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CredNet

NJ FamilyCare

dentalmedicalvision

Summary

NJ FamilyCare is a dental, medical, and vision payer operating in New Jersey. Claims route under payer ID 100229, with 8 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
100229Also seen as 10154, 12006, 1483, 610515, CKNJ1, NJCAID and 2 more
Also known as
Medicaid New Jersey, New Jersey Medicaid
Service area
NJ

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
Professional claims (837P)RequiredSeveral weeks
Institutional claims (837I)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for NJ FamilyCare?
The payer ID for NJ FamilyCare is 100229. Alternate IDs seen across clearinghouses include 10154, 12006, 1483, 610515.
Does NJ FamilyCare require ERA enrollment?
Yes. NJ FamilyCare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does NJ FamilyCare cover?
NJ FamilyCare operates in NJ. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does NJ FamilyCare offer?
NJ FamilyCare covers dental, medical, and vision.
Can I submit claims to NJ FamilyCare electronically?
Yes. NJ FamilyCare 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 Spot something out of date?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.