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Electronic Transactions

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.

PaySpan

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).

Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI

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.

New Hampshire Healthy Families' Payer ID is 68069. Cenpatico’s (behavioral health) Payer ID is 68068. The clearinghouses are:

Allscripts/ PayerPath
Availity
Capario/MedAvant
ClaimMD
ClaimRemedi
Emdeon
Encoda
First Healthcare
GHNonline
Great Expectations
IGI
MDonline
Medassets/Xactimed
Netwerkes/Optum
Practice Insight
Relay Health/ Mckesson
Smart Data Solutions
SSI
Trizetto/GatewayEdi
Zirmed

Resources:

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.