Coverage profile
How Substrate can help you with Sanford Health Plan Medicare Advantage
Substrate can help practices and billers with the following claims tasks for Sanford Health Plan Medicare Advantage.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Sanford Health Plan Medicare Advantage.
Frequently asked questions
Sanford Health Plan Medicare Advantage payer FAQs
What is the payer ID for Sanford Health Plan Medicare Advantage?
The primary payer ID for Sanford Health Plan Medicare Advantage is RP035. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Sanford Health Plan Medicare Advantage?
The 837P and 837I payer ID for Sanford Health Plan Medicare Advantage is RP035 via Stedi.
What is the 835 payer ID for Sanford Health Plan Medicare Advantage?
The 835 payer ID for Sanford Health Plan Medicare Advantage is RP035 via Stedi.
What is the 270 payer ID for Sanford Health Plan Medicare Advantage?
The 270 payer ID for Sanford Health Plan Medicare Advantage is RP035 via Stedi.
What states does Sanford Health Plan Medicare Advantage operate in?
Sanford Health Plan Medicare Advantage operates in IA, MN, ND, NE, and SD.
Routing reference
Sanford Health Plan Medicare Advantage 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 | Sanford Health Plan Medicare Advantage |
|---|---|
| Operating states | IA, MN, ND, NE, SD |
| 837P professional claims payer IDStedi | RP035 |
| 837I institutional claims payer IDStedi | RP035 |
| 835 ERA payer IDStedi | RP035Enrollment required |
| 270 eligibility payer IDStedi | RP035 |
Payer contact directory
Sanford Health Plan Medicare Advantage 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.
- Other stated context phone
- (800) 499-3416SHP-NDPERS
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 499-3416 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 532-1537 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 752-5863 | Other stated contextBenefit context: Active Coverage; Benefit context: Inactive |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 14373
- 6572
- 9277
- RP035
- Great Plains Medicare Advantage
- SANFORD HEALTH MEDICARE ADVANTAGE
- SANFORD HEALTH MA
