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Payer Directory

How to check Healthfirst eligibility

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A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

Payer ID 80141Real-time 270/271

Three ways to verify Healthfirst coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
The third way

Automated 270/271 check

Full benefit detail in seconds, batched for your whole schedule — not one patient at a time.

From $0.50 per check, pay-as-you-go.

Healthfirst at a glance

What billers need before running a check.

Payer ID
80141
Also known as 10099, 10438, 1854, 1973
Real-time eligibility
Available
Responses return in seconds, 24/7.
Coverage
dental, medical, vision
Operating area
New Jersey, New York
Payer website
hfproviders.org

Supported transactions

What can be exchanged electronically with Healthfirst today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
SUPPORTED
Claim status (276/277)
Where a submitted claim stands
SUPPORTED
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$7.97 staff time*~$7.97+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

FAQ

Frequently asked questions

Healthfirst uses payer ID 80141. It also appears as 10099, 10438, 1854, 1973 in some systems.

Yes. Healthfirst accepts real-time 270/271 eligibility transactions, so a check returns plan status and benefit detail in seconds instead of the 10–15 minutes a portal login takes.

A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.

Run your first Healthfirst eligibility check

From $0.50 per check, pay-as-you-go. No annual contract, no implementation project.

Billing more than Healthfirst? — upload it and see which of your payers run automatically.

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production