West PACE
medical
Summary
West PACE is a medical payer operating in California. Claims route under payer ID GMWP1. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
GMWP1- Also known as
- Gary and Mary West PACE, West PACE San Diego, West Program of All-Inclusive Care for the Elderly
- Service area
- CA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for West PACE?
- The payer ID for West PACE is GMWP1.
- Does West PACE require ERA enrollment?
- Yes. West PACE requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does West PACE cover?
- West PACE operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does West PACE offer?
- West PACE covers medical.
- Can I submit claims to West PACE electronically?
- Yes. West PACE is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
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 Spot something out of date?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.