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Healthfirst (Health Insurance for New Yorkers) logo

Verify Healthfirst (Health Insurance for New Yorkers) eligibility in real time.

Healthfirst (Health Insurance for New Yorkers) supports electronic real-time eligibility. Send the check to payer ID HFRST and the full benefits picture comes back in under a second, before the patient sits down.

Payer ID HFRSTReal-time eligibility: YesNYdental / medicalMedicaid

Also billed as: Health First Insurance

Under 1 second

The same Healthfirst (Health Insurance for New Yorkers) check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.

2 billing names

Healthfirst (Health Insurance for New Yorkers) shows up on cards under 2 names. Every one routes to payer ID HFRST, and so do 1 older payer ID still printed on cards. No guessing which card this is.

3 Healthfirst plans

verify in real time through Valian. One setup covers the whole Healthfirst family, Healthfirst (Health Insurance for New Yorkers) included.

First month free

Then $2.50 a check, only when you run one. No seat fees, no platform fee, no contract. Cancel any time.

The phone way

Call, hold, transcribe, repeat.

Verifying Healthfirst (Health Insurance for New Yorkers) by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.

The real-time way

Payer ID HFRST, under a second.

The same check, sent electronically. Valian runs it automatically for every patient on the schedule before the day starts, and flags the ones that need a human look.

 By phoneIn Valian
Time per patient15 to 25 minutes on holdUnder a second
When it happensDay of, squeezed between patientsBefore the day starts, automatically
What you getNotes scribbled while someone reads benefits aloudThe full breakdown, saved to the patient

What a Healthfirst (Health Insurance for New Yorkers) eligibility check returns

  • Whether coverage is active, with plan and group details
  • Deductible, and how much of it is already met this year
  • Annual maximum, and how much of it is left to work with
  • Coverage percentages by category: preventive, basic, major
  • Frequency limits on cleanings, exams, and X-rays
  • Waiting periods, where Healthfirst (Health Insurance for New Yorkers) reports them electronically

Eligibility result

Sample data
Status
Active
Plan
PPO · Group 8823
Deductible
$50 · $0 met
Annual max
$1,500 remaining
Preventive
100%
Basic
80%
Major
50%
Cleanings
2 / year

Returned in under a second · payer ID HFRST

How practices handle this today, in their own words

Verbatim from recorded calls to dental offices. Names withheld.

We call the insurance, or I go on their website and do it. Yeah, we manually do it.
Office manager, general dentistry
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Front office lead, general dentistry
Our system does it, and the ones that are not set up for electronic, we do ourselves.
Practice manager, multi-provider group

How getting set up works

Step 1

Sign up

About ten minutes: create the account, sign the agreement, and your free first month starts.

Step 2

Connect your system

We connect your practice management software with your office manager. Open Dental, Dentrix, Eaglesoft, and more.

Step 3

Checks run themselves

Every patient on the schedule gets verified automatically before their visit, Healthfirst (Health Insurance for New Yorkers) included. Your team just reads the results.

Under half an hour of your time all in. See the full walkthrough on the insurance verification page.

What Healthfirst ( for New Yorkers) supports electronically

Real-time eligibility (270/271)
Yes, under a second
Enrollment for eligibility
None, checks work day one
Dental claims (837D)
Not offered electronically
Claim status (276/277)
Yes
Electronic remittance (835)
Not offered electronically
Electronic funds transfer
Not offered electronically
Claim attachments
Not offered electronically

Names and IDs this payer goes by

Healthfirst (Health Insurance for New Yorkers) · Health First Insurance. Older cards may show payer ID 10674. All of them route to payer ID HFRST.

Payer site: healthfirst.org

How to verify Healthfirst (Health Insurance for New Yorkers), step by step

1

Get the member ID and date of birth from the card or the patient.

2

Send the electronic eligibility request (a 270) to payer ID HFRST.

3

Read the response (the 271): status, deductible, max, percentages, frequencies.

4

Save the breakdown to the patient. Valian does all four automatically, before every visit.

Healthfirst (Health Insurance for New Yorkers) runs Medicaid plans across New York. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.

Healthfirst (Health Insurance for New Yorkers), quick answers

Does Healthfirst (Health Insurance for New Yorkers) support real-time eligibility?

Yes. Eligibility checks to Healthfirst (Health Insurance for New Yorkers) clear electronically in under a second through payer ID HFRST.

What payer ID do I use for Healthfirst (Health Insurance for New Yorkers)?

HFRST for eligibility transactions. The same payer also appears on cards as Health First Insurance.

What does a check cost with Valian?

$2.50 per verification, run automatically before every appointment. Your first month is free, with no contract and no seat fees.

Does Healthfirst (Health Insurance for New Yorkers) require enrollment before I can check eligibility?

No. Eligibility checks work from day one, with no payer enrollment paperwork.

Which Healthfirst (Health Insurance for New Yorkers) plans does this cover?

Healthfirst (Health Insurance for New Yorkers) runs Medicaid plans in New York. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.

Can I get Healthfirst (Health Insurance for New Yorkers) remittances electronically?

Healthfirst (Health Insurance for New Yorkers) does not offer electronic remittance advice (835) today, so payment details arrive on paper or through the payer portal.

What if the patient's card shows a different Healthfirst name?

Alternate billing names route to the same payer ID, HFRST. The check resolves them automatically.

More questions about verifying Healthfirst (Health Insurance for New Yorkers)? Schedule 15 minutes with us and bring your toughest plan.

Every Healthfirst (Health Insurance for New Yorkers) patient, verified before they walk in.

First month free, then $2.50 a check. No seat fees, no platform fee, no contract.

Book 15 minutes, demo or onboarding

Pick a time, then tell us on the form whether it is a demo or an onboarding call.

View all 761 payers

The Healthfirst family in the network

3 Healthfirst plans verify in real time through Valian.

More payers operating in New York

Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.