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AMVI/Prospect Health Network (Prospect Medical Group) . 952-883-7505 x. 1244. Hospital, Arizona Foundation for Medical Care (AFMC), Arkansas Best Corporation Choice Benefits, Asian Human Services Family Family Health Network patients only, Assurance Company of America (Commercial Only), Assurant Health (IM & GROUP FULLY-INSURED), Assurant Health (Repricing for HealthSpan Network Only), Assurant Health Self-Funded (Ft. Mill SC), Assurant Health/ASA (Assurant Health members with ASA PPO Network), AultComp Managed Care Organization (Ohio BWC), Auto Club Property- Casualty Insurance Company, Benefit Coordinators Corporation (Pittsburgh PA), Benefit Plan Administrators Co. (Eau Claire WI), Berkshire Health Partners PPO Wyomissing PA (IHS Gateway Payer), Blue Care Network/Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield NC BlueMedicare HMO/PPO, Blue Cross Blue Shield of Missouri (Blue Choice), Blue Cross Blue Shield of Missouri (Blue Cross). Dunn and Associates Benefits Administrators Inc. EBMS (Employee Benefit Management Services Inc.), Edinburg Consolidated Independent School District, Emerald Health Network Inc. (All PPO Business), Employee Benefit Administration & Management Corporation, Employee Benefit Concepts (Farmington Hills MI), Employee Benefits Plan Administration Inc. Contact the clearinghouses that offer DDE to obtain more information. 781. Registration help. HealthPartners Dental Claims Department Minneapolis, MN 55440-1172. We also want to make sure that you are aware of and understand our expectations of how you, as a practitioner, should safeguard patients and members personal information. Providers are required to contact these intermediaries directly to enroll for electronic transactions to HealthPartners. Prior authorization program
Testing may be required by the clearinghouse to ensure that compliance standards are met. Submit behavioral health claims to Optum. Save time by using our secure Claim Status Inquiry tool. Canton, MA 02021. Sign in. ), EMPLOYERS CLAIM SERVICE INC CITY OF NAPERVILLE, Employers Mutual Inc (Jacksonville Florida), Equitable Plan Services (Oklahoma City OK), E-V Benefits Management Inc (Columbus OH), Evolutions Healthcare Systems (New Port Richey FL), Excellus Blue Cross Blue Shield Central NY, Excellus Blue Cross Blue Shield Rochester Area, F&G Guaranty Ins Co/Main Street Program Colorado, Family Christian Health Center Family Health Network patients only, Family Health Partners Healthwave of Kansas, First Health Network (f.k.a. For any with a Date of Service on or after 1/1/2019 please use payer id 52214. Payer List. Colorado HealthCare Assoc. Monday-Friday HealthPartners Minnesota Payer ID: SX009; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Non Prime: Electronic Remittance (ERA) YES: Secondary Claims: YES: This insurance is also known as: CoOportunity Health Other ID's: HPAMN, 07003, 12X51, 44547 855-699-6694, Frequently asked questions Box 1289 Minneapolis, MN 55440-1289 HealthPartners Dental Mailing Address HealthPartners Dental Claims Department P.O. Payer ID 80142 (This payer ID number must be used for both Health BMC Health Plan. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. The NPI is a unique identification number for covered health care providers. Always have your member ID card in your pocket; HealthPartners UnityPoint Health. P.O. Box 1172 Minneapolis, MN 55440-1172 65093. HCH01. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. Pharmacy services. Sample ID Card: HealthPartners Administration. x. By Payer Id, every provider and insurance company or payer systems connect . HealthPartners receives the electronic registration request from its contracted clearinghouse. EDI - Learn more about exchanging claims and remittances electronically. We hope you enjoy our new look! Health Partners Plans is proud to work with you and the thousands of PCPs, specialists, dentists and vision care and other providers who make up our network. Schedule a Demo. Become a participating dental provider with HealthPartners. Payer ID Information Internet Claim Entry Cost & What to ask your clearinghouse 837 Transactions HealthPartners accepts claims electronically our intermediaries/clearinghouses for the following transactions: Professional Claim: 837V005010X222A1 Institutional Claim: 837V005010X223A2 Dental Claim: 837V005010X224A2 Clearinghouse/Intermediaries Please contact them directly to determine if testing is required. . 1245 . ADVOCATE PHYSICIAN PARTNERS. Please review our Privacy Notice to Practitioners. Claims submission - HealthPartners. Submit a claim attachment
80141. Other resources
