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1500 Claim Submission and Claim Log transactions coming soon to NaviNet®

January 29, 2016

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In the coming weeks, Independence will introduce the new 1500 Claim Submission and Claim Log transactions. The 1500 Claim Submission transaction will allow providers who submit CMS-1500 claim forms to submit those claims using the NaviNet web portal. Providers will then be able to review the status of these submitted claims through the Claim Log transaction.

Please note the following details about the new 1500 Claim Submission transaction:

  • Claims submitted using this transaction must have a date of service on or after October 1, 2015.
  • Providers will be able to use the 1500 Claim Submission transaction to submit Independence commercial and Medicare Advantage claims, as well as out-of-area Medicare Advantage PPO claims.
  • Providers will not be able to use the 1500 Claim Submission transaction to submit claims with secondary and tertiary payers.
  • This transaction will be available to providers seven days a week: Monday through Saturday from 5 a.m. to 10 p.m. and Sunday from 9 a.m. to 9 p.m.

For more information

We will publish user guides for these new transactions in the NaviNet Resources section of our Provider News Center. Announcements will be made on Independence NaviNet Plan Central and on our Provider News Center once the new guides are available.

If you have questions, please call the eBusiness Hotline at 215-640-7410.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.

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