HealthPartners accepts claims electronically by intermediaries/clearinghouses for the following transactions:
- Professional claim: 837V005010X222A1
- Institutional claim: 837V005010X223A2
- Dental claim: 837V005010X224A2
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. Find more information on their websites.
Contact your clearinghouse for questions on how to submit specific field elements.
| Clearinghouse/intermediary | Connection type | Internet DDE | Phone number |
|---|---|---|---|
| Professional and institutional | Yes | ||
| Professional and institutional | Yes | ||
| Dental | Yes | ||
| Professional, institutional and dental | Yes |
Several of the HealthPartners-contracted clearinghouses offer direct data entry (DDE) solutions through the internet to providers that don’t have system capability to submit claims electronically. Contact the clearinghouses that offer DDE for more information.
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.
- 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?
- 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 cannot 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.
- The HealthPartners clearinghouse will contact the originator of the request (provider, vendor, billing service) and communicate a production date or validate any information that does not match HealthPartners records.
- Production status will be established.