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National Centers for Medicare & Medicaid Services

dentalmedicalvision

Summary

National Centers for Medicare & Medicaid Services is a dental, medical, and vision payer with nationwide coverage. Claims route under payer ID CMS, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks.

At a glance

Payer ID
CMSAlso seen as 10001, CMSMED, MAPMC, MEDICARE, Z1073
Also known as
CMS, HETS
Service area
Nationwide

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)RequiredSame day

Common questions

What is the payer ID for National Centers for Medicare & Medicaid Services?
The payer ID for National Centers for Medicare & Medicaid Services is CMS. Alternate IDs seen across clearinghouses include 10001, CMSMED, MAPMC, MEDICARE.
What states does National Centers for Medicare & Medicaid Services cover?
National Centers for Medicare & Medicaid Services operates in Nationwide. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does National Centers for Medicare & Medicaid Services offer?
National Centers for Medicare & Medicaid Services covers dental, medical, and vision.
Which EDI transactions does National Centers for Medicare & Medicaid Services support?
National Centers for Medicare & Medicaid Services is reachable through clearinghouses for eligibility checks.

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 Spot something out of date?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.