Elderplan

Summary

Elderplan is a dental and medical payer operating in New York. Claims route under payer ID 31625, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

31625Also seen as 11010, 1853, 1999, 31625MA

Also known as

HomeFirst, MJHS Health System

Service area

NY

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Elderplan?

The payer ID for Elderplan is 31625. Alternate IDs seen across clearinghouses include 11010, 1853, 1999, 31625MA.

Does Elderplan require ERA enrollment?

Yes. Elderplan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Elderplan cover?

Elderplan operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Elderplan offer?

Elderplan covers dental and medical.

Can I submit claims to Elderplan electronically?

Yes. Elderplan is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).