| Q: |
What is the position of the Rendering
Provider Network ID field? |
| A: |
According to Envoy proprietary format the Rendering Provider
Network ID is in the following location:
- if filing for hospital charges (UB 92) -
46:12
- if filling Medical charges (HCFA 1500) -
E6:14
|
| Q: |
Must I enter Providers Id number in block
33? |
| A: |
Every software is different and
mapped differently. Please contact your software vendor
for the location. |
| |
|
| Q: |
How soon will you receive my claims? |
| A: |
We will receive claims within 24 to 48 hours
from WebMD. |
| |
|
| Q: |
When will I receive my payment? |
| A: |
Usually it takes approximately 2 weeks or
less for the payment to be processed. |
| |
|
| Q: |
How do I begin to do EDI billing with
your company? |
| A: |
In order to bill Passport Health Plan electronically
you will need to contact your vendor and/or clearinghouse
to request for our payer ID be added to your list of payers.
This should be sufficient to get you started. If you have
any questions or experiencing problems you can contact our
EDI technical support hotline: 877-234-4275, press 4, or
you can email us at Edi.php@kmhp.com. |
| |
|
| Q: |
What is your Payer ID Number? |
| A: |
Our payer ID number is 61129. |
| |
|
| Q: |
I received a rejection report stating
"Invalid Provider ID prevents Carrier from processing".
What does it mean? |
| A: |
This message is issued whenever Rendering
Provider Network ID field on the electronic claim is populated
with incorrect information. The field should only be populated
with the Provider's Individual ID number assigned by the
Plan. Provider ID numbers maybe validated by contacting
Provider Services at 800-578-0775. |
| |
|
| Q: |
Electronic
Data Interchange (EDI) Process for Medical and Hospital Claims |
| A: |
View information |