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Claims Submission Options
Billing Under the First Choice Health or First Health Networks?
Receive Payment More Quickly
Samaritan Health Plans encourages you to file your claims electronically as a way to lower administrative expenses, receive payments more quickly, reduce paper use and expedite billing error corrections. We offer five options for electronic claims submission (EDI):
Trizetto Provider Solutions
PhysicianSupport@cognizant.com
800-969-3666 — Customer Service
Payer IDs: SAMAD (Samaritan Advantage), SAMCP (Samaritan Choice), INCHN (InterCommunity Health Network CCO), SAM00 (Samaritan Employer Group)
CHC1
www.changehealthcare.com
800-527-8133, option 2
Payer IDs: 2122 (Professional) and 5952 (Institutional)
Change Healthcare
www.changehealthcare.com
866-371-9066
Payer ID: CP001 (All plans)
Payer Connection
www.payerconnection.com
503-820-3803
Payer IDs: SA01 (Samaritan Advantage), SCP (Samaritan Choice), IHN (InterCommunity Health Network CCO), SAM00 (Samaritan Employer Group)
www.officeally.com
360-975-7000, option 1 — Customer Service
Payer IDs: SAMHP (All plans)
We Accept Paper Claims
Submit paper claims via mail to these addresses:
InterCommunity Health Network CCO
PO Box 887
Corvallis, OR 97339
Samaritan Choice Plans
PO Box 336
Corvallis, OR 97339
Samaritan Health Plans
Employer Group PPO plans:
PO Box 887
Corvallis, OR 97339
Medicare Advantage plans:
PO Box 1510
Corvallis, OR 97339
Paper Claim Processing Tips
For claims that must be submitted on paper there are some simple things that providers can do to speed up processing and payment:
- Use only standard red and white CMS 1500 (HCFA) and 1450 (UB) forms.
- Submit only claim forms that are typed or printed.
- Print with dark font (i.e. do not print claims when toner/ink is low).
- Correctly align text in the form boxes and do not allow text to lap over lines.
- All claims and attachments should be printed single sided. Do not duplex print, even on primary EOBs or attachments.
- Send full page attachments only.
- Do not staple claims or attachments together.
- Mark multipage claims with either a page number (i.e. page 2 of 3) or a “continued”.
- Ensure that each secondary claim has the primary EOB submitted with it.
- Do not write or stamp over top of the body of the claim form.
CMS 1450 and 1500 Form Requirements
Need help filling out the CMS 1450 or 1500 Form? Use the following guides to find out what each field is for and which are always required.
Review Claims Status on Provider Connect
Our provider portal allows you to quickly check your claims status.