Medicare South Carolina Part B Payer ID SMSC0 — EDI & Claim Status

Coverage profile

How Substrate can help you with Medicare South Carolina Part B

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

Eligibility

EDI 270/271

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

Available

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

9 days

10% of adjudications by: 7 days
90% of adjudications by: 16 days
Applicable state coverage: SC
Current As Of: July 2026

Five-month median trend

Days to 835 payment

View chart data as a table

Medicare South Carolina Part B observed adjudication timing by service month
Service month	Median	10% of adjudications by	90% of adjudications by	Completed claims	Coverage
Apr	10 days	6 days	14 days	242	SC
May	10 days	7 days	14 days	546	SC
Jun	9 days	7 days	14 days	281	SC
Jul	9 days	7 days	16 days	184	SC
Aug	No qualified data

Frequently asked questions

Medicare South Carolina Part B payer FAQs

What is the payer ID for Medicare South Carolina Part B?

The primary payer ID for Medicare South Carolina Part B is SMSC0. 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 South Carolina Part B?

The 837P payer ID for Medicare South Carolina Part B is SMSC0 via Stedi.

What is the 835 payer ID for Medicare South Carolina Part B?

The 835 payer ID for Medicare South Carolina Part B is SMSC0 via Stedi.

What is the 270 payer ID for Medicare South Carolina Part B?

The 270 payer ID for Medicare South Carolina Part B is SMSC0 via Stedi.

What state does Medicare South Carolina Part B operate in?

Medicare South Carolina Part B operates in SC.

Routing reference

Medicare South Carolina 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 South Carolina Part B payer name, operating states, and transaction-specific payer IDs
Payer name	Medicare South Carolina Part B
Operating states	SC
837P professional claims payer IDStedi	`SMSC0`Enrollment required
835 ERA payer IDStedi	`SMSC0`Enrollment required
270 eligibility payer IDStedi	`SMSC0`Enrollment required

Payer contact directory

Medicare South Carolina 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.

Eligibility / benefits phone: (800) 448-6262EMPHESYS INSURANCE COMPANY, HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY

Medicare South Carolina Part B payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
phone(800) 448-6262	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	EMPHESYS INSURANCE COMPANY HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY	Health Benefit Plan Coverage, Pharmacy
phone(888) 230-7338	Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor	HEALTHKEEPERS, INC.	Health Benefit Plan Coverage, Pharmacy
phone(202) 942-1270	PharmacyBenefit context: Other or Additional Payor	BLUE CROSS BLUE SHIELD ASSOCIATION	Pharmacy
phone(423) 954-6977	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(619) 980-6944	PharmacyBenefit context: Other or Additional Payor	MG INSURANCE COMPANY	Pharmacy
phone(866) 235-5660	PharmacyBenefit context: Other or Additional Payor	SILVERSCRIPT INSURANCE COMPANY	Pharmacy
phone(866) 421-5077	PharmacyBenefit context: Other or Additional Payor	BLUE CROSS AND BLUE SHIELD OF KANSAS	Pharmacy
phone(866) 460-8854	PharmacyBenefit context: Other or Additional Payor	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	Pharmacy
phone(866) 529-4917	PharmacyBenefit context: Other or Additional Payor	MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY	Pharmacy
phone(888) 867-5575	PharmacyBenefit context: Other or Additional Payor	UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY	Pharmacy
phone(888) 888-9355	PharmacyBenefit context: Other or Additional Payor	WELLCARE PRESCRIPTION INSURANCE, INC.	Pharmacy
phone(973) 466-5503	PharmacyBenefit context: Other or Additional Payor	HORIZON INSURANCE COMPANY	Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

11202
1484
SCMCR
SMSC0
XMEDX
Palmetto GBA (PGBA) - South Carolina
South Carolina Medicare
EPRO MEDICARE SOUTH CAROLINA PART B