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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:
CenterLight Healthcare
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.



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