|
|
|
|
|
|
Claims Submissions
HealthPartners accepts claims electronically our intermediaries/clearinghouses for the following transactions:
Professional Claim: 837 004010X098A1
Institutional Claim: 837 004010X096A1
Dental Claim: 837 004010X097A1
Clearinghouse/Intermediaries
HealthPartners has relationships with the intermediaries listed below to provide clearinghouse functions for all providers. Providers are required to
contact these intermediaries directly to enroll for electronic claim submission to HealthPartners. Use the links below to go directly to their website
for additional information.
Payer IDs
HealthPartners does not assign Payer IDs. The Payer IDs provided below have been assigned by the clearinghouse.
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.
Internet Claim Entry
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. Contact the clearinghouses that offer DDE to obtain more information.
Clearinghouse/Intermediary
|
Connection Type
|
Internet
DDE
|
Phone Number
|
Allscripts-Payerpath
Payer ID - Contact Clearinghouse |
Professional Only |
|
800-877-5678 |
Availity
Payer ID 07003 |
Professional and Institutional |
Yes |
1-800-Availity (282-4548) |
ClaimLynx
Payer ID 00055 |
Professional and Institutional |
Yes |
952-593-5969 |
Emdeon
Payer ID SX009 (Professional)
Payer ID 12X51 (Institutional) |
Professional and Institutional |
|
866-924-4634 |
Infotech Global, Inc. (IGI)
Payer ID 55764 |
Professional, Institutional, and Dental |
Yes |
877-444-7194 |
Lindsay Technical
Payer ID - CX009 |
Dental Only |
|
888-941-8967
507-947-3070 |
Post-n-Track
Payer ID HPAMN |
Professional and Institutional |
Yes |
860-257-2030 |
RelayHealth*
Payer ID 3411 (Professional)
Payer ID 1525 (Institutional) |
Professional and Institutional |
|
800-527-8133 |
*RelayHealth acquired Per Se Technologies, National Data Corporation (NDC) and assumed ownership of McKesson.
Only the clearinghouses listed above are approved to submit claims electronically to HealthPartners.
Cost
Interface and installation fees for claim submission and remittance advice are dependent upon the facility, annual claim volume and other determining
factors. HealthPartners pays the per claim charge when conducting business through our intermediaries for the 837 claims transactions only.
Other connection costs may be incurred and are the responsibility of the provider.
In assessing your electronic capabilities,
you may need to ask your software vendor the following questions:
- Is there the capability to send claims electronically?
- What clearinghouse(s) are claims submitted through?
- Which payers receive claims electronically from your vendor?
- What is the installation fee?
What to expect after the clearinghouse has been contacted:
- HealthPartners receives the electronic registration request from its contracted clearinghouse. Registration forms must be submitted by the
clearinghouse that HealthPartners has a contract with. Registration requests received directly from providers, software vendors, or billing services
can not be accepted due to enrollment requirements.
- HealthPartners will contact the clearinghouse within 2-3 business days to confirm registration and establish a production date.
- Testing may be required by the clearinghouse to ensure that compliance standards are met. Please contact them directly to determine if testing
is required.
- 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.
- Production status will be established.
For questions on how to submit specific field elements contact your clearinghouse for direction.
To learn more about connecting electronically with HealthPartners:
For Medical Claim Submission:
Contact Provider EDI Support
952-883-7505 ext 3
855-699-6694 ext 3
For Dental Claim Submissions:
Contact Dental Operations
952-883-5163
|
|
|
|
