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EDI-275: Additional Provider Portal Functionality

August 24, 2024

As of Aug. 17, 2023, providers may now send additional documentation in support of a member claim. This functionality was previously only available via mail and fax. Now, providers may provide this documentation through the provider portal during the claims submission process.

The provider may still choose to submit claims using the fax or mail process. The ability to submit claims via the provider portal is required by the health plan but optional for the provider to use.

As part of the regular process to submit a claim through the provider portal, the provider now has the option to add up to 9 attachments of up to 2 MB each, close to the end of the claims entry process.

Options for file format include:

  • PDF
  • TIF
  • TIFF
  • JPG
  • JPEG
  • DOCX
  • PNG
  • TXT
  • RTF
  • XLSX

For any questions, please contact Provider Services using the contact information below. Thank you for your partnership in improving the health of our community, one member at a time.

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Y0020_WCM_100876E Last Updated On: 8/24/2023