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UnitedHealthcare Community Plan New Jersey

dentalmedicalvision

Summary

UnitedHealthcare Community Plan New Jersey is a dental, medical, and vision payer operating in New Jersey. Claims route under payer ID 86047, with 8 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
86047Also seen as 10018, 12243, 2806, 7510, 86001, 86047MA and 2 more
Also known as
AmeriChoice of New Jersey
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
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for UnitedHealthcare Community Plan New Jersey?
The payer ID for UnitedHealthcare Community Plan New Jersey is 86047. Alternate IDs seen across clearinghouses include 10018, 12243, 2806, 7510.
Does UnitedHealthcare Community Plan New Jersey require ERA enrollment?
Yes. UnitedHealthcare Community Plan New Jersey requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does UnitedHealthcare Community Plan New Jersey cover?
UnitedHealthcare Community Plan New Jersey operates in NJ. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does UnitedHealthcare Community Plan New Jersey offer?
UnitedHealthcare Community Plan New Jersey covers dental, medical, and vision.
Can I submit claims to UnitedHealthcare Community Plan New Jersey electronically?
Yes. UnitedHealthcare Community Plan New Jersey 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 Spot something out of date?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.