What is the Stedi payer ID for Medicare Part A Puerto Rico?

The Stedi payer ID for Medicare Part A Puerto Rico is WGJSF.

What is the primary payer ID for Medicare Part A Puerto Rico?

The primary payer ID for Medicare Part A Puerto Rico is 12M49.

What payer IDs does Medicare Part A Puerto Rico use?

In addition to its primary payer ID 12M49, Medicare Part A Puerto Rico uses several other payer IDs, including 12M49.

What transactions does Medicare Part A Puerto Rico support?

Medicare Part A Puerto Rico supports the following transactions: 270/271 eligibility checks, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Medicare Part A Puerto Rico?

Medicare Part A Puerto Rico requires transaction enrollment for 270/271 eligibility checks, 837I institutional 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 Part A Puerto Rico go by?

Medicare Part A Puerto Rico is also known as First Coast (FCSO) - Puerto Rico.

All payers

PAYER

Medicare Part A Puerto Rico

This page contains information you can use to exchange healthcare transactions with Medicare Part A Puerto Rico using Stedi.

Use any of the following payer IDs to send transactions to Medicare Part A Puerto Rico using Stedi APIs or SFTP. Read the docs

Primary Payer ID

12M49

Stedi Payer ID

WGJSF

Payer ID aliases

12M49

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Part A Puerto Rico 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 Part A Puerto Rico.

Enrollment process type

One-click

Activation timeframe

Hours

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Medicare Part A Puerto Rico 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 Part A Puerto Rico in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Medicare Part A Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to Medicare Part A Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Part A Puerto Rico to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Part A Puerto Rico and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Part A Puerto Rico.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Medicare Part A Puerto Rico and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Medicare Part A Puerto Rico today.

Other names

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

First Coast (FCSO) - Puerto Rico

Payer Network

All payers

PAYER

Medicare Part A Puerto Rico

This page contains information you can use to exchange healthcare transactions with Medicare Part A Puerto Rico using Stedi.

Use any of the following payer IDs to send transactions to Medicare Part A Puerto Rico using Stedi APIs or SFTP. Read the docs

Primary Payer ID

12M49

Stedi Payer ID

WGJSF

Payer ID aliases

12M49

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Part A Puerto Rico 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 Part A Puerto Rico.

Enrollment process type

One-click

Activation timeframe

Hours

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Medicare Part A Puerto Rico 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 Part A Puerto Rico in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Medicare Part A Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to Medicare Part A Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Part A Puerto Rico to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Part A Puerto Rico and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Part A Puerto Rico.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Medicare Part A Puerto Rico and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Medicare Part A Puerto Rico today.

Other names

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

First Coast (FCSO) - Puerto Rico