ID: 05047
Managed Care Organization
RI

Neighborhood Health Plan of Rhode Island

Neighborhood Health Plan of Rhode Island (NHPRI) is a Rhode Island‑based regional Medicaid‑focused managed care organization providing Medicaid, Medicare‑Medicaid (Duals), individual/commercial plans, care management, behavioral health, pharmacy and partner‑delivered dental benefits; it serves vulnerable and low‑income populations in Rhode Island.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
Neighborhood Health Plan of Rhode Island (NHPRI) 05047
Neighborhood INTEGRITY (Medicare‑Medicaid Plan / MMP) 96240

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