For more information call 1-877-226-8500
How to Submit a Claim
We understand that getting paid quickly and accurately is important to you and encourage our participating providers to file claims online. Online claims processing saves time and paper.
Electronic Claims Submission
Electronic claim submission provides an easier and faster way to submit claims. For all electronic claims, please register with any clearinghouse. All claims should be submitted through the Electronic Data Interchange (EDI) utilizing Payer ID: 13360.
Paper Claims Submission
If you submit paper claims, please be sure to submit claims on a CMS 1500 or a UB 04 form and always include:
1. The service facility location information.
2. The pay to group or individual name.
3. The National Provider Identifier (NPI).
4. The name of the rendering provider and rendering provider NPI
Always include the NPI and Tax Identification Number (TIN) on claims. Please refer to these sample forms (PDF, 569.9KB) which indicate the fields required to properly process a claim
Submit paper claims to:
PO Box 5845
Hauppauge, NY 11788
Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment.
For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM.