Payer ID RP035: Sanford Health Plan Medicare Advantage

RP035 is the electronic payer ID for Sanford Health Plan Medicare Advantage, according to the Stedi payer network directory. Enter RP035 in loop 2010BB of an 837 claim - the payer name segment, with qualifier PI in NM108 and the ID in NM109 - to route the claim to Sanford Health Plan Medicare Advantage. Payer IDs are assigned per clearinghouse, so confirm RP035 on your own clearinghouse's payer list before you submit.

Payer ID RP035 at a glance

Electronic payer ID
RP035
Payer
Sanford Health Plan Medicare Advantage
Claim location
837 loop 2010BB, NM109
Source
Stedi payer network directory

Where payer ID RP035 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*SANFORD HEALTH PLAN MEDICARE ADVANTAGE*****PI*RP035~

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 RP035

  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. 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. 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 RP035 and confirm it maps to Sanford Health Plan Medicare Advantage.

  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.

Sanford Health Plan Medicare Advantage billing reference

Payer ID RP035 questions

Which insurance company uses payer ID RP035?
Payer ID RP035 belongs to Sanford Health Plan Medicare Advantage in the Stedi payer network directory. Payer IDs are assigned per clearinghouse, so check RP035 against your own clearinghouse's payer list before submitting.
What is the Sanford Health Plan Medicare Advantage payer ID?
The Sanford Health Plan Medicare Advantage electronic payer ID is RP035. It goes in loop 2010BB of the 837 claim. Payer IDs are assigned per clearinghouse, so confirm RP035 against your own clearinghouse's payer list before relying on it.
Where do I enter payer ID RP035 on an 837 claim?
In loop 2010BB, the payer name loop: the NM1 segment with entity identifier PR, qualifier PI in NM108, and RP035 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.

Payer IDs for related payers

00710 - Blue Cross Blue Shield of Michigan99726 - TRICARE West Region94265 - Medica91184 - Sanford Health Plan12422 - Medica Individual and Family19003 - Medicare Durable Medical Equipment Regional Carrier Jurisdiction D
Every payer ID in the directory

Payer IDs come from the payer network directory named above and are assigned per clearinghouse. Always confirm the ID with your clearinghouse and the member's card before submitting a claim.