Medicare New York Downstate

Summary

Medicare New York Downstate is a dental and medical payer operating in New York. Claims route under payer ID 13202, with 1 alternate ID in use across clearinghouses. 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

13202Also seen as 4442

Service area

NY

Clearinghouse transaction setup

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

Common questions

What is the payer ID for Medicare New York Downstate?

The payer ID for Medicare New York Downstate is 13202. Alternate IDs seen across clearinghouses include 4442.

Does Medicare New York Downstate require ERA enrollment?

Yes. Medicare New York Downstate requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicare New York Downstate cover?

Medicare New York Downstate operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicare New York Downstate offer?

Medicare New York Downstate covers dental and medical.

Can I submit claims to Medicare New York Downstate electronically?

Yes. Medicare New York Downstate is reachable through clearinghouses for eligibility checks, professional claims, and electronic remittance. Electronic claims are supported for professional (837P).