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Medicare New York Part B Upstate

dentalmedical

Summary

Medicare New York Part B Upstate is a dental and medical payer operating in New York. Claims route under payer ID 13282, with 9 alternate IDs 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
13282Also seen as 1463, JSB807, JSMNY0, JSMNY2, N1MCR, NYMCR and 3 more
Also known as
National Government Services (NGS) - New York
Service area
NY

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 New York Part B Upstate?
The payer ID for Medicare New York Part B Upstate is 13282. Alternate IDs seen across clearinghouses include 1463, JSB807, JSMNY0, JSMNY2.
Does Medicare New York Part B Upstate require ERA enrollment?
Yes. Medicare New York Part B Upstate requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare New York Part B Upstate cover?
Medicare New York Part B Upstate 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 Part B Upstate offer?
Medicare New York Part B Upstate covers dental and medical.
Can I submit claims to Medicare New York Part B Upstate electronically?
Yes. Medicare New York Part B Upstate is reachable through clearinghouses for eligibility checks, professional claims, and electronic remittance. Electronic claims are supported for professional (837P).

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 Spot something out of date?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.