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Electronic Claims

Submit electronic claims and get paid faster

Want to get paid faster?  You can submit medical claims in one of three ways:

Submit claims through NaviNet (free)

Submit claims through a vendor (fees may apply)

Submit claims through PNT Data Corp® (free)

Submit electronic coordination of benefits (COB) claims

National Provider Identifier (NPI)

The National Provider Identifier (NPI) improves the efficiency and effectiveness of the electronic transmission of health information. It replaces many numbers you may have previously supplied to payers on electronic claims, certifications and authorization transactions. This includes Medicare and Medicaid numbers, and other payer numbers.

Read more about the NPI

Get an NPI

Clinical records

We may ask you to submit clinical records before we pay a claim if the claim includes:

  • A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non-surgical procedures.
  • An “unlisted code” as defined in the Index of CPT Codes under “unlisted services and procedures."
  • A code from our list of non-specific codes.

See our list of non-specific codes

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