There are two ways to submit your claim to Health Plus:
- Electronic Claim Filing Through a Clearinghouse
- Paper Filing
We understand how important it is for your medical claim submissions to be processed accurately and on time. That's why we strongly encourage you to submit your payment requests electronically.
Electronic Claim Filing Through a ClearinghouseYou may prefer to have a third party handle your claim filing. We can accommodate that preference too. You can still enjoy all the benefits of electronic filing, including:
- streamlined billing, resulting in reduced paperwork;
- faster claim delivery, since you're not using traditional mail;
- improved feedback/correction capability for claims with missing or invalid data;
- one address for you to use for all Health Plus claims;
- a receipt for your claims, showing proof of acceptance by Health Plus.
To get started, contact Claimsnet at the phone number or web site shown below. They will submit your claims directly to the Health Plus EDI (Electronic Data Interchange) gateway.
If you are already using a clearinghouse, then contact your current clearinghouse and instruct them to transmit through Claimsnet. Additionally, inform your clearinghouse that Health Plus of Louisiana’s Payer ID (or NAIC #) is 95009. If your established clearinghouse is not able to transmit through Claimsnet, you will need to establish a relationship with Claimsnet in order to submit claims electronically to Health Plus.
Paper Filing
Although we recommend electronic filing, you may occasionally need to submit your payment requests on paper. To help expedite the process, we've implemented new technology that electronically scans, sorts, and stores your paper claims. This reduces manual keying errors and improves the response time on your paper claims. To send paper claims, use the address shown below. Please do not send claims to our Shreveport office as this may cause a delay in payment.
Paper Claims Filing Address
Health Plus of Louisiana Inc
PO Box 69316
Harrisburg PA 17106-9316
You can help us by adhering to the following guidelines when completing and submitting paper claims:
- Use the UB92 claim form for hospital charges or the CMS 1500 form for all other claims. Please use original claim forms (either pre-printed "red" versions or an original printed copy downloaded from our website) because they will scan better than photocopied versions.
- Make sure that all the appropriate UB-92 form fields and CMS-1500 form fields are completed. This will help avoid returned claims due to missing information.
- Refer to the Member's current ID card to be sure that you have the appropriate member ID number and suffix, as well as the correct address for submitting claims.
- Use machine-printed forms whenever possible. If you need to handwrite information, please use black ink.
Note: It is important to include the Member's ID number on all claim attachments and correspondence.