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Payer Directory
How to check NeighborHealth eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. NeighborHealth has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.
Payer ID
25849Screen agent · setup requiredMedicare · MedicaidThree ways to verify NeighborHealth 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.
NeighborHealth at a glance
What billers need before running a check.
Payer ID
25849Also known as 1260, 5507
Real-time eligibility
Via screen agent
NeighborHealth has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Medicare · Medicaid
Operating area
Massachusetts
Payer website
www.neighborhealth.comSupported transactions
What can be exchanged electronically with NeighborHealth 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 | 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 | ~$7.97 staff time* | ~$7.97+ 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 NeighborHealth?+–
NeighborHealth uses payer ID 25849. It also appears as 1260, 5507 in some systems.
Does NeighborHealth support real-time eligibility verification?+–
NeighborHealth has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a NeighborHealth eligibility check take?+–
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.
Run your first NeighborHealth eligibility check
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
Billing more than NeighborHealth? — upload it and see which of your payers run automatically.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
