Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) Payer ID 12M88 — EDI, Portal & Claim Status

Coverage profile

How Substrate can help you with Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)

Substrate can help practices and billers with the following claims tasks for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma).

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma).

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma).

Available

Frequently asked questions

Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) payer FAQs

Can I automate Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) portal follow-up?

Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.

What is the payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)?

The primary payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is 12M88. 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 Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)?

The provider portal for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is https://www.novitasphere.com. Available features depend on the payer and your account.

What is the 837I payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)?

The 837I payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is 12M88 via Stedi.

What is the 835 payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)?

The 835 payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is 12M88 via Stedi.

What is the 270 payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)?

The 270 payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is 12M88 via Stedi.

What states does Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) operate in?

Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) operates in CO, NM, OK, and TX.

Routing reference

Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) 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 Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) payer name, operating states, and transaction-specific payer IDs
Payer name	Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)
Operating states	CO, NM, OK, TX
837I institutional claims payer IDStedi	`12M88`Enrollment required
835 ERA payer IDStedi	`12M88`Enrollment required
270 eligibility payer IDStedi	`12M88`Enrollment required

Payer contact directory

Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) 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: (405) 280-5738GLOBALHEALTH, INC.

Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
phone(405) 280-5738	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	GLOBALHEALTH, INC.	Health Benefit Plan Coverage, Pharmacy
phone(512) 257-6136	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	BAYLOR SCOTT & WHITE INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(623) 806-3361	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 338-6833	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI DEVOTED HEALTH INSURANCE COMPANY OF NEBRASKA DEVOTED HEALTH PLAN OF TEXAS, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 448-6262	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	CARITEN HEALTH PLAN INC. CHA HMO, INC. EMPHESYS INSURANCE COMPANY HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY HUMANA INSURANCE COMPANY HUMANA MEDICAL PLAN, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 624-0756	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	AETNA BETTER HEALTH, INC. (LA) AETNA HEALTH AND LIFE INSURANCE COMPANY AETNA HEALTH INC. (TX) AETNA HEALTH OF OHIO INC. AETNA LIFE INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(800) 643-4845	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. PHYSICIANS HEALTH CHOICE OF TEXAS, LLC SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. UNITEDHEALTHCARE INSURANCE COMPANY UNITEDHEALTHCARE OF WISCONSIN, INC.	Health Benefit Plan Coverage, Pharmacy
phone(800) 665-0898	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	MOLINA HEALTHCARE OF ILLINOIS INC	Health Benefit Plan Coverage, Pharmacy
phone(844) 876-6176	Eligibility / 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(855) 931-4851	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	ASPIRUS HEALTH PLAN, INC.	Health Benefit Plan Coverage, Pharmacy
phone(866) 309-1719	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(888) 230-7338	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	WELLPOINT INSURANCE COMPANY	Health Benefit Plan Coverage, Pharmacy
phone(888) 888-9355	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HARMONY HEALTH PLAN, INC. WELLCARE PRESCRIPTION INSURANCE, INC.	Health Benefit Plan Coverage, Pharmacy
phone(915) 562-3444	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	BIENVIVIR SENIOR HEALTH SERVICES	Health Benefit Plan Coverage, Pharmacy
phone(423) 954-6977	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(866) 235-5660	PharmacyBenefit context: Other or Additional Payor	SILVERSCRIPT INSURANCE COMPANY	Pharmacy
phone(866) 460-8854	PharmacyBenefit context: Other or Additional Payor	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	Pharmacy
phone(866) 529-4917	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(877) 327-1395	PharmacyBenefit context: Other or Additional Payor	HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC.	Pharmacy
phone(877) 895-6448	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(888) 832-0075	PharmacyBenefit context: Other or Additional Payor	WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY	Pharmacy
phone(973) 466-5503	PharmacyBenefit context: Other or Additional Payor	HORIZON INSURANCE COMPANY	Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

12M88
Colorado Medicare
Medicare Part A Legacy Wisconsin Physicians Service (Colorado, New Mexico, Texas, Oklahoma)
Novitas - New Mexico
Novitas - Texas
MEDICARE