Payer ID 12115: Veterans Affairs Fee Basis Program

Electronic transactions for payer ID 12115

What Veterans Affairs Fee Basis Program accepts electronically under payer ID 12115, and which transactions need provider enrollment before they work, as listed in the Stedi payer network directory.

Support is per clearinghouse connection: a transaction listed as not supported here may still work through another clearinghouse or the payer's portal. Enrollment, where required, is done once per provider and clearinghouse.

Where payer ID 12115 goes on a claim

On an electronic professional (837P) or institutional (837I) claim, the payer is identified in loop 2010BB, the payer name loop. The NM1 segment there carries entity identifier code PR (payer), the payer's name, the qualifier PI in NM108, and the payer ID itself in NM109:

NM1*PR*2*VETERANS AFFAIRS FEE BASIS PROGRAM*****PI*12115~

The same NM1*PR structure names the payer in loop 2100A of 270 eligibility and 276 claim status requests. Many clearinghouses use one payer ID for claims, eligibility, and claim status, but some assign a separate ID per transaction, so check the payer list for each transaction type you send.

Before you submit to payer ID 12115

1. 1

   Read the member's ID card

   The claims payer ID or claims address printed on the card is the most specific source for that member's plan. Where it differs from a directory listing, the card generally reflects how that plan wants claims sent.

2. 2

   Check whether a third-party administrator runs the plan

   Self-funded employer plans route claims to their administrator's payer ID, which is often different from the network or carrier name printed on the card.

3. 3

   Confirm the ID on your clearinghouse's payer list

   Payer IDs are assigned per clearinghouse. Large national payers tend to use the same ID nearly everywhere; regional plans and administrators often do not. Search your clearinghouse's list for 12115 and confirm it maps to Veterans Affairs Fee Basis Program.

4. 4

   Watch the acknowledgments, not just the remittance

   A wrong payer ID fails at the clearinghouse or on the 277CA claim acknowledgment, not as a denial on the 835. A rejected claim was never received by the payer, so the timely filing clock keeps running until a corrected claim is accepted.

Other payer IDs and plan names for Veterans Affairs Fee Basis Program

Stedi's payer network also accepts these 7 IDs for Veterans Affairs Fee Basis Program. If your clearinghouse, an older payer list, or a remittance shows one of them instead of 12115, it most likely routes to the same payer - confirm on your clearinghouse's payer list before you submit.

• 00231
• 1507
• 3887
• 10196
• 12115MA
• 12116
• VETFBP

Plan and payer names Stedi's network routes to Veterans Affairs Fee Basis Program under 12115. A member card that names one of these, without its own claims payer ID, most likely belongs here.

• VA Fee Basis Program

Veterans Affairs Fee Basis Program billing reference

• Veterans Affairs Fee Basis Program writes dental, medical coverage nationally. Rette indexes 54 Veterans Affairs Fee Basis Program policy documents - coverage criteria, prior authorization requirements, and billing guidelines.

  Veterans Affairs Fee Basis Program timely filing, prior auth, and appeals

Payer ID 12115 questions

Which insurance company uses payer ID 12115?

Payer ID 12115 belongs to Veterans Affairs Fee Basis Program in the Stedi payer network directory. Payer IDs are assigned per clearinghouse, so check 12115 against your own clearinghouse's payer list before submitting.

What is the Veterans Affairs Fee Basis Program payer ID?

The Veterans Affairs Fee Basis Program electronic payer ID is 12115. It goes in loop 2010BB of the 837 claim. Payer IDs are assigned per clearinghouse, so confirm 12115 against your own clearinghouse's payer list before relying on it.

Where do I enter payer ID 12115 on an 837 claim?

In loop 2010BB, the payer name loop: the NM1 segment with entity identifier PR, qualifier PI in NM108, and 12115 in NM109. The same NM1*PR structure identifies the payer in loop 2100A of 270 eligibility and 276 claim status requests, though some clearinghouses assign a different payer ID for those transactions.

Can I check eligibility electronically with payer ID 12115?

Yes. Stedi's payer network lists real-time eligibility and benefits checks (270/271) for Veterans Affairs Fee Basis Program under payer ID 12115, with no enrollment step.

Do I need to enroll to receive ERAs from payer ID 12115?

Yes. Stedi's payer network lists 835 electronic remittance advice from Veterans Affairs Fee Basis Program as requiring enrollment, which typically takes weeks. ERAs are enrolled per clearinghouse, so enrolling with a new clearinghouse usually moves your 835s to it.

Does Veterans Affairs Fee Basis Program use any payer ID other than 12115?

Stedi's payer network also accepts 00231, 1507, 3887, 10196, 12115MA, 12116 and VETFBP for Veterans Affairs Fee Basis Program. Clearinghouses and older payer lists often show one of these instead of 12115; if yours does, it most likely routes to the same payer, but confirm on your clearinghouse's payer list before you submit.

Payer IDs for related payers