What is the payer ID for Medicare Iowa Part A?

The payer ID for Medicare Iowa Part A is 05101. Alternate IDs seen across clearinghouses include 2537, 3976, IMIA1, JIMIA1.

How long does Medicare Iowa Part A provider enrollment take?

Medicare Iowa 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 Iowa Part A require CAQH?

No. Medicare Iowa Part A does not use CAQH. Applications go through its own enrollment process.

Does Medicare Iowa Part A require ERA enrollment?

Yes. Medicare Iowa Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Medicare Iowa Part A cover?

Medicare Iowa 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.

Medicare Iowa Part A

Part of WPS Health Solutions

Government programmedical

Typical enrollment turnaround

45-65 days

Summary

Medicare Iowa Part A is a government program, administered by WPS Health Solutions, offering medical coverage operating in 8 states. Claims route under payer ID 05101, with 4 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 activates within hours.

At a glance

Payer ID: 05101Also seen as 2537, 3976, IMIA1, JIMIA1
Also known as: Medicare Iowa Part A (Wisconsin Physicians Service), Wisconsin Physicians Service (WPS) - Iowa
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
Institutional claims (837I)	Required	Several weeks
ERA / remittance (835)	Required	Same day

Common questions

What is the payer ID for Medicare Iowa Part A?: The payer ID for Medicare Iowa Part A is 05101. Alternate IDs seen across clearinghouses include 2537, 3976, IMIA1, JIMIA1.
How long does Medicare Iowa Part A provider enrollment take?: Medicare Iowa 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 Iowa Part A require CAQH?: No. Medicare Iowa Part A does not use CAQH. Applications go through its own enrollment process.
Does Medicare Iowa Part A require ERA enrollment?: Yes. Medicare Iowa Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Medicare Iowa Part A cover?: Medicare Iowa 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.