What is the payer ID for Medicare Puerto Rico Part B?

The payer ID for Medicare Puerto Rico Part B is SMPR0.

How long does Medicare Puerto Rico Part B provider enrollment take?

Medicare Puerto Rico Part B 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 Puerto Rico Part B require CAQH?

No. Medicare Puerto Rico Part B does not use CAQH. Applications go through its own enrollment process.

Does Medicare Puerto Rico Part B require ERA enrollment?

Yes. Medicare Puerto Rico Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicare Puerto Rico Part B cover?

Medicare Puerto Rico Part B operates in JN: FL (+ PR, USVI). Coverage can differ by plan and product line, so confirm the specific plan before you file.

Medicare Puerto Rico Part B

Part of First Coast Service Options, Inc.

Government programmedical

Typical enrollment turnaround

45-65 days

Summary

Medicare Puerto Rico Part B is a government program, administered by First Coast Service Options, Inc., offering medical coverage operating in Florida. Claims route under payer ID SMPR0. Provider enrollment typically takes 45-65 days, with applications through First Coast Medicare Portal, and CAQH is not used. 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: SMPR0
Also known as: First Coast (FCSO) - Puerto Rico
Uses CAQH: NoApplication route: Payer's own application
Service area: JN: FL (+ PR, USVI)

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 Puerto Rico Part B?: The payer ID for Medicare Puerto Rico Part B is SMPR0.
How long does Medicare Puerto Rico Part B provider enrollment take?: Medicare Puerto Rico Part B 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 Puerto Rico Part B require CAQH?: No. Medicare Puerto Rico Part B does not use CAQH. Applications go through its own enrollment process.
Does Medicare Puerto Rico Part B require ERA enrollment?: Yes. Medicare Puerto Rico Part B requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare Puerto Rico Part B cover?: Medicare Puerto Rico Part B operates in JN: FL (+ PR, USVI). 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.