What is the payer ID for Medicare Home Health and Hospice J15?

The payer ID for Medicare Home Health and Hospice J15 is 15004.

How long does Medicare Home Health and Hospice J15 provider enrollment take?

Medicare Home Health and Hospice J15 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 Home Health and Hospice J15 require CAQH?

No. Medicare Home Health and Hospice J15 does not use CAQH. Applications go through its own enrollment process.

Does Medicare Home Health and Hospice J15 require ERA enrollment?

Yes. Medicare Home Health and Hospice J15 requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicare Home Health and Hospice J15 cover?

Medicare Home Health and Hospice J15 operates in J15: KY, OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Medicare Home Health and Hospice J15

Part of CGS Administrators, LLC

Government programdentalmedical

Typical enrollment turnaround

45-65 days

Summary

Medicare Home Health and Hospice J15 is a government program, administered by CGS Administrators, LLC, offering dental and medical coverage operating in Kentucky and Ohio. Claims route under payer ID 15004. Provider enrollment typically takes 45-65 days, with applications through CGS Medicare Portal, and CAQH is not used. Through clearinghouses it supports eligibility checks, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 15004
Also known as: CGS Administrators, Medicare HH+H Jurisdiction 15
Uses CAQH: NoApplication route: Payer's own application
Service area: J15: KY, OH

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
Institutional claims (837I)	Required	Several weeks
ERA / remittance (835)	Required	Several weeks

Common questions

What is the payer ID for Medicare Home Health and Hospice J15?: The payer ID for Medicare Home Health and Hospice J15 is 15004.
How long does Medicare Home Health and Hospice J15 provider enrollment take?: Medicare Home Health and Hospice J15 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 Home Health and Hospice J15 require CAQH?: No. Medicare Home Health and Hospice J15 does not use CAQH. Applications go through its own enrollment process.
Does Medicare Home Health and Hospice J15 require ERA enrollment?: Yes. Medicare Home Health and Hospice J15 requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare Home Health and Hospice J15 cover?: Medicare Home Health and Hospice J15 operates in J15: KY, OH. 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.