[vc_row us_bg_image_source=”featured” us_bg_overlay_color=”_alt_content_overlay” css=”%7B%22default%22%3A%7B%22margin-left%22%3A%2250px%22%2C%22margin-bottom%22%3A%22150px%22%2C%22margin-right%22%3A%2250px%22%2C%22padding-left%22%3A%220%22%2C%22padding-top%22%3A%220%22%2C%22padding-bottom%22%3A%220%22%2C%22padding-right%22%3A%220%22%7D%2C%22tablets%22%3A%7B%22margin-left%22%3A%221rem%22%2C%22margin-bottom%22%3A%22150px%22%2C%22margin-right%22%3A%221rem%22%2C%22padding-left%22%3A%220%22%2C%22padding-top%22%3A%220%22%2C%22padding-bottom%22%3A%220%22%2C%22padding-right%22%3A%220%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%220%22%2C%22margin-bottom%22%3A%22150px%22%2C%22margin-right%22%3A%220%22%2C%22padding-left%22%3A%220%22%2C%22padding-top%22%3A%220%22%2C%22padding-bottom%22%3A%220%22%2C%22padding-right%22%3A%220%22%7D%7D”][vc_column][vc_row_inner css=”%7B%22default%22%3A%7B%22padding-top%22%3A%223rem%22%2C%22padding-bottom%22%3A%223rem%22%7D%7D”][vc_column_inner][vc_custom_heading text=”Provider Billing Resources” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][/vc_column_inner][/vc_row_inner][vc_row_inner columns=”1-4-1″ css=”%7B%22default%22%3A%7B%22margin-bottom%22%3A%22-20px%22%7D%7D”][vc_column_inner width=”1/6″][/vc_column_inner][vc_column_inner css=”%7B%22default%22%3A%7B%22background-color%22%3A%22%23ffffff%22%2C%22margin-bottom%22%3A%22-100px%22%2C%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%2C%22box-shadow-h-offset%22%3A%220%22%2C%22box-shadow-v-offset%22%3A%222px%22%2C%22box-shadow-blur%22%3A%2215px%22%2C%22box-shadow-spread%22%3A%220%22%2C%22box-shadow-color%22%3A%22rgba%2861%2C66%2C70%2C0.30%29%22%7D%2C%22tablets%22%3A%7B%22margin-left%22%3A%222.5rem%22%2C%22margin-bottom%22%3A%22-100px%22%2C%22margin-right%22%3A%222.5rem%22%2C%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%222rem%22%2C%22margin-bottom%22%3A%22-100px%22%2C%22margin-right%22%3A%222rem%22%2C%22padding-left%22%3A%221.5rem%22%2C%22padding-top%22%3A%221.5rem%22%2C%22padding-bottom%22%3A%221.5rem%22%2C%22padding-right%22%3A%221.5rem%22%7D%7D” width=”2/3″][vc_column_text]For in-network providers, access CountyCare’s Provider Portal and Provider Portal User Guide in order to:
- Check Member Eligibility
- Claims Status Search
- View EOP and payment details
- View the Prior Authorization (PA) Look-up Tool
- Submit Prior Authorization Requests
- View Prior Authorization Status
[/vc_column_text][us_hwrapper alignment=”center” wrap=”1″][us_btn label=”Provider Portal” link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare.valence.care%5C%2F%22%2C%22title%22%3A%22Provider%20Portal%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][us_btn label=”Provider Portal User Guide” link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare1.wpenginepowered.com%5C%2Fwp-content%5C%2Fuploads%5C%2FCCR_ProviderPortalUserGuide_English_20191.pdf%22%2C%22title%22%3A%22Provider%20Portal%20User%20Guide%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][/us_hwrapper][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row width=”full” css=”%7B%22default%22%3A%7B%22margin-left%22%3A%2250px%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%7D” bg_type=”bg_color” bg_color_value=”#ffffff”][vc_column css=”%7B%22default%22%3A%7B%22text-align%22%3A%22center%22%7D%7D”][us_additional_menu source=”provider-billing-resources” layout=”hor” responsive_width=”768px” main_gap=”.25rem” main_style=”blocks” main_ver_indent=”.5rem” main_hor_indent=”.75rem” main_color_bg=”_content_primary” main_color_text=”_header_middle_text” main_color_bg_hover=”_content_link” main_color_text_hover=”_header_middle_text”][/vc_column][/vc_row][vc_row][vc_column el_id=”resources” width=”1/3″][vc_custom_heading text=”CountyCare Resources:” font_container=”tag:h4|text_align:left” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]
- CountyCare’s Provider Manual
- Quick Reference Guide for Key CountyCare Contacts
- View CountyCare Provider Notices
- How to Register for Electronic Billing Online
- How to Register for Electronic Billing by Fax
