Medicare Oklahoma Part A
Part of Novitas Solutions, Inc.
Summary
Medicare Oklahoma Part A is a government program, administered by Novitas Solutions, Inc., offering dental and medical coverage operating in 12 states. Claims route under payer ID 04311, with 1 alternate ID in use across clearinghouses. Provider enrollment typically takes 45-65 days, with applications through Novitas Solutions 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
04311Also seen as IMOK0- Also known as
- Novitas - Oklahoma
- Uses CAQH
- NoApplication route: Payer's own application
- Service area
- JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA
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 | Several weeks |
Common questions
- What is the payer ID for Medicare Oklahoma Part A?
- The payer ID for Medicare Oklahoma Part A is 04311. Alternate IDs seen across clearinghouses include IMOK0.
- How long does Medicare Oklahoma Part A provider enrollment take?
- Medicare Oklahoma 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 Oklahoma Part A require CAQH?
- No. Medicare Oklahoma Part A does not use CAQH. Applications go through its own enrollment process.
- Does Medicare Oklahoma Part A require ERA enrollment?
- Yes. Medicare Oklahoma Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicare Oklahoma Part A cover?
- Medicare Oklahoma Part A operates in JH: AZ, CO, LA, MS, NM, OK, TX | JL: DC, DE, MD, NJ, PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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 Spot something out of date?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.