Healthfirst

Summary

Healthfirst is a regional health plan, part of Healthfirst, Inc., offering dental, medical, and vision coverage operating in New York. Claims route under payer ID 80141, with 12 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Healthfirst Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

80141Also seen as 10099, 10438, 1854, 1973, 80141MA, 80141MC and 6 more

Also known as

Healthfirst (New York), Healthfirst Health Plan, Healthfirst Health Plan of New Jersey, Healthfirst Incorporated New York, Healthfirst Insurance Company

Uses CAQH

YesApplication route: Payer portal application

Service area

NY (NYC metro)

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 Healthfirst?

The payer ID for Healthfirst is 80141. Alternate IDs seen across clearinghouses include 10099, 10438, 1854, 1973.

How long does Healthfirst provider enrollment take?

Healthfirst provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Healthfirst require CAQH?

Yes. Healthfirst uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Healthfirst require ERA enrollment?

Yes. Healthfirst requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Healthfirst cover?

Healthfirst operates in NY (NYC metro). Coverage can differ by plan and product line, so confirm the specific plan before you file.