[/vc_column_text][/vc_column][vc_column el_id=”billing-guidance” width=”1/3″][vc_custom_heading text=”Provider-Specific Billing Guidance:” font_container=”tag:h4|text_align:left” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]Illinois Association of Medicaid Health Plans Billing Manual[/vc_column_text][/vc_column][vc_column el_id=”submission-resources” width=”1/3″][vc_custom_heading text=”Post-Claim Submission Resources:” font_container=”tag:h4|text_align:left” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]
- CountyCare Claim Remark Code Look-Up
- CountyCare Corrected or Voided Claims Resubmission Guidance
- Provider Claim Review Form
- Provider Claim Review Form User Guide
- CountyCare Duplicate Claims Guidance
[/vc_column_text][/vc_column][/vc_row][vc_row columns=”custom” css=”%7B%22default%22%3A%7B%22background-color%22%3A%22_alt_content_overlay%22%2C%22margin-left%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%7D” el_id=”hfs-billing-resources” columns_layout=”0.5fr 5fr 0.5fr”][vc_column width=”1/12″][/vc_column][vc_column width=”5/6″][vc_custom_heading text=”Healthcare and Family Services (HFS) Billing Resources” font_container=”tag:h4|text_align:left” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]Rates and Fee Schedules:
HFS Provider Handbooks:
- HFS Provider Handbooks
- HFS Managed Care Manual for Medicaid Providers
- IAMHP (IL Association of Medicaid Health Plans) – Info For Providers (Resources and Key Contacts)
HFS Provider Notices:
- HFS Notices and Bulletins provide pertinent information for participating providers for medical services provided or for claims submitted for reimbursement. With rare exception, CountyCare follows all HFS guidelines.
- Click here to subscribe to the applicable HFS Provider Notices.
[/vc_column_text][us_separator size=”small”][vc_column_text]HFS and related agencies frequently update guidelines, fee schedules, reimbursement guidelines, etc. Once CountyCare is notified of any updates or changes (retroactively and prospectively), we have 30 days to implement said system updates (retroactive and proactive).[/vc_column_text][/vc_column][vc_column width=”1/12″][/vc_column][/vc_row][vc_row columns=”custom” css=”%7B%22default%22%3A%7B%22margin-left%22%3A%2250px%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%7D” el_id=”iamhp-billing-resources” columns_layout=”0.5fr 5fr 0.5fr”][vc_column width=”1/12″][/vc_column][vc_column width=”5/6″][vc_custom_heading text=”IAMHP Billing Resources” font_container=”tag:h4|text_align:left” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]
- Key Contacts by Topic Area l Other Resources
- Key Contacts for Providers l Report Contact Change
- Key Contact & Escalation Documents
[/vc_column_text][/vc_column][vc_column width=”1/12″][/vc_column][/vc_row][vc_row columns=”custom” css=”%7B%22default%22%3A%7B%22background-color%22%3A%22_alt_content_overlay%22%2C%22margin-left%22%3A%2250px%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%7D” el_id=”claims-processing” columns_layout=”0.5fr 5fr 0.5fr”][vc_column width=”1/12″][/vc_column][vc_column width=”5/6″][vc_custom_heading text=”Claims Processing” font_container=”tag:h4|text_align:left” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]CountyCare has partnered with Evolent Health to process claims. Claims eligible for payment must meet the following requirements:
- The member is effective with CountyCare Health Plan on the date of service
- The service provided is a covered benefit under the member’s contract on the date of service
- Referral and prior authorization processes were followed, if applicable
- Claim was received within 180 calendars days from the date of service, or date of discharge, whichever is later. This limit may be extended where eligibility has been retroactively received by CountyCare up to a maximum of 180 days.
- Corrected claims must be submitted within 60 days of the EOP, or 180 days from the date of service, whichever is later.
Providers have the right to request a review of any claim decision made by CountyCare within 60 calendar days from the date of the Explanation of Payment (EOP) or Remittance Notice. Provider claim reviews may be submitted electronically through the Provider Portal or by mail using the Claim Review form for any of the following denial reasons: timely filing, review of contract rate/payment, duplicate claim, authorization, or other unforeseen reason.
