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Medicare New York Part B Upstate

Medicare New York Part B Upstate

This page contains information you can use to exchange healthcare transactions with Medicare New York Part B Upstate using Stedi.
Use any of the following payer IDs to send transactions to Medicare New York Part B Upstate using Stedi APIs or SFTP. Read the docs
Primary Payer ID
13282
Stedi Payer ID
LQOTI
Payer ID aliases
13282, 1463, N1MCR, NYMCR
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare New York Part B Upstate 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 York Part B Upstate.
Enrollment process type
One-click
Activation timeframe
Hours
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Medicare New York Part B Upstate 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 York Part B Upstate in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims to Medicare New York Part B Upstate and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Medicare New York Part B Upstate and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medicare New York Part B Upstate to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Medicare New York Part B Upstate and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medicare New York Part B Upstate.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicare New York Part B Upstate and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicare New York Part B Upstate today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • National Government Services (NGS) - New York
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