Mass General Brigham Health Plan
dentalmedicalvision
Summary
Mass General Brigham Health Plan is a dental, medical, and vision payer operating in 5 states. Claims route under payer ID 04293, with 7 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
04293Also seen as 00291, 10377, 5457, 8588, CLSVQ, NBRHP and 1 more- Also known as
- Allways Health Partners, Neighborhood Health Plan
- Service area
- ME, MA, NH, RI, VT
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 Mass General Brigham Health Plan?
- The payer ID for Mass General Brigham Health Plan is 04293. Alternate IDs seen across clearinghouses include 00291, 10377, 5457, 8588.
- Does Mass General Brigham Health Plan require ERA enrollment?
- Yes. Mass General Brigham Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Mass General Brigham Health Plan cover?
- Mass General Brigham Health Plan operates in ME, MA, NH, RI, VT. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Mass General Brigham Health Plan offer?
- Mass General Brigham Health Plan covers dental, medical, and vision.
- Can I submit claims to Mass General Brigham Health Plan electronically?
- Yes. Mass General Brigham Health Plan 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 Spot something out of date?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.