How to check PACE of Southwest Michigan eligibility

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A portal or phone check takes a front-desk staffer 10–15 minutes per patient. PACE of Southwest Michigan has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.

Payer ID 45114Screen agent · setup requiredMedicare · Medicaid

Three ways to verify PACE of Southwest Michigan coverage

Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
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.

PACE of Southwest Michigan at a glance

What billers need before running a check.

Payer ID

45114

Also known as 1150, 1586

Real-time eligibility

Via screen agent

PACE of Southwest Michigan has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.

Coverage

medical

Medicare · Medicaid

Operating area

Michigan

Payer website

www.paceswmi.org

Supported transactions

What can be exchanged electronically with PACE of Southwest Michigan today.

Transaction	Status
Eligibility (270/271) Real-time benefit and coverage checks	NOT AVAILABLE
Claim status (276/277) Where a submitted claim stands	NOT AVAILABLE
Professional claims (837P) Physician and outpatient claims	SUPPORTED
Institutional claims (837I) Facility claims	SUPPORTED
Dental claims (837D) Dental claims	NOT AVAILABLE
Remittance (835 ERA) Electronic remittance advice	ENROLLMENT REQUIRED
Coordination of benefits Secondary-payer routing	NOT AVAILABLE
Claim attachments (275) Supporting documentation	NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

	Payer portal	Phone / IVR	Automated check
Time per patient	10–15 min	15–30 min	Seconds
Cost per check	~$7.97 staff time*	~$7.97+ staff time*	from $0.50
Record for the chart	Screenshot	None	Full audit trail
Whole-day schedule	One at a time	One at a time	Batched overnight

*CAQH Index benchmark for a manual eligibility verification.

FAQ

Frequently asked questions

PACE of Southwest Michigan uses payer ID 45114. It also appears as 1150, 1586 in some systems.

PACE of Southwest Michigan has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.

A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.