The NCPPO and HealthLink network has been encouraging providers to submit electronic
claims for over ten years. All of your claims can be sent to
NCPPO and HealthLink electronically. Electronic claims are less expensive
for you to send and provide faster processing.
To start sending electronic claims to NCPPO and HealthLink you must:
Contact
your clearinghouse and tell them you want to send
claims electronically to NCPPO and HealthLink. Your clearinghouse
will need to know your National Provider Identifier (NPI) number and
that NCPPO and HealthLink uses the (NEIC) Payer ID numbers:
90001
PPO
Your clearinghouse should help you get started
and do all testing necessary to assure the electronic pathway
between you and NCPPO and HealthLink is working. All claims can be sent
to NCPPO and HealthLink
electronically.
If you are mailing claims to the following P.O.
Boxes and can file electronic claims, please update your
billing
information to the following:
HealthLink PPO
P.O. Box 419104
St. Louis, MO 63141
Change to electronic: 90001
NCPPO and HealthLink will return two types of reports:
CONFIRMATION
REPORT
This report is returned for every file sent to NCPPO and HealthLink.
The confirmation report verifies that NCPPO and HealthLink received
your claims.
REJECTION
REPORT
This report is returned only for claims that
NCPPO and HealthLink cannot process. This is due to inability to
identify the member. This report
will follow the Confirmation Report by several days.
Download Adobe Acrobat Reader to view the various portable document format (PDF) documents available throughout the NCPPO and HealthLink website.
