Medicare Pennsylvania Part B
dentalmedical
Summary
Medicare Pennsylvania Part B is a dental and medical payer operating in Pennsylvania. Claims route under payer ID 12502, with 3 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
12502Also seen as 2457, PAMCR, SMPA0- Service area
- 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 |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Medicare Pennsylvania Part B?
- The payer ID for Medicare Pennsylvania Part B is 12502. Alternate IDs seen across clearinghouses include 2457, PAMCR, SMPA0.
- Does Medicare Pennsylvania Part B require ERA enrollment?
- Yes. Medicare Pennsylvania Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicare Pennsylvania Part B cover?
- Medicare Pennsylvania Part B operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Medicare Pennsylvania Part B offer?
- Medicare Pennsylvania Part B covers dental and medical.
- Can I submit claims to Medicare Pennsylvania Part B electronically?
- Yes. Medicare Pennsylvania Part B 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 Spot something out of date?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.