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Medicare New York Part B Upstate

Medicare NY Part B Upstate

The provider portal for Medicare New York Part B Upstate is https://www.ngsmedicare.com/

Primary payer ID
13282Compare 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 York Part B Upstate? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare New York Part B Upstate

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

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

Available

Frequently asked questions

Medicare New York Part B Upstate payer FAQs

What is the payer ID for Medicare New York Part B Upstate?

The primary payer ID for Medicare New York Part B Upstate is 13282. 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 York Part B Upstate?

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

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

The 837P payer ID for Medicare New York Part B Upstate is 13282 via Stedi.

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

The 835 payer ID for Medicare New York Part B Upstate is 13282 via Stedi.

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

The 270 payer ID for Medicare New York Part B Upstate is 13282 via Stedi.

What state does Medicare New York Part B Upstate operate in?

Medicare New York Part B Upstate operates in NY.

Resource library

Routing reference

Medicare New York Part B Upstate 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 Part B Upstate payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare New York Part B Upstate
Operating statesNY
837P professional claims payer IDStedi13282Enrollment required
835 ERA payer IDStedi13282Enrollment required
270 eligibility payer IDStedi13282Enrollment required

Payer contact directory

Medicare New York Part B Upstate 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
(518) 991-3775MVP HEALTH PLAN, INC.
Medicare New York Part B Upstate payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(518) 991-3775Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • MVP HEALTH PLAN, INC.
Health Benefit Plan Coverage, Pharmacy
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(615) 636-4554Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • BRAVO HEALTH PENNSYLVANIA, INC.
Health Benefit Plan Coverage, Pharmacy
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
  • HUMANA INSURANCE COMPANY OF NEW YORK
Health Benefit Plan Coverage, Pharmacy
phone(800) 624-0756Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • AETNA HEALTH INC. (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
  • SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
Health Benefit Plan Coverage, Pharmacy
phone(800) 832-4643Eligibility / 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) 926-7526Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.
Health Benefit Plan Coverage, Pharmacy
phone(844) 876-6176Eligibility / 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(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(888) 230-7338Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • ANTHEM HP, LLC.
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) 309-1719PharmacyBenefit context: Other or Additional Payor
  • BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY
Pharmacy
phone(866) 443-1095PharmacyBenefit context: Other or Additional Payor
  • OPTUM INSURANCE OF OHIO, INC.
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

  • 13282
  • 1463
  • JSB807
  • JSMNY0
  • JSMNY2
  • N1MCR
  • NYMCR
  • SB807
  • SMNY0
  • SMNY2
  • National Government Services (NGS) - New York
  • MEDICARE NEW YORK UPSTATE PART B
  • MEDICARENY