Supported Electronic Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
100046 - Payer ID
10041 - Payer ID
2414 - Payer ID
BCNJC - Payer ID
CEHPA - Payer ID
NJBCBS - Also listed as BCBS New Jersey
- Also listed as Horizon BCBSNJ
- Also listed as Horizon Blue Cross Blue Shield New Jersey
- Also listed as Horizon Blue Cross Blue Shield of New Jersey
- Also listed as Horizon Blue Cross and Blue Shield of New Jersey - Medicare Advantage
Coverage states
Delaware, Florida, New Jersey, New York, Pennsylvania, South Carolina.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Guidance
- Use 270/271 eligibility and benefits responses before scheduling or billing, and review 271 coordination-of-benefits information when another payer may be involved.
- Submit the appropriate 837 format: 837P for professional claims, 837D for dental claims, or 837I for institutional claims.
- Check claim status electronically with 276/277 before calling or resubmitting a claim.
- Complete this payer's ERA enrollment paperwork before expecting 835 remittance files; EFT is unavailable, so arrange a separate payment-posting process.
- Confirm how this payer wants supporting documents sent because 275 attachments are unavailable.
Common questions
Which electronic claim formats does this payer accept?
This payer supports 837P professional claims, 837D dental claims, and 837I institutional claims.
Can I verify eligibility and check claim status electronically?
Yes. Use 270/271 for eligibility and benefits, 271 for coordination-of-benefits inquiries, and 276/277 for claim status.
Can I receive an ERA from this payer?
Yes, but the practice must complete this payer's enrollment first to use the 835 electronic remittance transaction. EFT is not available through this support profile, so ERA enrollment does not set up electronic funds transfer.
Can I send attachments electronically with this payer?
No. The 275 attachment transaction is unavailable, so confirm this payer's required alternative for supporting documentation.
Run this payer inside Hero EMR
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