What is the payer ID for Medicare District of Columbia Part A (J12 Highmark)?

The payer ID for Medicare District of Columbia Part A (J12 Highmark) is 12M63.

How long does Medicare District of Columbia Part A (J12 Highmark) provider enrollment take?

Medicare District of Columbia Part A (J12 Highmark) provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Medicare District of Columbia Part A (J12 Highmark) require CAQH?

No. Medicare District of Columbia Part A (J12 Highmark) does not use CAQH. Applications go through its own enrollment process.

Does Medicare District of Columbia Part A (J12 Highmark) require ERA enrollment?

Yes. Medicare District of Columbia Part A (J12 Highmark) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicare District of Columbia Part A (J12 Highmark) cover?

Medicare District of Columbia Part A (J12 Highmark) operates in JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Medicare District of Columbia Part A (J12 Highmark)

Part of Novitas Solutions, Inc.

Government program

Typical enrollment turnaround

45-65 days

Summary

Medicare District of Columbia Part A (J12 Highmark) is a government program, administered by Novitas Solutions, Inc., operating in 12 states. Claims route under payer ID 12M63. Provider enrollment typically takes 45-65 days, with applications through Novitas Solutions Portal, and CAQH is not used. Through clearinghouses it supports institutional claims and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 12M63
Also known as: Novitas - District of Columbia
Uses CAQH: NoApplication route: Payer's own application
Service area: JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA

Clearinghouse transaction setup

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

Transaction	Enrollment	Typical setup
Institutional claims (837I)	Required	Several weeks
ERA / remittance (835)	Required	Several weeks

Common questions

What is the payer ID for Medicare District of Columbia Part A (J12 Highmark)?: The payer ID for Medicare District of Columbia Part A (J12 Highmark) is 12M63.
How long does Medicare District of Columbia Part A (J12 Highmark) provider enrollment take?: Medicare District of Columbia Part A (J12 Highmark) provider enrollment typically takes 45-65 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Medicare District of Columbia Part A (J12 Highmark) require CAQH?: No. Medicare District of Columbia Part A (J12 Highmark) does not use CAQH. Applications go through its own enrollment process.
Does Medicare District of Columbia Part A (J12 Highmark) require ERA enrollment?: Yes. Medicare District of Columbia Part A (J12 Highmark) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare District of Columbia Part A (J12 Highmark) cover?: Medicare District of Columbia Part A (J12 Highmark) operates in JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.