← All payers

Medicare Puerto Rico Part B

Medicare PR Part B

Primary payer ID
SMPR0Compare 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 B? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Medicare Puerto Rico Part B

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

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

Available

Frequently asked questions

Medicare Puerto Rico Part B payer FAQs

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

The primary payer ID for Medicare Puerto Rico Part B is SMPR0. 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 837P payer ID for Medicare Puerto Rico Part B?

The 837P payer ID for Medicare Puerto Rico Part B is SMPR0 via Stedi.

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

The 835 payer ID for Medicare Puerto Rico Part B is SMPR0 via Stedi.

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

The 270 payer ID for Medicare Puerto Rico Part B is SMPR0 via Stedi.

What state does Medicare Puerto Rico Part B operate in?

Medicare Puerto Rico Part B operates in PR.

Resource library

Routing reference

Medicare Puerto Rico Part B 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 B payer name, operating states, and transaction-specific payer IDs
Payer nameMedicare Puerto Rico Part B
Operating statesPR
837P professional claims payer IDStediSMPR0Enrollment required
835 ERA payer IDStediSMPR0Enrollment required
270 eligibility payer IDStediSMPR0Enrollment required

Payer contact directory

Medicare Puerto Rico Part B 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.

Pharmacy phone
(888) 888-9355WELLCARE PRESCRIPTION INSURANCE, INC.
Medicare Puerto Rico Part B payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
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

  • 09202
  • SMPR0
  • First Coast (FCSO) - Puerto Rico
  • MEDICARE PART B PUERTO RICO (FIRST COAST)
  • MEDICARE