New Horizons PACE
dentalmedical
Summary
New Horizons PACE is a dental and medical payer operating in Missouri. Claims route under payer ID R3481. Through clearinghouses it supports professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
R3481- Service area
- MO
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 |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for New Horizons PACE?
- The payer ID for New Horizons PACE is R3481.
- Does New Horizons PACE require ERA enrollment?
- Yes. New Horizons PACE requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does New Horizons PACE cover?
- New Horizons PACE operates in MO. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does New Horizons PACE offer?
- New Horizons PACE covers dental and medical.
- Can I submit claims to New Horizons PACE electronically?
- Yes. New Horizons PACE is reachable through clearinghouses for professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
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 Spot something out of date?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.