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Medicaid New Hampshire

dentalmedicalvision

Summary

Medicaid New Hampshire is a dental, medical, and vision payer operating in New Hampshire. Claims route under payer ID 100228, with 7 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 takes several weeks.

At a glance

Payer ID
100228Also seen as 026000618, 10153, 12K90, CKNH1, NHMCD, SKNH0 and 1 more
Also known as
New Hampshire Department of Health and Human Services
Service area
NH

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)RequiredSeveral weeks
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Medicaid New Hampshire?
The payer ID for Medicaid New Hampshire is 100228. Alternate IDs seen across clearinghouses include 026000618, 10153, 12K90, CKNH1.
Does Medicaid New Hampshire require ERA enrollment?
Yes. Medicaid New Hampshire requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicaid New Hampshire cover?
Medicaid New Hampshire operates in NH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Medicaid New Hampshire offer?
Medicaid New Hampshire covers dental, medical, and vision.
Can I submit claims to Medicaid New Hampshire electronically?
Yes. Medicaid New Hampshire 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).

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 Spot something out of date?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.