicare New York Downstate is 13202 via Stedi.

What state does Medicare New York Downstate operate in?

Medicare New York Downstate operates in NY.

Resource library

Routing reference

Medicare New York Downstate 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 York Downstate payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare New York Downstate
Operating statesNY
837P professional claims payer IDStedi13202Enrollment required
835 ERA payer IDStedi13202Enrollment required
270 eligibility payer IDStedi13202Enrollment required

Payer contact directory

Medicare New York Downstate 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
(800) 247-1447NEW YORK QUALITY HEALTHCARE CORPORATION
Medicare New York Downstate payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 247-1447Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • NEW YORK QUALITY HEALTHCARE CORPORATION
Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262Eligibility / benefits, PharmacyBenefit context: Other or Additional Payor; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY
  • HUMANA INSURANCE COMPANY OF NEW YORK
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
  • SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
Health Benefit Plan Coverage, Pharmacy
phone(866) 480-1086Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • UNITEDHEALTHCARE OF NEW YORK, INC.
Health Benefit Plan Coverage, Pharmacy
phone(866) 870-9604Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
Health Benefit Plan Coverage, Pharmacy
phone(888) 801-1660Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • HEALTHFIRST HEALTH PLAN, INC.
Health Benefit Plan Coverage, Pharmacy
phone(888) 888-9355Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • NEW YORK QUALITY HEALTHCARE CORPORATION
  • WELLCARE PRESCRIPTION INSURANCE, INC.
Health Benefit Plan Coverage, 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(866) 529-4917PharmacyBenefit context: Other or Additional Payor
  • MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY
Pharmacy
phone(877) 344-7364PharmacyBenefit context: Other or Additional Payor
  • EMBLEMHEALTH PLAN, INC
Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 13202
  • 4442
  • MEDICARE NEW YORK DOWNSTATE PART B
  • MEDICARENY