WebHealthcare providers also may file a claim by EDI through the clearinghouse of their choice. Some clearinghouses and vendors charge a service fee. Contact the clearinghouse for information. If submitting a claim to a clearinghouse, use the following payer IDs for Humana: Claims: 61101 Encounters: 61102 Advanced claims editing WebPaper claims. Submit to: Prestige Health Choice Attn: Claims Department. P.O. Box 7367 London, KY 40742. Claim filing guidelines: • CMS 1500 Claim – Resubmission code “7” and the Plan’s original claim number must be in Field 22. • Institutional UB04 Claim – Bill type should end in “7” in Form Locator 4 and the Plan’s ...
KyHealth Choices Prior Authorization Call Checklist - KYMMIS
http://www.kymmis.com/kymmis/pdf/Prior%20Authorization%20Checklist.pdf WebJun 1, 2024 · Claims processing address: Keystone First Claim Processing department P.O. Box 7115 London, Kentucky 40742 June 1, 2024, new and current explanation of benefit (EOB) codes (PDF) Supplemental billing information for modifiers 25 and 59 (PDF) EDI FAQs Electronic claims submission, payment, and remittance advice services ontap flexcache
Member Information - Cabinet for Health and Family …
http://www.kymmis.com/kymmis/Electronic%20Claims/index.aspx WebKentucky Medicaid and KCHIP (Kentucky Children's Health Insurance Program) provides health coverage for eligible low-income residents and children. ... Claims & Payments. Hearings. Appointments. ... Contact Us. kynect benefits (DCBS) 1-855-306-8959; kynect health coverage (855-4kynect) 1-855-459-6328; 1-855-326-4654 TTY; Technical Assistance. WebNote: Any appeals related to a claim denial for lack of prior authorization, services exceeding the authorization, insufficient supporting documentation or late notification must be sent … iol with tcf