Coverage profile
Work New York Independent Health Assoc (IHA) - Western 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.
Other aliases
Also known as
- 12X01
2027 maternity billing research
When does New York Independent Health Assoc (IHA) - Western change OB/GYN billing?
Effective June 1, 2026, Independent Health applies its antepartum billing transition across Commercial, Medicare, State Programs and Self-Funded products. For affected routine antepartum visits, report the appropriate E/M code (e.g., 99202-99215) with Modifier TH and a pregnancy-related O or Z ICD-10 diagnosis code; submit 0500F on the initial antepartum visit claim. E/M visits outside routine antepartum care are billed without TH. See transition notes for inconsistent cohort wording.
- Transition start
- 2026-06-01
- Billing start
- 2026-06-01
- Published
- 2026-06
- Current As Of
- August 2026
Scope: Independent Health medical antepartum services across Commercial, Medicare, State Programs and Self-Funded products.
June 2026 SCOPE: Maternity care services coding changes. Verify the payer source before claim submission.
Frequently asked questions
New York Independent Health Assoc (IHA) - Western payer FAQs
What is the payer ID for New York Independent Health Assoc (IHA) - Western?
The primary payer ID for New York Independent Health Assoc (IHA) - Western is 12X01. 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 837I payer ID for New York Independent Health Assoc (IHA) - Western?
The 837I payer ID for New York Independent Health Assoc (IHA) - Western is 12X01 via Stedi.
Routing reference
New York Independent Health Assoc (IHA) - Western 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 | New York Independent Health Assoc (IHA) - WesternSource: Substrate payer directory · data last changed |
|---|---|
| 837I institutional claims payer IDStedi | 12X01Source: 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 .
- Stedi payer catalogMatched by payer ID; matched record: New York Independent Health Assoc (IHA) - Western. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.