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Payer Directory
New Horizons PACE: payer ID and claims support
New Horizons PACE uses payer ID R3481. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
R3481New Horizons PACE at a glance
What billers need before running a check.
Payer ID
R3481Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
dental, medical
Operating area
Missouri
Supported transactions
What can be exchanged electronically with New Horizons PACE today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
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 | SUPPORTED |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for New Horizons PACE?+–
New Horizons PACE uses payer ID R3481.
Does New Horizons PACE support real-time eligibility verification?+–
Not electronically today. Coverage for New Horizons PACE has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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