Healthfirst claim processing changes

Are you a NY provider that accepts Healthfirs patients in you office/group? Then this blog post is for you!


Prevent your claims from being rejected and affect your revenue! The following change will take effect for DOS 12/1/26 ans thereafter.


What is changing?

  • Healthfirst will require the claims to be submitted with provider TIN# and NPI# that corresponds to the provider record and type (I for individual and II for an organization)
  • Healthfirst will no longer accept SSN#s on the claims
  • If the claim is rejected, the provider will have to correct the claim and resubmit it with proper info

Have further questions?

Call: 1-888-801-1660 (Provider Services)


Find this information useful? Follow me fore more!


Leave a Reply