NeighborHealth
medical
Summary
NeighborHealth is a medical payer operating in Massachusetts. Claims route under payer ID 25849, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
25849Also seen as 1260, 5507- Also known as
- East Boston Neighborhood Program of All-Inclusive Care for the Elderly, Neighborhood PACE
- Service area
- 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 |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for NeighborHealth?
- The payer ID for NeighborHealth is 25849. Alternate IDs seen across clearinghouses include 1260, 5507.
- Does NeighborHealth require ERA enrollment?
- Yes. NeighborHealth requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does NeighborHealth cover?
- NeighborHealth operates in MA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does NeighborHealth offer?
- NeighborHealth covers medical.
- Can I submit claims to NeighborHealth electronically?
- Yes. NeighborHealth is reachable through clearinghouses for 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 Spot something out of date?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.