Medicaid Vermont

Summary

Medicaid Vermont is a dental, medical, and vision payer operating in Vermont. Claims route under payer ID 100302, with 9 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

100302Also seen as 10197, 12K26, 3569, 3570, CKVT1, SKVM0 and 3 more

Also known as

Department of Vermont Health Access, Vermont Medicaid

Service area

VT

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 Vermont?

The payer ID for Medicaid Vermont is 100302. Alternate IDs seen across clearinghouses include 10197, 12K26, 3569, 3570.

Does Medicaid Vermont require ERA enrollment?

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

What states does Medicaid Vermont cover?

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

What types of coverage does Medicaid Vermont offer?

Medicaid Vermont covers dental, medical, and vision.

Can I submit claims to Medicaid Vermont electronically?

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