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Medicare Iowa Part B

Part of WPS Health Solutions

Government programmedical
Typical enrollment turnaround
45-65 days

Summary

Medicare Iowa Part B is a government program, administered by WPS Health Solutions, offering medical coverage operating in 8 states. Claims route under payer ID SMIA0, 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, professional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
SMIA0Also seen as IAMCR, JSMIA0
Also known as
Medicare Iowa Part B (J5 Wisconsin Physicians Service), Wisconsin Physicians Service (WPS) - Iowa, Wisconsin Physicians Service (WPS) - Wisconsin
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
Professional claims (837P)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Medicare Iowa Part B?
The payer ID for Medicare Iowa Part B is SMIA0. Alternate IDs seen across clearinghouses include IAMCR, JSMIA0.
How long does Medicare Iowa Part B provider enrollment take?
Medicare Iowa 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 Iowa Part B require CAQH?
No. Medicare Iowa Part B does not use CAQH. Applications go through its own enrollment process.
Does Medicare Iowa Part B require ERA enrollment?
Yes. Medicare Iowa Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare Iowa Part B cover?
Medicare Iowa 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.

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 Spot something out of date?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.