Medicare Georgia Part B
Part of Palmetto GBA, LLC
Summary
Medicare Georgia Part B is a government program, administered by Palmetto GBA, LLC, offering dental and medical coverage operating in 7 states. Claims route under payer ID SMGA0, with 3 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-65 days, with applications through Palmetto GBA Portal, and CAQH is not used. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
SMGA0Also seen as 10212, 1466, GAMCR- Also known as
- Medicare Georgia Part B (Jurisdiction 10 Cahaba), Palmetto GBA (PGBA) - Georgia
- Uses CAQH
- NoApplication route: Payer's own application
- Service area
- JJ: AL, GA, TN | JM: NC, SC, VA, WV
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Required | Same day |
| Professional claims (837P) | Required | Several weeks |
| Institutional claims (837I) | Required | Several weeks |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Medicare Georgia Part B?
- The payer ID for Medicare Georgia Part B is SMGA0. Alternate IDs seen across clearinghouses include 10212, 1466, GAMCR.
- How long does Medicare Georgia Part B provider enrollment take?
- Medicare Georgia Part B 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 Georgia Part B require CAQH?
- No. Medicare Georgia Part B does not use CAQH. Applications go through its own enrollment process.
- Does Medicare Georgia Part B require ERA enrollment?
- Yes. Medicare Georgia Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicare Georgia Part B cover?
- Medicare Georgia Part B operates in JJ: AL, GA, TN | JM: NC, SC, VA, WV. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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 Spot something out of date?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.