Medicare Illinois Part B
Part of WPS Health Solutions
Summary
Medicare Illinois Part B is a government program, administered by WPS Health Solutions, offering dental and medical coverage operating in 8 states. Claims route under payer ID 06102, with 7 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, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
06102Also seen as 1437, 2224, 4971, 5506, ILMCR, JSMIL0 and 1 more- 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.
| 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 Illinois Part B?
- The payer ID for Medicare Illinois Part B is 06102. Alternate IDs seen across clearinghouses include 1437, 2224, 4971, 5506.
- How long does Medicare Illinois Part B provider enrollment take?
- Medicare Illinois 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 Illinois Part B require CAQH?
- No. Medicare Illinois Part B does not use CAQH. Applications go through its own enrollment process.
- Does Medicare Illinois Part B require ERA enrollment?
- Yes. Medicare Illinois Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicare Illinois Part B cover?
- Medicare Illinois Part B 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.
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 Spot something out of date?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.