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Claim Submission

 
MCHP encourages all providers to submit claims electronically.

 

Providers interested in electronic claim filing may contact your EDI (Electronic Data Interchange) software vendor or the Change Healthcare (formerly Emdeon) Provider Support Line at (800) 845-6592 to arrange transmission.

Providers may also self-register to our MCHP Web Connect Live Portal at https://office.emdeon.com/vendorfiles/MCHP.html. Once registered, providers can utilize the same link contained within our website to submit claims. The step-by-step online registration instructions for MCHP Web Connect Live Portal can be found by clicking here.

Miami Children’s Electronic Payer ID:  82832
 
The benefits of submitting EDI claims include:

• Improved cost effectiveness
• Improved claims tracking
• Electronic acknowledgment of claim receipt
• Faster payment of claims
• Better turnaround time for timely reimbursement

For paper claims, please submit to MCHP at the following address:
 
Miami Children’s Health Plan
PO BOX  211241
Eagan, MN 55121
 
Timely Filing - 180 calendar days from the date of service or date of discharge (inpatient), or as specified in provider contract.
 
Corrected Claims
Corrected claims can be sent electronically or via paper to:
 
    Miami Children’s Health Plan
    PO BOX  211241
    Eagan, MN 55121
 
All corrected claims should have the corrected claim indicator (7) on the claim and the original claim number that you are correcting.
 
Claims originally denied for missing/invalid information for inappropriate coding should be submitted as corrected claims.