HealthChoice Oklahoma Important News-REVISED
Date: 12/08/2008
Beginning January 1, 2009, HealthChoice will have a new claims administrator, EDS Administrative Services, LLC. December 19, 2008-HealthChoice will stop processing any claims, adjustments, checks, certifications and will start running its last adjudication cycle. HealthChoice will transfer any remaining pended claims, faxes, checks and correspondence to EDS. EDS will also begin producing ID cards. December 31, 2008-Telephone lines will be transferred to EDS. January 1, 2009EDS will begin claims processing. During the transition period 12/19/08-1/1/09 will be referred to as the “Quiet Period” and no claims or payments will be processed. On January 1, 2009 EDS will begin processing claims received during the “Quiet Period”. **********PRACTICE LOCATION NUMBER WILL BE REQUIRED ON ALL CLAIMS********* Beginning January 1, 2009 a “Practice Location Number” will be required on all claims. The practice location number will help ensure that your claims are processed with your correct network status and also to improve the accuracy of payments to you. You can obtain your practice location number(s) by contacting HealthChoice Provider Relations at 405-717-8790 or toll free at 800-543-6044. You can also download your location number by visiting the following websites: Your practice location number should be entered in the following fields, based on the type of claim you file: | Paper Claim | Electronic Claim |
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| CMS1500 | Box 33b | Loop 2010AA Segment REF01-data element 128 will be an “LU” and Segment REF02 data element must contain the actual practice location number. |
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| UB04 | Field 57c | Loop 2010AA Segment REF01-data element 128 will be an “LU” and Segment REF02 data element must contain the actual practice location number. |
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HealthChoice would like to encourage all providers to start using their practice location code before December 19, 2008 in order to ensure your claims will be ready by January 1st. If you want Infinedi LLC to place your practice location code on your claim you must fax the information to 918-249-4460-attention: Customer Service Department or email the information to customerservice@infinedi.net
Provider Action:
For more information please access the link below: http://www.sib.ok.gov/providers/pdffiles/EDS.pdf
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