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Medicare Illinois Part A

Part of WPS Health Solutions

Government programmedical
Typical enrollment turnaround
45-65 days

Summary

Medicare Illinois Part A is a government program, administered by WPS Health Solutions, offering medical coverage operating in 8 states. Claims route under payer ID 06101, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-65 days, with applications through WPS 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
06101Also seen as IMIL0, JIMIL0
Also known as
Wisconsin Physicians Service (WPS) - Illinois
Uses CAQH
NoApplication route: Payer's own application
Service area
J5: IA, KS, MO, NE | J8: IN, MI

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)RequiredSame day
Institutional claims (837I)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Medicare Illinois Part A?
The payer ID for Medicare Illinois Part A is 06101. Alternate IDs seen across clearinghouses include IMIL0, JIMIL0.
How long does Medicare Illinois Part A provider enrollment take?
Medicare Illinois Part A 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 Illinois Part A require CAQH?
No. Medicare Illinois Part A does not use CAQH. Applications go through its own enrollment process.
Does Medicare Illinois Part A require ERA enrollment?
Yes. Medicare Illinois Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare Illinois Part A cover?
Medicare Illinois Part A operates in J5: IA, KS, MO, NE | J8: IN, MI. 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 Spot something out of date?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.