West Virginia Medicaid

Summary

West Virginia Medicaid is a dental and medical payer operating in West Virginia. Claims route under payer ID 100305, with 8 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

100305Also seen as 10200, 12K28, 2477, 5532, CKWV1, SKWV0 and 2 more

Also known as

Medicaid West Virginia, West Virginia Bureau for Medical Services

Service area

WV

Clearinghouse transaction setup

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

Common questions

What is the payer ID for West Virginia Medicaid ?

The payer ID for West Virginia Medicaid is 100305. Alternate IDs seen across clearinghouses include 10200, 12K28, 2477, 5532.

Does West Virginia Medicaid require ERA enrollment?

Yes. West Virginia Medicaid requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does West Virginia Medicaid cover?

West Virginia Medicaid operates in WV. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does West Virginia Medicaid offer?

West Virginia Medicaid covers dental and medical.

Can I submit claims to West Virginia Medicaid electronically?

Yes. West Virginia Medicaid is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).