Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)
Part of Novitas Solutions, Inc.
Summary
Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is a government program, administered by Novitas Solutions, Inc., offering dental and medical coverage operating in 12 states. Claims route under payer ID 12M88, 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, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
12M88Also seen as COMCR- Also known as
- Colorado Medicare, Medicare Part A Legacy Wisconsin Physicians Service (Colorado, New Mexico, Texas, Oklahoma), Novitas - New Mexico, Novitas - Texas
- 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 |
| Professional claims (837P) | Required | Several weeks |
| Institutional claims (837I) | Required | Several weeks |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)?
- The payer ID for Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) is 12M88. Alternate IDs seen across clearinghouses include COMCR.
- How long does Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) provider enrollment take?
- Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) 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 Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) require CAQH?
- No. Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) does not use CAQH. Applications go through its own enrollment process.
- Does Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) require ERA enrollment?
- Yes. Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) cover?
- Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma) 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.