Coverage profile
Work Healthfirst across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Healthfirst.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Healthfirst.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Healthfirst.
Other aliases
Also known as
- 10099
- 10438
- 1854
- 1973
- 80141
- 80141MA
- 80141MC
- 80141T
- HF1NY
- HFNY
- NYHFST
- VUHSI
- XHFNJ
- Healthfirst (New York)
- Healthfirst Health Plan
- Healthfirst Health Plan of New Jersey
- Healthfirst Incorporated New York
- Healthfirst Insurance Company
- Healthfirst of New York
- Senior Health Partners
- HEALTHFIRST HEALTH PLAN NEW JERSEY
- HEALTHFIRST NEW YORK
2027 maternity billing research
When does Healthfirst change OB/GYN billing?
For routine prenatal visits when antepartum services start on or after June 1, 2026 or the estimated due date is on or after January 1, 2027, providers must bill the appropriate E/M code with modifier TH and a pregnancy-related O or Z ICD-10 diagnosis. The named lines are Child Health Plus, Essential Plan, IB-Dual, Medicaid Advantage Plus/MAP, Medicaid Managed Care, Qualified Health Plan, HARP, and Medicare Advantage. Starting January 1, 2027, the listed bundled and global CPT codes must not be billed, and 59425 and 59426 are no longer available. Pregnancies not subject to the June 1, 2026 transition still use 59425 for 4-6 antepartum visits, 59426 for 7 or more, and an E/M code for 1-3 visits. MMC and HARP continue informational 0500F or 0503F reporting, which is not reimbursed.
- Transition start
- 2026-06-01 — E/M + TH for a June 1 start or a 2027 due date
- Billing start
- 2027-01-01 — listed bundled and global codes are not billed
- Published
- Not stated in source
- Current As Of
- October 2026
Scope: Child Health Plus (CHP); Essential Plan (EP); Integrated Benefit Dual Plan (IB-Dual); Medicaid Advantage Plus/MAP (CompleteCare); Medicaid Managed Care (MMC); Qualified Health Plan (QHP); Personal Wellness Plan (HARP); Medicare Advantage
PO-RE-132v4 Obstetric Billing Guidelines. Verify the payer source before claim submission.
Frequently asked questions
Healthfirst payer FAQs
How do I check claim status with Healthfirst?
Providers check Healthfirst via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Healthfirst portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Healthfirst?
The primary payer ID for Healthfirst is 80141. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Healthfirst?
The provider portal for Healthfirst is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Healthfirst?
The 837P and 837I payer ID for Healthfirst is 80141 via Stedi.
What is the 835 payer ID for Healthfirst?
The 835 payer ID for Healthfirst is 80141 via Stedi.
What is the 270 payer ID for Healthfirst?
The 270 payer IDs for Healthfirst are 80141 via Stedi and 80141 via Availity.
What is the 276 payer ID for Healthfirst?
The 276 payer ID for Healthfirst is 80141 via Stedi.
What states does Healthfirst operate in?
Healthfirst operates in NJ and NY.
Routing reference
Healthfirst 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 | HealthfirstSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NJ, NYSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 80141Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 80141Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 80141Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 80141Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 80141Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 80141Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Healthfirst. 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 records: HEALTHFIRST HEALTH PLAN NEW JERSEY, HEALTHFIRST INCORPORATED NEW YORK, SENIOR HEALTH PARTNERS. 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 ↗
- United Clearinghouse payer catalogMatched by payer name; matched records: Health First, Healthfirst. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.