Submitting Electronic Claims
The most efficient and cost-effective way of filing claims is by electronic transmission , or Electronic Data Interchange ( EDI ). It can reduce your administrative time , improve claim accuracy , and expedite claim payment turnaround time . Your office may submit claims to Hometown Health electronically using our EDI Payer ID # 88023 . If you would like to begin billing electronically please contact your claims clearinghouse for more information .
You can check the status of claims on-line using Link . For more information , see the Link section .
Submitting Paper Claims
Paper claim submission is not the preferred method of claim receipt and should not be used unless the provider is unable to submit electronically .
To expedite payment to your office , complete and submit a separate claim form for each patient . Hometown Health will only accept claims submitted on the CMS-1500 and the CMS- 1450 ( UB04 ) forms . The claim form must either be typed or printed from a computer , preferably red " drop out " ink . Any altered or handwritten claim may result in a denial .
Ensure that the claim form is filled out completely , correctly and legibly . Hometown Health may deny the claim if all necessary information is not included .
Please pay particular attention to the following items :
• Member ’ s name and enrollee identification number exactly as they appear on the member ’ s identification card
• Member ’ s birth date
• Provider ’ s Taxpayer Identification Number – Do not use a signature stamp that in any way obscures the TIN
• Provider ’ s National Provider Identifier and / or servicing provider ’ s NPI on the CMS- 1500 Accurate coding of all diagnoses and services in accordance with national coding guidelines
Mail the completed claim form ( s ) and pertinent documentation to :
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Hometown Health P . O . Box 981703 El Paso , TX 79998-1703 EDI Payer ID : 88023