Posted Oct 30, 2026
Effective December 1, 2026
Healthfirst is updating several internal systems and processes with the goal of modernizing provider data maintenance, claims processing, and benefits administration. See how these changes may affect your practice.
Claims processing and claims payment for Child Health Plus (CHPlus) and Senior Health Partners (SHP) plans will begin in a new core system at Healthfirst. As part of this system update, Explanation of Payments (EOPs) will have a different format.
As part of a transition to a new core system at Healthfirst, claims processed through the system will utilize a new numerical structure for the code value with a corresponding new message description.
As part of the transition to a new core system at Healthfirst, Healthfirst is changing the format of the Member ID.
If you have any questions, please contact your Network Account Manager, or call Provider Services at 1-888-801-1660, Monday to Friday, 8:30am-5:30pm.
