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Payer Directory
How to check Johns Hopkins U.S. Family Health Plan (USFHP) eligibility
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
52123Real-time 270/271TRICAREThree ways to verify Johns Hopkins U.S. Family Health Plan (USFHP) coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Johns Hopkins U.S. Family Health Plan (USFHP) at a glance
What billers need before running a check.
Payer ID
52123Also known as 10267, 12258, 4750, 4959
Real-time eligibility
Available
Responses return in seconds, 24/7.
Coverage
medical, vision
TRICARE
Operating area
Maryland
Payer website
www.hopkinsusfhp.orgSupported transactions
What can be exchanged electronically with Johns Hopkins U.S. Family Health Plan (USFHP) today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | SUPPORTED |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
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 portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$6.72 staff time* | ~$6.72+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Johns Hopkins U.S. Family Health Plan (USFHP)?+–
Johns Hopkins U.S. Family Health Plan (USFHP) uses payer ID 52123. It also appears as 10267, 12258, 4750, 4959 in some systems.
Does Johns Hopkins U.S. Family Health Plan (USFHP) support real-time eligibility verification?+–
Yes. Johns Hopkins U.S. Family Health Plan (USFHP) 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.
How long does a Johns Hopkins U.S. Family Health Plan (USFHP) eligibility check take?+–
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 Johns Hopkins U.S. Family Health Plan (USFHP) eligibility check in 5 minutes
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
