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Summary: State Farm sells Medicare Supplement, supplemental health and hospital income insurance, plus Humana Medicare products through agents. Its Health Division has no provider web portal: verify eligibility by calling the Health Response Center at 866-855-1212 or by sending a 270 inquiry with payer ID 31053. The login-based B2B portal covers auto-related medical claims. This guide includes a claim and eligibility router, EDI and ERA/EFT details, and Medigap rules. SPRY helps PT clinics track eligibility errors and denials in one workflow.
State Farm health insurance is a short list of products, not a full major medical line. The company's health page lists Medicare Supplement insurance, supplemental health insurance and a hospital income policy, and it points people who retire before age 65 to HealthCare.gov for Affordable Care Act coverage. For providers, the answer to "what is the State Farm provider portal?" is that the Health Division does not run a web portal: eligibility, claims and remittance run by phone and EDI, while the login-based B2B portal is for auto-related medical claims.
This guide shows how to verify State Farm eligibility, which channel to use, the payer ID and EDI details State Farm publishes, and what each State Farm health product covers. Every contact detail was checked against State Farm's own provider and consumer pages in October 2026. If your front desk also verifies other payers, pair it with our insurance eligibility verification guide and our real-time eligibility verification guide.
State Farm health insurance eligibility at a glance
| Question | Answer |
|---|---|
| Does State Farm have a health provider portal? | No for the Health Division. State Farm states it does not support a web portal for health, and supports HIPAA 270/271, 276/277 (through UHIN) and 835 transactions. |
| Eligibility or claim status phone (health) | Health Response Center: 866-855-1212 (Medicare supplement and long-term care). |
| Payer ID (health claims) | 31053 (Change Healthcare). UHIN trading partner number: HT005054-001. |
| Paper claims (health) | Fax (844) 649-6986, or mail to State Farm Insurance Companies, ATTN: State Farm Health Claims, PO Box 2360, Bloomington, IL 61702-2360. |
| Auto, medical payments, PIP or no-fault claims | 1-800-SF-CLAIM, and the registered Medical Provider Portal on the State Farm B2B site. |
| Customer quote line (consumers) | 855-980-8053 for quote assistance; 1-800-782-8332 (1-800-STATE-FARM) for general service. |
Claim and eligibility router: which State Farm channel do you need?
State Farm splits provider contact paths by coverage type. Choose your scenario and the tool returns the published channel.
State Farm claim and eligibility router
Pick the kind of State Farm coverage and what you need to do. The tool shows the channel, contact and payer details that State Farm publishes for medical providers.
Based on State Farm's B2B portal pages for medical providers, reviewed October 2026. Contact details change, so confirm them on the State Farm B2B site before you rely on them. This tool does not verify a patient's coverage.
How to verify State Farm health insurance eligibility (step by step)
- Identify the line of business. Ask the patient whether the card is for a Medicare supplement or other health policy, or whether the visit relates to an auto claim. Health and auto-related claims go to different State Farm teams.
- Collect the identifiers. Record the member name, date of birth, policy or member ID and a copy of both sides of the card. For Medicare supplement coverage, also record the patient's Medicare number and the Original Medicare claim details.
- Verify electronically when you can. Send a 270 eligibility inquiry through your clearinghouse with payer ID 31053. State Farm says its Health Division supports 270/271 transactions.
- Call when the electronic response is incomplete. The Health Response Center at 866-855-1212 handles eligibility and claim status questions for Medicare supplement and long-term care policies.
- Confirm how the secondary claim reaches State Farm. A Medicare supplement policy pays after Original Medicare. Ask whether the claim is crossed over automatically or has to be submitted separately, and document the answer.
- Document the verification. Save the date, the channel used, the representative or transaction ID, and the benefits or status returned in the patient's chart.
Manual verification is slow and error-prone at scale. If your team checks coverage before every visit, see how SPRY's reporting and analytics tracks denials by cause, or book a demo to see eligibility checks built into your PT workflow.
