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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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