Hometown Health Administrative Guidelines | Page 40

It is not Hometown Health ’ s practice to accept paper claims at our physical address . Altered Claims
Please submit clean claims with no alterations . Hometown Health will deny altered claims . A clean claim includes no correction fluid , correction tape , or handwritten changes on the claim .
Tracer and Resubmission Claims
A tracer or resubmission claim is a request for the status on a claim . Before submitting a tracer or resubmission claim , your office should allow enough time for your claim to process . Please check the status of the claim on Linkbefore submitting a tracer or resubmission . For more information , see the Linkt section .
Submit tracer and corrected claim to Hometown Health within 365 days from the date of service to :
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Hometown Health P . O . Box 981703 El Paso , TX 79998-1703 EDI Payer ID : 88023
To facilitate ease of member and service identification and claims payment for Hometown Health and Senior Care Plus members , we have set requirements for what defines a complete claim .
Complete claims requirements include :
• Member ’ s name ( enter exactly as it appears on the member ’ s ID card )
• Member ’ s ID number
• Member ’ s address
• Member ’ s gender
• Member ’ s date of birth ( mm / dd / yyyy )
• Member ’ s relationship to subscriber
• Subscriber ’ s name ( enter exactly as it appears on the member ’ s ID card )
• Subscriber ’ s ID number
• Subscriber ’ s employer group name
• Subscriber ’ s employer group number
• Rendering physician , health care professional , ancillary provider , or facility name
• Rendering physician , health care professional , ancillary provider , or facility representative ’ s signature