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UnitedHealthcare Community Plan New Jersey

UnitedHealthcare Community Plan New Jersey

This page contains information you can use to exchange healthcare transactions with UnitedHealthcare Community Plan New Jersey using Stedi.
Use any of the following payer IDs to send transactions to UnitedHealthcare Community Plan New Jersey using Stedi APIs or SFTP. Read the docs
Primary Payer ID
86047
Stedi Payer ID
ATYQS
Payer ID aliases
10018, 12243, 2806, 7510, 86001, 86047, 86047MA, ACNJ, KCKES
Parent group
UnitedHealth Group
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with UnitedHealthcare Community Plan New Jersey using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to UnitedHealthcare Community Plan New Jersey.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to UnitedHealthcare Community Plan New Jersey to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to UnitedHealthcare Community Plan New Jersey in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to UnitedHealthcare Community Plan New Jersey and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to UnitedHealthcare Community Plan New Jersey and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from UnitedHealthcare Community Plan New Jersey to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to UnitedHealthcare Community Plan New Jersey and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to UnitedHealthcare Community Plan New Jersey.
Get started
Use Stedi's APIs to get fast and reliable connectivity to UnitedHealthcare Community Plan New Jersey and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and UnitedHealthcare Community Plan New Jersey today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • AmeriChoice of New Jersey
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