Health New England
dentalmedical
Summary
Health New England is a dental and medical payer operating in Connecticut and Massachusetts. Claims route under payer ID 10627, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
10627Also seen as 04286, 04286MA, 3628, 6432, HLTNE- Also known as
- Baystate Health
- Service area
- CT, MA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Health New England?
- The payer ID for Health New England is 10627. Alternate IDs seen across clearinghouses include 04286, 04286MA, 3628, 6432.
- Does Health New England require ERA enrollment?
- Yes. Health New England requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Health New England cover?
- Health New England operates in CT, MA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Health New England offer?
- Health New England covers dental and medical.
- Can I submit claims to Health New England electronically?
- Yes. Health New England is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.