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Medicare North Carolina Part A

Part of Palmetto GBA, LLC

Government programdentalmedical
Typical enrollment turnaround
45-65 days

Summary

Medicare North Carolina Part A is a government program, administered by Palmetto GBA, LLC, offering dental and medical coverage operating in 7 states. Claims route under payer ID 11501, with 1 alternate ID in use across clearinghouses. Provider enrollment typically takes 45-65 days, with applications through Palmetto GBA Portal, and CAQH is not used. Through clearinghouses it supports eligibility checks, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
11501Also seen as IMNC0
Also known as
Palmetto GBA (PGBA) - North Carolina
Uses CAQH
NoApplication route: Payer's own application
Service area
JJ: AL, GA, TN | JM: NC, SC, VA, WV

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
Institutional claims (837I)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Medicare North Carolina Part A?
The payer ID for Medicare North Carolina Part A is 11501. Alternate IDs seen across clearinghouses include IMNC0.
How long does Medicare North Carolina Part A provider enrollment take?
Medicare North Carolina 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 North Carolina Part A require CAQH?
No. Medicare North Carolina Part A does not use CAQH. Applications go through its own enrollment process.
Does Medicare North Carolina Part A require ERA enrollment?
Yes. Medicare North Carolina Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare North Carolina Part A cover?
Medicare North Carolina Part A operates in JJ: AL, GA, TN | JM: NC, SC, VA, WV. 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 Spot something out of date?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.