Medicaid Pennsylvania

Summary

Medicaid Pennsylvania is a dental and medical payer operating in Pennsylvania. Claims route under payer ID 236003113, with 10 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

236003113Also seen as 10165, 12008, 1491, 1605, 5509, 6845 and 4 more

Also known as

Pennsylvania Medicaid, Pennsylvania Medical Assistance

Service area

PA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Medicaid Pennsylvania?

The payer ID for Medicaid Pennsylvania is 236003113. Alternate IDs seen across clearinghouses include 10165, 12008, 1491, 1605.

Does Medicaid Pennsylvania require ERA enrollment?

Yes. Medicaid Pennsylvania requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicaid Pennsylvania cover?

Medicaid Pennsylvania operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicaid Pennsylvania offer?

Medicaid Pennsylvania covers dental and medical.

Can I submit claims to Medicaid Pennsylvania electronically?

Yes. Medicaid Pennsylvania is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).