Member Services: 1-844-243-5187 (TTY use 711) Available 8am - 7pm Monday - Friday | Language Assistance

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.

 

Interim Billing for Inpatient Hospital Stays


Below is the process for interim billing for inpatient hospital stays that exceed ninety (90) consecutive days. This applies to hospital providers that request assistance due an enrollee’s protracted length of stay greater than ninety (90) days and due to the financial strain it imposes in having to wait for the enrollee to be discharged to seek reimbursement.
 
  • To use the interim billing process, please submit the claim with the appropriate bill type (listed below).
  • To submit interim claims, please use the following Bill Type to identify an Interim claim.
  • Bill Type & Description
    • 112: 1st Interim Claim
    • 113: Continuing
    • 114: Last Claim
  • For questions concerning this process, please call Provider Services at 1-844-243-5188 or email providerrelations@miamichildrenshealthplan.com

 



 

 

 

 

Facebook Link        

 

Miami Children's Health Plan is a Managed Care Plan with a Florida Medicaid Contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the Managed Care Plan. Limitations, copayments, and/or restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change.

All Rights Reserved ©2020 Miami Children’s Health Plan