Coverage profile
Work Medicare West Virginia Part B across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicare West Virginia Part B.
Other aliases
Also known as
- 11402
- 1450
- SMWV0
- WVMCR
- Palmetto GBA (PGBA) - Virginia
- WVMEDICARE
2027 maternity billing research
When does Medicare West Virginia Part B change OB/GYN billing?
CMS proposes revised valuations for restructured maternity CPT codes for CY 2027 and seeks comment on creating 15 alternative HCPCS G-codes for Medicare PFS payment. Neither approach is a final billing instruction in this source.
- Transition start
- CY 2027 proposal; no operative transition date established
- Billing start
- Not established by cited proposal
- Published
- 2026-07-16
- Current As Of
- August 2026
Scope: Federal Medicare Part B medical maternity payment under the PFS; not West Virginia-specific MAC instructions.
CY 2027 Physician Fee Schedule proposed rule. Verify the payer source before claim submission.
Frequently asked questions
Medicare West Virginia Part B payer FAQs
What is the payer ID for Medicare West Virginia Part B?
The primary payer ID for Medicare West Virginia Part B is 11402. 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 West Virginia Part B?
The 837P payer ID for Medicare West Virginia Part B is 11402 via Stedi.
What is the 835 payer ID for Medicare West Virginia Part B?
The 835 payer ID for Medicare West Virginia Part B is 11402 via Stedi.
What is the 270 payer ID for Medicare West Virginia Part B?
The 270 payer ID for Medicare West Virginia Part B is 11402 via Stedi.
What state does Medicare West Virginia Part B operate in?
Medicare West Virginia Part B operates in WV.
Routing reference
Medicare West Virginia 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.
| Payer name | Medicare West Virginia Part BSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | WVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 11402Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 11402Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 11402Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicare West Virginia 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.
Payer contact directory
Medicare West Virginia 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) 291-1425UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 291-1425 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(800) 448-6262 | Eligibility / benefits, PharmacyBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Other or Additional Payor |
| Health Benefit Plan Coverage, Pharmacy |
| phone(423) 954-6977 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 235-5660 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(866) 460-8854 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(877) 327-1395 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(888) 888-9355 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
Phone and fax numbers sourced directly from the payer response