NH Healthy Families is committed to providing our participating providers with the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims.
NH Healthy Families and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 25525.
The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.
NH Healthy Families' Payer ID is 68069. NH Healthy Families' Behavioral Health Payer ID is 68068. The clearinghouses are:
- Allscripts/ PayerPath
- First Healthcare
- Great Expectations
- Practice Insight
- Relay Health/ Mckesson
- Smart Data Solutions
- HIPAA x12 Transactions Standard Companion Guide
- Companion Guide – Addendum A (PDF)
- Ramp Manager Instructions
If you have any questions, please contact:
New Hampshire Healthy Families
c/o Centene EDI Department
(800) 225-2573, ext. 8025525 or 314-505-6525
Or by email at EDIBA@centene.com.