Institutional Claims for Medicare

Medicare payers accept claims only for subscribers. If you want to submit a dependent claim with a Medicare payer, submit the dependent as a subscriber in the claim request.

Do the doctors need to be re-registered in each Medicare variant to return benefits correctly?

A couple things here: now that the old PokitDok APIs is no longer supported, the best payer list for you is accessible through ConnectCenter npd or cap. You can also access this behind the log in and export to .CSV format. For this, filter to Eligibility and Medicare before your search.

Most Medicares have the Eligibility ID/Realtime ID of CMSMED. If there are specifics that do not, such as, a Medicare Advantage plan, might require separate enrollment. In this situation, submit a ticket to our Registrations team through ConnectCenter or email to [email protected].