MedicaidAdministrativeMedium impact
Medicaid Alert MA-2023-07
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now accepts HIPAA 5010 276/277 Inquiry Transaction Set for electronic eligibility verification and claims status inquiries. This provides an additional standardized method for billing teams to check patient eligibility and claim status electronically.
Action Required
Update billing software and clearinghouse settings to utilize HIPAA 5010 276/277 transaction sets for New Jersey Medicaid eligibility verification and claims status inquiries. Contact your clearinghouse or billing software vendor to enable this functionality if not already available.