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Medicare Puerto Rico Part A

Medicare PR Part A

Primary payer ID
12M49Compare 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 Puerto Rico Part A? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare Puerto Rico Part A

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

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

Available

Frequently asked questions

Medicare Puerto Rico Part A payer FAQs

What is the payer ID for Medicare Puerto Rico Part A?

The primary payer ID for Medicare Puerto Rico Part A is 12M49. 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 Puerto Rico Part A?

The 837I payer ID for Medicare Puerto Rico Part A is 12M49 via Stedi.

What is the 835 payer ID for Medicare Puerto Rico Part A?

The 835 payer ID for Medicare Puerto Rico Part A is 12M49 via Stedi.

What is the 270 payer ID for Medicare Puerto Rico Part A?

The 270 payer ID for Medicare Puerto Rico Part A is 12M49 via Stedi.

What state does Medicare Puerto Rico Part A operate in?

Medicare Puerto Rico Part A operates in PR.

Resource library

Routing reference

Medicare Puerto Rico 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 Puerto Rico Part A payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Puerto Rico Part ASource: Substrate payer directory · last refreshed
Operating statesPRSource: Substrate payer directory · last refreshed
837I institutional claims payer IDStedi12M49Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi12M49Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi12M49Enrollment 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 Puerto Rico 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.

Other aliases

Also known as

  • 12M49
  • 46010
  • First Coast (FCSO) - Puerto Rico
  • MEDICARE PART A PUERTO RICO
  • MEDICARE PART A PR
  • PUERTO RICO MEDICARE PART A
  • MEDICARE