State Farm provider portal explained
Most searches for the "State Farm provider portal" mix up two different systems. The table separates them.
| Feature | Health Division (Medicare supplement, long-term care) | Property and casualty medical billing |
|---|---|---|
| Web portal | None. State Farm states the Health Division does not support a web portal. | Yes. Registered providers log in to the B2B Medical Provider Portal. |
| What you can do | Eligibility (270/271), claim status (276/277 through UHIN), 837 claim submission, 835 ERA, EFT enrollment | Search medical claims, review billing and payment status, open Explanations of Review (EORs), retrieve claim contact details |
| Phone | 866-855-1212 | 1-800-SF-CLAIM |
| Registration | Health Division contact form on the secure B2B site; credentials are sent by email | Contact Us form on the B2B site, Health Care Provider type |
| Limits | Connect through Optum iEDI, UHIN or PNC Bank for ERA and EFT | State Farm says it cannot share some details, such as policy limits and deductible or copay amounts |
State Farm health claims: payer ID, EDI and remittance details
| Item | Detail |
|---|---|
| Payer ID | 31053 (Change Healthcare) |
| Receiver ID | 370533100 |
| Claim format | ASC X12N 837 |
| Clearinghouses for ERA and EFT | Optum iEDI, UHIN or PNC Bank |
| UHIN trading partner number | HT005054-001 |
| ERA retention | 90 days, retrievable by the Safe Harbor method |
| EFT enrollment rule | EFT alone is not enough. ERA enrollment must accompany it. |
| TIN or NPI change | Cancel the current enrollment and create a new one |
| System availability | Available 24/7 with scheduled maintenance Monday to Friday, 10 p.m. to midnight CST |
| Enrollment or missing ERA email | Home.hlth-medicalprovider.538o00@statefarm.com (include TIN, contact name, phone and email) |
State Farm's published details can change. Check the State Farm health insurance provider page and the Help and Support page before you update clearinghouse settings. For medical coding questions on submitted claims, use our CPT code library and ICD-10 code library, and check likely denial risk with the claim denial calculator.
What State Farm health insurance actually covers
| Product | What it does | Who stands behind it |
|---|---|---|
| Medicare Supplement (Medigap) | Helps pay deductibles, coinsurance and copayments that Original Medicare does not pay | State Farm Mutual Automobile Insurance Company (stated on the California and Minnesota plan pages) |
| Supplemental health insurance | Pays a pre-determined fixed benefit for unbudgeted expenses; it supplements primary coverage and is not a replacement | Not specified on the health overview page |
| Hospital income policy | Fixed benefit while hospitalized; spouse and children can be added | Not specified on the health overview page |
| Humana Medicare products (including Part D) | Offered through State Farm agents in partnership with Humana. State Farm agents do not offer Humana Part D in Massachusetts, New Jersey or Rhode Island. | Humana Insurance Company, which is financially responsible. No member of the State Farm family of companies is. |
| Major medical or ACA plans | Not listed on State Farm's health page, which points people who retire before 65 to HealthCare.gov | Not applicable |
Medicare Supplement plans by state
| State | Plans listed |
|---|---|
| California | Six standardized plans: A, C, D, F, G and N |
| Minnesota | Basic Plan; Extended Basic Plan; Extended Basic Plan (no coverage for the Part B deductible); $20 and $50 Part B copayment policy (Plan N). Optional riders cover the Part A inpatient deductible, the Part B deductible, Part B excess charges and preventive care up to $120 a year. |
Plan availability varies by state, so confirm the plans offered in a patient's state on the State Farm health insurance page or with the Health Response Center.
Medigap rules patients ask about
- Open enrollment: the Medigap open enrollment period lasts 6 months and starts the month a person is 65 or older and enrolled in Medicare Part B. During it, a person can buy any Medigap policy sold in their state without medical underwriting.
- Plans C and F: people who became eligible for Medicare on or after January 1, 2020 cannot buy Plan C, Plan F or high-deductible Plan F, because those plans cover the Part B deductible. People eligible before that date can still buy them. Plans D and G are the closest alternatives.
- Initial Medicare enrollment: State Farm describes the initial enrollment period as seven months: the three months before the birth month, the birth month and the three months after.
Why eligibility errors turn into denials
A claim sent to the wrong State Farm channel, the wrong payer ID or a closed policy comes back as a denial or a rejection, and each resubmission delays payment. Build the checks above into scheduling, not billing. Teams that need a repeatable process can compare tools in our guide to eligibility verification software for PT and learn how prior authorization and claim denials interact with coverage errors. For other payers, see our guides to UnitedHealthcare, Aetna, UMR and AARP Medicare eligibility.
Frequently asked questions
Does State Farm offer health insurance?
State Farm sells Medicare Supplement insurance, supplemental health insurance and a hospital income policy, and its agents offer Humana Medicare products. Its health page does not list major medical or ACA plans and points people who retire before 65 to HealthCare.gov.
Who underwrites State Farm Medicare Supplement plans?
The California and Minnesota plan pages name State Farm Mutual Automobile Insurance Company. Humana products offered through State Farm agents are underwritten by Humana Insurance Company, and State Farm states that no member of the State Farm family of companies is financially responsible for them.
Is there a State Farm provider portal for health eligibility?
No. State Farm says its Health Division does not support a web portal. It supports HIPAA 270/271 and 835 transactions, and 276/277 through UHIN. The login-based B2B Medical Provider Portal is for property and casualty medical claims such as auto-related billing.
What is the State Farm payer ID for health claims?
31053 through Change Healthcare. The UHIN trading partner number is HT005054-001, and the Receiver ID listed on the B2B health page is 370533100.
What phone number do providers call to verify State Farm health eligibility?
Call the Health Response Center at 866-855-1212 for Medicare supplement and long-term care eligibility and claim status. For auto, medical payments, PIP or no-fault claims, call 1-800-SF-CLAIM.
Where do I send State Farm health claims on paper?
Fax (844) 649-6986, or mail State Farm Insurance Companies, ATTN: State Farm Health Claims, PO Box 2360, Bloomington, IL 61702-2360. Electronic claims use the ASC X12N 837 format.
How do I enroll in ERA and EFT with State Farm Health?
Complete the Health Division contact form on the secure State Farm B2B site and connect to Optum iEDI, UHIN or PNC Bank. EFT enrollment must be accompanied by ERA enrollment, and a TIN or NPI change requires canceling and re-creating the enrollment.
When is Medigap open enrollment?
It lasts 6 months and starts the month a person is 65 or older and enrolled in Medicare Part B. During this period insurers cannot use medical underwriting for any Medigap policy sold in the state.
Can new Medicare enrollees buy Plan F?
Not if they became eligible for Medicare on or after January 1, 2020. Plan C, Plan F and high-deductible Plan F are limited to people who were eligible before that date.
Sources and further reading
- State Farm: Health insurance overview (products, Humana disclosure, phone numbers)
- State Farm B2B: Health insurance provider information (EDI, payer details, ERA/EFT)
- State Farm B2B: Health insurance Help and Support (claims address, fax, clearinghouses)
- State Farm B2B: Contact us (Health Response Center and 1-800-SF-CLAIM)
- State Farm B2B: Medical Billing portal overview
- State Farm: Medicare Supplement Insurance in California
- State Farm: Medicare Supplement Insurance in Minnesota
- Medicare Rights Center: Medigap changes in 2020 (Plans C and F)
- Medical News Today: Medicare Supplement open enrollment period
This page is informational and is not affiliated with State Farm. Details come from State Farm's public pages as of October 2026 and can change; confirm coverage and contact information with State Farm before billing.
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