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Claims Information

Non-Medicare Members

  • As of 9/01/2013, Providers should access www.Anthem.com for patient eligibility, claim status and payment information. HIPAA protects patient information.
  • Electronic claim submission will be to the Payer ID# for the local BlueCross BlueShield unit.
  • Providers must appeal in writing within 180 days directly to the Anthem PPO Network or to your local BlueCross BlueShield unit if network payment discounts were incorrectly applied, or if you believe the payment is incorrect or was incorrectly denied.
  • Claims must be filed within one year from the date of service.

Medicare HCPP &
Supplemental Plans

  • You must log in as an authorized “Provider” to view patient eligibility, claim status and payment information.
  • The timely filing limit for claims is ONE year from date of service.
  • Secondary claims are received by Medicare Crossover.
  • HCPP participating physicians submit Medicare Part B claims to UPREHS electronically to payor ID 87042. You will receive one check that includes the Medicare and coinsurance payments.
  • If you meet the CMS requirement allowing paper billing, mail claims to:
      P O Box 161020
      Salt Lake City, UT 84116-1020.
  • Problems with electronic billing to UPREHS? Contact us at edihelp@uphealth.com.

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