What is the Stedi payer ID for Medicare New Mexico Part B?

The Stedi payer ID for Medicare New Mexico Part B is FRNPY.

What is the primary payer ID for Medicare New Mexico Part B?

The primary payer ID for Medicare New Mexico Part B is 04212.

What payer IDs does Medicare New Mexico Part B use?

In addition to its primary payer ID 04212, Medicare New Mexico Part B uses several other payer IDs, including 04212, 1457, and NMMCR.

What transactions does Medicare New Mexico Part B support?

Medicare New Mexico Part B supports the following transactions: 270/271 eligibility checks, 837P professional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Medicare New Mexico Part B?

Medicare New Mexico Part B requires transaction enrollment for 270/271 eligibility checks, 837P professional claims, and 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What other names does Medicare New Mexico Part B go by?

Medicare New Mexico Part B is also known as Novitas - New Mexico.

All payers

PAYER

Medicare New Mexico Part B

This page contains information you can use to exchange healthcare transactions with Medicare New Mexico Part B using Stedi.

Use any of the following payer IDs to send transactions to Medicare New Mexico Part B using Stedi APIs or SFTP. Read the docs

Primary Payer ID

04212

Stedi Payer ID

FRNPY

Payer ID aliases

04212, 1457, NMMCR

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare New Mexico Part B using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported, enrollment required

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Medicare New Mexico Part B.

Enrollment process type

One-click

Activation timeframe

Hours

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Medicare New Mexico Part B to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Medicare New Mexico Part B in real-time by sending a claim status check (276/277).

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to Medicare New Mexico Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Medicare New Mexico Part B and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare New Mexico Part B to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare New Mexico Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare New Mexico Part B.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Medicare New Mexico Part B and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Medicare New Mexico Part B today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Novitas - New Mexico

Payer Network

All payers

PAYER

Medicare New Mexico Part B

This page contains information you can use to exchange healthcare transactions with Medicare New Mexico Part B using Stedi.

Use any of the following payer IDs to send transactions to Medicare New Mexico Part B using Stedi APIs or SFTP. Read the docs

Primary Payer ID

04212

Stedi Payer ID

FRNPY

Payer ID aliases

04212, 1457, NMMCR

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare New Mexico Part B using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported, enrollment required

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Medicare New Mexico Part B.

Enrollment process type

One-click

Activation timeframe

Hours

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Medicare New Mexico Part B to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Medicare New Mexico Part B in real-time by sending a claim status check (276/277).

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to Medicare New Mexico Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Medicare New Mexico Part B and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare New Mexico Part B to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare New Mexico Part B and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare New Mexico Part B.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Medicare New Mexico Part B and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Medicare New Mexico Part B today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Novitas - New Mexico