Box 211533. If you are a chiropractic provider interested in joining our network, please contact Magellan Healthcare. (Applicable to Health Insurance Plan of Greater New York (HIP) only). The Nation's Largest Telehealth Network. Madison, WI 53708-8190. Some mail carriers don't deliver to PO boxes. P.O. Claims are paid directly to the healthcare provider via our third party administrator MWG Administators. Our Companies, Lines of Business, Networks, and Benefit Plans (PDF), Medicaid, HARP, and CHPlus (State-Sponsored Programs), Cultural Competency Continuing Education and Resources, Medicaid Cultural Competency Certification, Find a center near you, view classes and events, and more, Vendor-Managed Utilization Management Programs, Physical and Occupational Therapy Program, Radiology-Related Programs and Privileging Rules for Non-Radiologists, New Century Health Medical Oncology Policies, UM and Medical Management Pharmacy Services, COVID-19 Updates and Key Information You Need to Know, EmblemHealth Guide for Electronic Claims Submissions, Payment processes unique to our health plans, EmblemHealth Guide for NPIs and Taxonomy Codes, 2022 Provider Networks and Member Benefit Plans, EmblemHealth Spine Surgery and Pain Management Therapies Program, Outpatient Diagnostic Imaging Privileging, Benefits to Participation in Dental Network, Submit Electronic Claims and Dental Claim Forms, EmblemHealth Consolidates Post Office Boxes for GHI HMO, Member Grievance - First Level Process Tables, HIP / EmblemHealth Insurance Company (formerly HIPIC), HIP/ EmblemHealth Insurance Company: 55247, HIP claims for members managed by Montefiore CMO, For Medical Claims Medicaid/CHP/HARP and Essential Plan, Bridge for plans underwritten or administered by EmblemHealth Insurance Company. Eagan, MN 55121, WPS Administrative Services Your time is important to us. 1-800-DEVOTED (338-6833) TTY 711; Disclaimers. Eagan, MN 55121, WI: 888-253-2694 ERA Enrollment Required. WPS Health Plan Vivida Health PO Box 211290 Eagan, MN 55121 . // ]]> Y0028_8830_C. Visit our EDI Resource Center for more detailed contact information. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has mandated the adoption of a standard unique identifier for health care providers. P.O. Subsequent Interim bills should be billed with bill type 117 (corrected claim) with a patient status of 30 (still a patient) OR a discharge patient status. It is not medical advice and should not be substituted for regular consultation with your health care provider. All corrected claims should have the corrected claim indicator (a 7) on the claim and the original claim number that you are correcting. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': Administrative Offices Saturday: 9:00AM 1:00PM CT. Health (Just Now) WebElectronic Services Available (EDI) Professional/1500 Claims. //