HealthFirst TPA
dentalmedical
Summary
HealthFirst TPA is a dental and medical payer. Claims route under payer ID 75234, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
75234Also seen as 1768- Also known as
- Health First Third Party Administrator Tyler, Healthfirst - Tyler, TX, Imagine360
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 | Same day |
Common questions
- What is the payer ID for HealthFirst TPA?
- The payer ID for HealthFirst TPA is 75234. Alternate IDs seen across clearinghouses include 1768.
- Does HealthFirst TPA require ERA enrollment?
- Yes. HealthFirst TPA requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does HealthFirst TPA offer?
- HealthFirst TPA covers dental and medical.
- Can I submit claims to HealthFirst TPA electronically?
- Yes. HealthFirst TPA 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 Spot something out of date?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.