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Medicare Pennsylvania Part A

Medicare PA Part A

Primary payer ID
12501Compare 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 Pennsylvania Part A? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare Pennsylvania Part A

Substrate can help practices and billers with the following claims tasks for Medicare Pennsylvania Part A.

Eligibility

EDI 270/271

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

Available

Frequently asked questions

Medicare Pennsylvania Part A payer FAQs

What is the payer ID for Medicare Pennsylvania Part A?

The primary payer ID for Medicare Pennsylvania Part A is 12501. 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 837I payer ID for Medicare Pennsylvania Part A?

The 837I payer ID for Medicare Pennsylvania Part A is 12501 via Stedi.

What is the 835 payer ID for Medicare Pennsylvania Part A?

The 835 payer ID for Medicare Pennsylvania Part A is 12501 via Stedi.

What is the 270 payer ID for Medicare Pennsylvania Part A?

The 270 payer ID for Medicare Pennsylvania Part A is 12501 via Stedi.

What state does Medicare Pennsylvania Part A operate in?

Medicare Pennsylvania Part A operates in PA.

Resource library

Routing reference

Medicare Pennsylvania Part A 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 Pennsylvania Part A payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Pennsylvania Part ASource: Substrate payer directory · last refreshed
Operating statesPASource: Substrate payer directory · last refreshed
837I institutional claims payer IDStedi12501Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi12501Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi12501Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Medicare Pennsylvania Part A. 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.

Payer contact directory

Medicare Pennsylvania Part A 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) 448-6262HUMANA INSURANCE COMPANY
Medicare Pennsylvania Part A payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 448-6262Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor
  • HUMANA INSURANCE COMPANY
Health Benefit Plan Coverage, Pharmacy
phone(866) 443-1095PharmacyBenefit context: Other or Additional Payor
  • OPTUM INSURANCE OF OHIO, INC.
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

  • 12501
  • IMPA0
  • MEDICAREPA