Claims Status/Online Claims Look Up

To obtain information on the status of your claims, please access the Provider Portal or call Enrollee Services at 
888-404-3549, which is available Monday through Friday 8 a.m. to 5:30 p.m.

Claims and Billing Procedures

Find out the guidelines for timely claims submissions 

Electronic Claims Submission and Electronic Funds Transfer (EFT) / Electronic Remittance Advise (ERA)

Claims and Refunds

Learn where to send refunds for errors in claims payments.

Claims Payment Dispute

Learn how to submit a payment dispute.

Claims Compliance

Understand the laws pertaining to the prevention and detection of fraud, waste, and abuse, in accordance with the requirements of the federal Deficit Reduction Act of 2005.

Observation Authorization

Prior authorization is required for elective and direct placement into observation (i.e. from home, physician office, etc.)

ER Auto-Pay List

Click on the link above for the ICD-10-CM version of the Emergency Room Auto-Pay List.

Information current as of: