What is the payer ID for Medicare South Carolina Part A?

The payer ID for Medicare South Carolina Part A is 11001. Alternate IDs seen across clearinghouses include 12M55, 5544.

How long does Medicare South Carolina Part A provider enrollment take?

Medicare South 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 South Carolina Part A require CAQH?

No. Medicare South Carolina Part A does not use CAQH. Applications go through its own enrollment process.

Does Medicare South Carolina Part A require ERA enrollment?

Yes. Medicare South Carolina Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicare South Carolina Part A cover?

Medicare South 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.

Medicare South Carolina Part A

Part of Palmetto GBA, LLC

Government programdentalmedical

Typical enrollment turnaround

45-65 days

Summary

Medicare South 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 11001, with 2 alternate IDs 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: 11001Also seen as 12M55, 5544
Also known as: Medicare Part A Home Health and Hospice Palmetto
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.

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 South Carolina Part A?: The payer ID for Medicare South Carolina Part A is 11001. Alternate IDs seen across clearinghouses include 12M55, 5544.
How long does Medicare South Carolina Part A provider enrollment take?: Medicare South 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 South Carolina Part A require CAQH?: No. Medicare South Carolina Part A does not use CAQH. Applications go through its own enrollment process.
Does Medicare South Carolina Part A require ERA enrollment?: Yes. Medicare South Carolina Part A requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicare South Carolina Part A cover?: Medicare South 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.