Claims processing
In accordance with Department requirements, all claims submitted for Independence CHIP members for dates of service
on or afterJuly 1, 2019, by an in-network Keystone Health Plan East provider who does not have a PROMISe ID that corresponds to the location where the services were rendered, or through which services were ordered, referred, or billed, will be
denied. Please be aware that both the practitioner and the group/provider need a PROMISe ID, as well as the referring and ordering practitioner, for the claims to process.
The Pennsylvania Department of Human Services (Department) requires all providers in the Children’s Health Insurance Program (CHIP) network to have a PROMISe ID for each location at which they treat CHIP members. A PROMISe ID is a Department-issued Provider Reimbursement and Operations Management Information System (PROMISe) identification number.
It is required for you to receive payment for services rendered to CHIP members.
How to request a PROMISe ID
The Department recently changed their website and created a new page specific to CHIP provider enrollment information.
Visit the new
website to access the application, requirements, and step-by-step instructions related to the enrollment process. If you have any questions or issues with the enrollment process, contact the Department’s Provider Enrollment Hotline at
1-800-537-8862, select options 2, 4, and finally option 2 to speak to a Department representative. The application and hotline are monitored by the Pennsylvania Department of Human Services, not Independence.
How to confirm the status of your PROMISe ID
Once submitted electronically, you can to check the status of your application
here. You will need to enter the following information:
- application tracking number (ATN)
- social security (SSN) or federal tax identification number (FEIN)
- application password
If you have questions related to this information, please email us at practiceupdates@ibx.com.