For more detailed information on claims submission and adjudication, please click here to view the Provider Manual.[/vc_column_text][us_separator size=”small”][/vc_column][vc_column width=”1/12″][/vc_column][/vc_row][vc_row disable_element=”yes” css=”%7B%22default%22%3A%7B%22margin-left%22%3A%2250px%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%2C%22tablets%22%3A%7B%22margin-left%22%3A%221rem%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%221rem%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%220%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%220%22%7D%7D” el_id=”claims-projects”][vc_column][vc_row_inner][vc_column_inner width=”1/6″][/vc_column_inner][vc_column_inner css=”%7B%22default%22%3A%7B%22background-color%22%3A%22%23ffffff%22%2C%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%2C%22box-shadow-h-offset%22%3A%220%22%2C%22box-shadow-v-offset%22%3A%222px%22%2C%22box-shadow-blur%22%3A%2215px%22%2C%22box-shadow-spread%22%3A%220%22%2C%22box-shadow-color%22%3A%22rgba%2861%2C66%2C70%2C0.30%29%22%7D%2C%22tablets%22%3A%7B%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%221rem%22%2C%22margin-right%22%3A%221rem%22%2C%22padding-left%22%3A%221.5rem%22%2C%22padding-top%22%3A%221.5rem%22%2C%22padding-bottom%22%3A%221.5rem%22%2C%22padding-right%22%3A%221.5rem%22%7D%7D” width=”2/3″][vc_custom_heading text=”Claims Projects” font_container=”tag:h4|text_align:center” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]Please review the reports below for details around current or recently completed Claims and Configuration projects from CountyCare. The report outlines project description, impacted providers, expected resolution, current status, and expected completion date, when known. If you have any questions about the projects on this report, please contact your Provider Relations Representative.[/vc_column_text][us_hwrapper alignment=”center”][us_btn label=”CountyCare Claims – Configuration Project Updates 12-27-2021″ link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare1.wpenginepowered.com%5C%2Fwp-content%5C%2Fuploads%5C%2FCopy-of-CountyCare-Claims-Configuration-Project-Updates-12.27.2021.xlsx%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%207-14-2021%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][/us_hwrapper][us_hwrapper alignment=”center”][us_btn label=”CountyCare Claims – Configuration Project Updates 12-27-2021″ 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link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare1.wpenginepowered.com%5C%2Fwp-content%5C%2Fuploads%5C%2F09.15.21-Copy-of-CountyCare-Claims-Configuration-Project-Updates.xlsx%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%207-14-2021%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][/us_hwrapper][us_hwrapper alignment=”center”][us_btn label=”CountyCare Claims – Configuration Project Updates 7-14-2021″ link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare1.wpenginepowered.com%5C%2Fwp-content%5C%2Fuploads%5C%2FCopy-of-CountyCare-Claims-Configuration-Project-Updates-07.14.2021.xlsx%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%207-14-2021%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][/us_hwrapper][us_hwrapper alignment=”center”][us_btn label=”CountyCare Claims – Configuration Project Updates 6-7-2021″ 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link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare1.wpenginepowered.com%5C%2Fwp-content%5C%2Fuploads%5C%2FCountyCare-Claims-Configuration-Project-Updates-11.18.2020.xlsx%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][/us_hwrapper][us_hwrapper alignment=”center”][us_btn label=”CountyCare Claims – Configuration Project Updates 10-12-20″ link=”%7B%22url%22%3A%22https%3A%5C%2F%5C%2Fcountycare1.wpenginepowered.com%5C%2Fwp-content%5C%2Fuploads%5C%2FCCR_ClaimsConfigurationProjectUpdates_English_101220.pdf%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%7D” hide_with_empty_link=”1″ style=”2″][/us_hwrapper][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row css=”%7B%22default%22%3A%7B%22margin-left%22%3A%2250px%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%2C%22tablets%22%3A%7B%22margin-left%22%3A%221rem%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%221rem%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%220%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%220%22%7D%7D” el_id=”claims-projects”][vc_column][vc_row_inner][vc_column_inner width=”1/6″][/vc_column_inner][vc_column_inner