Payer ID: 04293. Schedule Demo. We and our partners use cookies to Store and/or access information on a device. Related Articles: Check status of a medical or behavioral health contract request
More about credentialing, visit credentialing and enrollment. Questions about electronic claims submission, remittances, eligibility and EFT/ACH. Submit a claim adjustment
Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants, exchanging claims and remittances electronically. Americas 1st Choice Health Plans of North Carolina Inc. Americas 1st Choice Health Plans of South Carolina Inc. Anthem Blue Cross and Blue Shield (Virginia), Arizona & 21st Corp. DBA Berkley East Conv. Other resources
Contact Provider EDI Support The Payer IDs provided above have been assigned by the clearinghouse. ALLWays Health Partners. Mail paper claims to: CareFirst Community Health Plan Maryland. The Insurance Payer ID is a unique identification number assigned to each insurance company. ADVOCATE MEDICAL GROUP. Submit a claim appeal
Check on the status of existing credentialing requests. Providers must already be contracted or working for a contracted provider to start the credentialing process. Several of HealthPartners contracted clearinghouses offer Direct Data Entry (DDE) solutions through the internet to providers that do not have system capability to submit claims electronically. Senior Health Partners (SHP) COMMERCIAL. RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC. Rocky Mountain Health Plan- Grand Junction, Sacramento Primary Care Practices of Sacramento EHS, San Diego Hospice and The Institute for Palliative Medicine, San Diego Metropolitan Transit System (SCHIP Liability), Santa Clara Valley Tansportation Authority, SelectCare of Texas (HPN) Heritage Physicians Network, Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA), Sinai Medical Group Chicago IL Family Health Network patients only, Solidarity Managed Care Organization (Ohio BWC), Sound Health (now known as First Choice Health Network), South Central Preferred PPO York PA (IHS Gateway Payer), Southern CA Childrens Network (SynerMed), Spectrum Administrators Inc. TPA Allentown PA (IHS Gateway Payer), St. Anthony Memorial Healthcare Centers MDWISE, St. Francis Health Care Chicago IL MG#112, St. Margaret Mercy Healthcare Centers MDWISE, Superior Administrators Inc (Santa Ana CA), Sutter East Bay Regional Hospital- Affinity, TEAMSTERS (UT/ ID / MT) Group Benefit Admin, The Care Network/The Savannah Business Group, The Health Plan (Massillon Ohio and St. Clairsville Ohio only), The Loomis Company TPA Wyomissing PA (IHS Gateway Payer), The MEGA Life & Health Insurance Company Insurance Center, The MEGA Life & Health Insurance Company Starbridge StarHRG, The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM, The Preferred Healthcare System (TPHS) PPO Altoona PA (IHS GatewayPayer), Thomas Staffing Services Inc/Venturi Staffing, Todays Options (American Progressive and Pyramid Life), TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE, TransAmerica Occidental Life Insurance Company, Transchoice or TransSmile First Service Administrators Inc, TX Medicare Part A and Indian Health Services J4, UMR (formerly Harrington Benefit Services Westerville), UMR (formerly Harrington Benefit Services), UMR (formerly Lexington / CommonWealth Administrative Group), UMR (formerly UMR San Antonio Benefit Planners), UMR (formerly UMR Wausau Fiserv Benesight), UMR Westerville (formerly Harrington Benefit Services Columbus), UMR/Cincinnati (Repricing for HealthSpan Network Only), UNION PACIFIC RAILROAD EMPLOYES Health Systems, United Teacher Assoc Ins Co- Medicare Supplement, United Wisconsin Insurance Company-United Heartland, UnitedHealthcare (formerly Definity Health Plan), UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI), UnitedHealthcare / MAHP MD IPA Optimum Choice MLH (formerly MAMSI), UnitedHealthcare / UHIS UnitedHealth Integrated Services, UnitedHealthcare / UnitedHealthcare Plan of the River Valley, UnitedHealthcare / UnitedHealthcare StudentResources, UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare), UnitedHealthCare Community Plan (KS / KanCare), UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison), UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA), UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI), UnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa), UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP), UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid), UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care), UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP, UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care, UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete, UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect, UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan, UnitedHealthcare