Payer Directory

How to check Medicare New York Downstate eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

  • Payer ID 13202
  • Real-time 270/271
  • Enrollment required · hours
  • Medicare

Three ways to verify Medicare New York Downstate coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
The third way

Automated 270/271 check

Full benefit detail in seconds, batched for your whole schedule — not one patient at a time.

From $0.50 per check, pay-as-you-go. A one-time enrollment comes first.

Payer facts

Medicare New York Downstate at a glance

What billers need before running a check.

  • Payer ID

    13202Also known as 4442

  • Real-time eligibility

    After enrollmentA one-time enrollment is required before checks can run (about hours).

  • Coverage

    dental, medicalMedicare

  • Operating area

    New York

  • Payer website

    www.cms.gov
Transactions

Supported transactions

What can be exchanged electronically with Medicare New York Downstate today.

  • Eligibility (270/271)

    ENROLLMENT REQUIREDReal-time benefit and coverage checks

  • Claim status (276/277)

    NOT AVAILABLEWhere a submitted claim stands

  • Professional claims (837P)

    ENROLLMENT REQUIREDPhysician and outpatient claims

  • Institutional claims (837I)

    NOT AVAILABLEFacility claims

  • Dental claims (837D)

    NOT AVAILABLEDental claims

  • Remittance (835 ERA)

    ENROLLMENT REQUIREDElectronic remittance advice

  • Coordination of benefits

    NOT AVAILABLESecondary-payer routing

  • Claim attachments (275)

    NOT AVAILABLESupporting documentation
Compare

Portal vs. phone vs. automated

The same verification, three ways.

MeasurePayer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per checkStaff time, one login per patient~$8.57 in staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*A manual eligibility check costs a medical practice $8.57; an electronic one costs $2.00. Source: 2024 CAQH Index.

In production

What Medman does in practices today

  • 65%

    fewer denials at Valley Diabetes & Obesity

  • 90%

    of eligibility checks fully automated

  • $107–149K

    annual savings, small specialty practice

  • 24 mo

    in production

Questions

Frequently asked questions

What is the payer ID for Medicare New York Downstate?

Medicare New York Downstate uses payer ID 13202. It also appears as 4442 in some systems.

Does Medicare New York Downstate support real-time eligibility verification?

Yes. Medicare New York Downstate supports real-time 270/271 eligibility checks after a one-time enrollment that typically takes hours. Once enrolled, checks return in seconds.

How long does a Medicare New York Downstate eligibility check take?

A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.

Directory

More payers

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Run your first Medicare New York Downstate eligibility check

From $0.50 per check, pay-as-you-go. No annual contract, no implementation project.

How the eligibility agent worksSee pricing

Billing more than Medicare New York Downstate? — upload it and see which of your payers run automatically.