Coverage profile
How Substrate can help you with Health New England
Substrate can help practices and billers with the following claims tasks for Health New England.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Health New England.
Frequently asked questions
Health New England payer FAQs
What is the payer ID for Health New England?
The primary payer ID for Health New England is 10627. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Health New England?
The 837P and 837I payer ID for Health New England is 10627 via Stedi.
What is the 835 payer ID for Health New England?
The 835 payer ID for Health New England is 10627 via Stedi.
What is the 270 payer ID for Health New England?
The 270 payer IDs for Health New England are 10627 via Stedi and 10627 via Availity.
What states does Health New England operate in?
Health New England operates in CT and MA.
Routing reference
Health New England payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Health New EnglandSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | CT, MASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 10627Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 10627Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 10627Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 10627Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10627Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Health New England. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: HEALTH NEW ENGLAND. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 04286
- 04286MA
- 10627
- 3628
- 6432
- HLTNE
- Baystate Health
