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Medicare Part A Rhode Island

Primary payer ID
12M74Compare 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 Part A Rhode Island? Try Substrate Denial Intelligence here -->.

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 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare Part A Rhode Island.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medicare Part A Rhode Island.

Available

Frequently asked questions

Medicare Part A Rhode Island payer FAQs

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.

Medicare Part A Rhode Island payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Part A Rhode IslandSource: Substrate payer directory · last refreshed
Operating statesRISource: Stedi payer catalog · catalog dated · matched by payer name
837P professional claims payer IDStedi14412Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name
837I institutional claims payer IDStedi14411Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name
835 ERA payer IDStedi1441114412Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name
270 eligibility payer IDStedi1441114412Enrollment 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