West (formerly PacifiCare of Arizona), UnitedHealthcare West (formerly PacifiCare of CA Claims), UnitedHealthcare West (formerly PacifiCare of Colorado), UnitedHealthcare West (formerly PacifiCare PPO All States), UnitedHealthOne (American Medical Security), UnitedHeathcare Community Plan (formerly Unison Health Plan), Unitrin Direct Property & Casualty Company, Univera Healthcare SSA WNY PPO Traditional, University Family Care Healthcare Group, University Family Care Maricopa Health Plan, University of Illinois at Chicago Div of Specialized Care for Children, USAA (United Services Automobile Association), USFHP St. Vincent Catholic Medical Centers of New York, Utah Blue Cross (Regence Blue Cross of Oregon), Valley Health Care Management Services LLC, ValueOptions/MBHP (MA Behavioral Health Partnership), WASHINGTON State Dept of LABOR & INDUSTRY, Waterstone Benefit Administrators (Oklahoma Providers), Waterstone Benefit Administrators (Outside Oklahoma), webTPA/Community Health Electronic Claims/CHEC, West Texas Rural Counties Association Preferred Risk Pool WC, Western Southern Financial Group (Cincinnati OH), WINhealth Partners/Wyoming Health Solutions, Znat Insurance (Zenith National Insurance). Please note: It is important to confirm your Payer ID with your vendor or clearinghouse prior to electronic claim submission as they may be different than what HealthPartners has listed. Health (9 days ago) The following requirements are Emdeon specific. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. HealthPartners clearinghouse will contact the originator of the request (provider, vendor, billing service) and communicate a production date or validate any information on that does not match HealthPartners records. AllWays Health Partners Provider Service: 855-444-4647. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. HealthPartners Claims Department Sign in, Resources
Provider Information & Resources Prior Authorization Guidelines and Forms Provider MTM program information
When submitting to this payer ID please ensure the following: The claim is for a Medicaid, Child . Monday-Friday Listing Websites about Health Partners Payer Id Number. Payer List. Prior authorization for services such as: procedures, habilitative, rehabilitation, skilled nursing facility, home care, hospice, personal care attendant, and dme. Other resources
8:00 - 4:00 CST Contact your clearinghouse for questions on how to submit specific field elements. Find Specialty Provider Contacts
Which payers receive claims electronically from your vendor? HealthPartners accepts claims electronically our intermediaries/clearinghouses for the following transactions: HealthPartners has relationships with the intermediaries listed below to provide clearinghouse functions for all providers. Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants, Receive electronic remittance advice (835), Verify patient eligibility and coverage (270/271). 52192. Submit an inquiry to pharmacy administration, Other resources
The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. To reach Member Relations, call 1-800-553-0784 or 215-849-9600 (TTY 1-877-454-8477). Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. Key Benefit Administrators (Indianapolis IN), Klais & Company (Repricing for HealthSpan Network Only), Lancaster General Health Group Preferred Health Care (IHS Payer), League of Minnesota Cities Insurance Trust, Life Investors Insurance of America Long Term Care, Lincoln National (EMPHESYS Green Bay and Madison WI only), Local 135 Health Benefits Fund (Indianapolis IN), Loma Linda University Adventist Health Sciences Center Employee Health Plan, Loma Linda University Adventist Health Sciences Centers, Loma Linda University Behavioral Medicine Center Employee Health Plan, Loma Linda University Employee Health Plan, Loma Linda University Health Care Employee Health Plan, Loma Linda University Medical Center Employee Health Plan, Loma Linda University Medical Center Residents Health Plan, Loma Linda University Student Health Plan, Loyal American Life Ins Co- Medicare Supplement, Maine Employers Mutual Insurance Company MEMIC, Maine Medicaid (Dept of Health and Human Srvcs), Managed Health Services Indiana (Medicaid HMO), Maricopa County Community College District, MBA Benefit Administrators Inc (Salt Lake UT), MDI Holdings (Formerly Medical Partners of America), Medical Benefit Administrators Inc/dba MBA of MD Inc, Medical Benefits Administrators Inc. (Newark OH).
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