Coverage profile
How Substrate can help you with Medicare Part A Rhode Island
Substrate can help practices and billers with the following claims tasks for Medicare Part A Rhode Island.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Part A Rhode Island.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Medicare Part A Rhode Island.
Frequently asked questions
Medicare Part A Rhode Island payer FAQs
Can I automate Medicare Part A Rhode Island 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 Rhode Island?
The primary payer ID for Medicare Part A Rhode Island is 12M74. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicare Part A Rhode Island?
For professional claims, use 14412 via Stedi. For institutional claims, use 14411 via Stedi.
What is the 835 payer ID for Medicare Part A Rhode Island?
The 835 payer IDs for Medicare Part A Rhode Island are 14411 and 14412 via Stedi.
What is the 270 payer ID for Medicare Part A Rhode Island?
The 270 payer IDs for Medicare Part A Rhode Island are 14411 and 14412 via Stedi.
What state does Medicare Part A Rhode Island operate in?
Medicare Part A Rhode Island operates in RI.
Routing reference
Medicare Part A Rhode Island 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.
| Payer name | Medicare Part A Rhode IslandSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | RISource: Stedi payer catalog · catalog dated · matched by payer name |
| 837P professional claims payer IDStedi | 14412Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | 14411Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 1441114412Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 1441114412Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer name; matched records: Medicare Rhode Island Part A, Medicare Rhode Island Part B. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 12M74
- National Government Services (NGS) - Rhode Island
- MEDICARE RHODE ISLAND PART A