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Northwell Direct

medical

Summary

Northwell Direct is a medical payer operating in New York. Claims route under payer ID 88987, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, and institutional claims.

At a glance

Payer ID
88987Also seen as 16572
Service area
NY

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)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate

Common questions

What is the payer ID for Northwell Direct?
The payer ID for Northwell Direct is 88987. Alternate IDs seen across clearinghouses include 16572.
What states does Northwell Direct cover?
Northwell Direct operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Northwell Direct offer?
Northwell Direct covers medical.
Can I submit claims to Northwell Direct electronically?
Yes. Northwell Direct is reachable through clearinghouses for eligibility checks, professional claims, and institutional claims. 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 Spot something out of date?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.