Providers
Claims and Billing
Find tools and resources to help with billing and claim submissions.
Refer to our Health Plan resources below or the Provider Manual for information on billing and handling claims-related processes.
Claim Submissions
Details for submitting initial and replacement electronic and paper claims; billing requirement reminders
Claim Reconsideration
Pertinent information for claims reconsideration and payments.
Claim Overpayments
Resources and processes for provider overpayments
Electronic Data Interchange (EDI)
Improve the speed and convenience and lower the administrative costs of claims activity
HIPAA Connect
Your primary source for the latest information on HIPAA
FAQs
Answers to common questions that provide further information and assistance
Important Addresses
Listing of addresses for claim submission, claim reconsideration and other provider-related services