css=”%7B%22default%22%3A%7B%22background-color%22%3A%22%23ffffff%22%2C%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%2C%22box-shadow-h-offset%22%3A%220%22%2C%22box-shadow-v-offset%22%3A%222px%22%2C%22box-shadow-blur%22%3A%2215px%22%2C%22box-shadow-spread%22%3A%220%22%2C%22box-shadow-color%22%3A%22rgba%2861%2C66%2C70%2C0.30%29%22%7D%2C%22tablets%22%3A%7B%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%221rem%22%2C%22margin-right%22%3A%221rem%22%2C%22padding-left%22%3A%221.5rem%22%2C%22padding-top%22%3A%221.5rem%22%2C%22padding-bottom%22%3A%221.5rem%22%2C%22padding-right%22%3A%221.5rem%22%7D%7D” width=”2/3″][vc_custom_heading text=”Claims Projects” font_container=”tag:h4|text_align:center” use_theme_fonts=”yes” css=”%7B%22default%22%3A%7B%22color%22%3A%22_content_secondary%22%7D%7D”][vc_column_text]Please review the reports below for details around current or recently completed Claims and Configuration projects from CountyCare. The report outlines project description, impacted providers, expected resolution, current status, and expected completion date, when known. If you have any questions about the projects on this report, please contact your Provider Relations Representative.[/vc_column_text][us_btn label=”CountyCare Claims – Configuration Project Updates 05-09-25″ link=”%7B%22url%22%3A%22https%3A%2F%2Fcountycare.com%2Fwp-content%2Fuploads%2FWEBSITE-ISSUE-LOG-UPDATE-5.9.2025.xlsx%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%2012-27-2021%22%7D” hide_with_empty_link=”1″ style=”2″ align=”justify”][us_btn label=”CountyCare Claims – Configuration Project Updates 04-22-25″ link=”%7B%22url%22%3A%22https%3A%2F%2Fcountycare.com%2Fwp-content%2Fuploads%2FWEBSITE-ISSUE-LOG-UPDATE-4.22.2025.xlsx%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%2012-27-2021%22%7D” hide_with_empty_link=”1″ style=”2″ align=”justify”][us_btn label=”CountyCare Claims – Configuration Project Updates 03-31-25″ link=”%7B%22url%22%3A%22https%3A%2F%2Fcountycare.com%2Fwp-content%2Fuploads%2FWEBSITE-ISSUE-LOG-UPDATE-3.31.2025.xlsx%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%2012-27-2021%22%7D” hide_with_empty_link=”1″ style=”2″ align=”justify”][us_btn label=”CountyCare Claims – Configuration Project Updates 03-11-25″ link=”%7B%22url%22%3A%22https%3A%2F%2Fcountycare.com%2Fwp-content%2Fuploads%2FWEBSITE-ISSUE-LOG-UPDATE-3.11.25.xlsx%22%2C%22target%22%3A%22_blank%22%2C%22rel%22%3A%22nofollow%22%2C%22title%22%3A%22CountyCare%20Claims%20-%20Configuration%20Project%20Updates%2012-27-2021%22%7D” hide_with_empty_link=”1″ style=”2″ align=”justify”][ultimate_spacer height=”25″][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row columns=”custom” css=”%7B%22default%22%3A%7B%22background-color%22%3A%22_alt_content_overlay%22%2C%22margin-left%22%3A%2250px%22%2C%22margin-top%22%3A%2250px%22%2C%22margin-bottom%22%3A%2250px%22%2C%22margin-right%22%3A%2250px%22%7D%7D” el_id=”electronic-transactions” columns_layout=”0.5fr 5fr 0.5fr”][vc_column width=”1/12″][/vc_column][vc_column width=”5/6″][vc_custom_heading text=”Electronic Transactions” font_container=”tag:h2|text_align:center” use_theme_fonts=”yes”][vc_row_inner][vc_column_inner css=”%7B%22default%22%3A%7B%22background-color%22%3A%22%23ffffff%22%2C%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%2C%22box-shadow-h-offset%22%3A%220%22%2C%22box-shadow-v-offset%22%3A%222px%22%2C%22box-shadow-blur%22%3A%2215px%22%2C%22box-shadow-spread%22%3A%220%22%2C%22box-shadow-color%22%3A%22rgba%2861%2C66%2C70%2C0.30%29%22%7D%2C%22tablets%22%3A%7B%22padding-left%22%3A%223.5rem%22%2C%22padding-top%22%3A%223.5rem%22%2C%22padding-bottom%22%3A%223.5rem%22%2C%22padding-right%22%3A%223.5rem%22%7D%2C%22mobiles%22%3A%7B%22margin-left%22%3A%221rem%22%2C%22margin-right%22%3A%221rem%22%2C%22padding-left%22%3A%221.5rem%22%2C%22padding-top%22%3A%221.5rem%22%2C%22padding-bottom%22%3A%221.5rem%22%2C%22padding-right%22%3A%221.5rem%22%7D%7D”][vc_column_text]Network providers are encouraged to participate in CountyCare’s electronic claims/encounter filing program. You or your billing agent will need to utilize a third-party claims clearinghouse vendor to submit electronic claims. CountyCare can receive ANSI X12N 837, or most current version, professional, institution or encounter transactions. In addition, it can generate an ANSI X12N 835, or most current version electronic remittance advice known as an Explanation of Payment (EOP).
Providers that bill electronically have the same timely filing requirements as providers filing paper claims. In addition, providers that bill electronically must monitor their error reports and evidence of payments to ensure all submitted claims and encounters appear on the reports. Providers are responsible for correcting any errors and resubmitting the affiliated claims and encounters.
CountyCare’s Payor ID is: 06541.
CountyCare’s Clearinghouse vendor is Availity.[/vc_column_text][/vc_column_inner][/vc_row_inner][us_separator size=”small”][/vc_column][vc_column width=”1/12″][/vc_column][/vc_row]
