← All payers

Medicare Ohio Part B

Medicare OH Part B

Primary payer ID
15202Compare 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 Ohio Part B? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare Ohio Part B

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

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Ohio 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 days
10% of adjudications by
3 days
90% of adjudications by
14 days
Applicable state coverage
TN
Current As Of
July 2026

Five-month median trend

Days to 835 payment
Medicare Ohio 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.0510AprMayJunJulAug
View chart data as a table
Medicare Ohio Part B observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr6 days5 days52 days604TN
May6 days5 days52 days874TN
Jun6.6 days5 days50 days640TN
Jul7 days3 days14 days377TN
AugNo qualified data

Frequently asked questions

Medicare Ohio Part B payer FAQs

What is the payer ID for Medicare Ohio Part B?

The primary payer ID for Medicare Ohio Part B is 15202. 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 Ohio Part B?

The 837P payer ID for Medicare Ohio Part B is 15202 via Stedi.

What is the 835 payer ID for Medicare Ohio Part B?

The 835 payer ID for Medicare Ohio Part B is 15202 via Stedi.

What is the 270 payer ID for Medicare Ohio Part B?

The 270 payer ID for Medicare Ohio Part B is 15202 via Stedi.

What state does Medicare Ohio Part B operate in?

Medicare Ohio Part B operates in OH.

Resource library

Routing reference

Medicare Ohio 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 Ohio Part B payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Ohio Part B
Operating statesOH
837P professional claims payer IDStedi15202Enrollment required
835 ERA payer IDStedi15202Enrollment required
270 eligibility payer IDStedi15202Enrollment required

Payer contact directory

Medicare Ohio 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
(800) 624-0756AETNA HEALTH OF OHIO INC.
Medicare Ohio Part B payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 624-0756Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • AETNA HEALTH OF OHIO 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
  • CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
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(717) 305-7388PharmacyBenefit context: Other or Additional Payor
  • PSERS HOP PROGRAM
Pharmacy
phone(800) 448-6262PharmacyBenefit context: Other or Additional Payor
  • HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF 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

  • 1447
  • 15202
  • OHMCR
  • SMOH0
  • CGS Administrators - Ohio
  • OHIO MEDICARE