Claims & Eligibility

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Claims & Eligibility

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How to Submit Claims

At VNSNY CHOICE we understand that easy filing and timely payment of claims are a high priority for our providers. So, although you may submit claims in writing by mail, there are many benefits to electronic claims submission: improved efficiency, reliability, convenience and cash flow.

In either case, claims must be received within 90 days of the date or services (or the time frame in your agreement).  If VNSNY CHOICE Medicare is not the member’s primary insurance, please submit the claim within 90 days of the date on the Explanation of Benefits or Explanation of Payment (EOB/EOP). Please use your National Provider Identifier (NPI) and Tax ID on all claims.

For step-by-step instructions on how to sign up for electronic claim submissions, please click on this link for the Emdeon Enrollment Guide. Enroll today at http://www.emdeon.com/enrollment. You'll be able to switch from paper to electronic submissions by filling in some simple information. 

Once you are registered, additional information for all our providers about how to submit claims can be found for all our providers in Section 9 of our Provider Manual.  

In the event of a claims dispute, the first step is to complete this Claim Dispute Form. You can also consult Section 9 of our Provider Manual to review the list of requirements needed for filing a dispute. Section 9 will also include the time frames for when a dispute can be filed. 

For electronic submissions:

Use VNSNY CHOICE Payer ID# 77073. 

Mail claims and claims inquiries to:

VNSNY CHOICE Claims
P.O. Box 4498
Scranton, PA 18505

Or call us at
1-866-783-0222
(TTY: 711)  
7 days a week, 8 am – 8 pm

Covered Part D vaccine claims should be mailed to:

MedImpact Healthcare Systems
P.O. Box 509108
San Diego, CA 92150-9108

Last updated 3/17/2016

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Toll Free: 1-866-783-0222

Toll Free: 1-866-783-0222
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Have any questions?

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