Healthfirst (New York)
Also covers / subsidiaries: Healthfirst Health Plan, Healthfirst PHSP
Core Payer & Clearinghouse Profile
Electronic Payer ID
10673
Payer ID 80141 is listed for Healthfirst (New York). Do not confuse with similarly named 'HealthFirst' entities in other states. (New York)
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
888-801-1660
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Healthfirst Inc., P.O. Box 5165, New York, NY 10274-5165 (verify by line of business)
Provider Portal
https://provider.healthfirst.org
New York-only Medicaid managed care / Medicare Advantage / Marketplace plan serving NYC and surrounding counties.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Healthfirst (New York).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Healthfirst (New York).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Health First Health Plan | 10673 | Par | None | 837P837I270/271276/277Dental |
| Healthfirst Inc | 80141 | Non-Par | Required | 837P837I835 ERA |
| Healthfirst Health Plan Of New Jersey | 80141 | Non-Par | None | 837P837I835 ERA |
| Healthfirst New York | 10099 | Par | None | 837P837I270/271276/277Dental |
Resolution Tools for Healthfirst (New York) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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