VT Medicaid

Other Carrier Codes

When sending secondary claims to Vermont Medicaid, or when passing an other payer ID, this payer requires their proprietary payer ID's (Carrier Code). Reference the Vermont Medicaid Resources page for a list of allowed codes. 

Secondary / Other payer ID's can be sent in block 9d for Professional Claims and block 51b for Institutional Claims.

Facility Claim

Institutional Claim

Medicaid Provider ID and NPI Crosswalk

Per HIPAA 5010 X12 standards, Medicaid is not allowed to receive a Medicaid provider ID on electronic claims, if the provider has an NPI.

This payer uses a table of information or "crosswalk" to associate the payer assigned provider IDs to each claim. Verify the information sent in these fields matches the provider ID record in the payers system:

• Provider NPI
• Provider Address
• Provider taxonomy code