For complete claims instructions, view the Claims and Claims Disputes chapter in our Provider Manual (PDF).
For prompt payment of the services that our HealthChoices Providers have given to Members, follow these instructions. You can also view our paper claims submission FAQ.
Electronic claims submission
All electronic claims must be submitted to PerformCare as Health Insurance Portability and Accountability Act (HIPAA)-compliant 837 transactions through our clearinghouse, Change Healthcare (previously Emdeon). There are two methods to do so:
Submission to Change Healthcare via a Provider’s contracted clearinghouse or the Provider establishing a direct relationship with Change Healthcare.
Submission to Change Healthcare via its Emdeon Provider WebConnect product. Access to Emdeon Provider WebConnect is provided through the PerformCare NaviNet® Plan Central page under Claims Submission. Emdeon Provider WebConnect offers both an 837 file upload and individual claim entry option. Learn more about NaviNet®.