Correct Billing Procedures

Health Partners Plans Correct Billing Procedures

Health Partners Plans has identified the most common electronic errors that occur and compiled a list of helpful hints.

  • All Health Partners Plans (Medicaid) claims must be submitted with the Member’s 9 digit Health Partners Plans ID number.
  • All Kidz Partners (CHIP) claims must be submitted with the 10 digit member ID number that starts with a three (3).
  • Claims for children should be billed with the child’s 9 digit Health Partners Plans member ID number.
  • Verify that the member ID number submitted on the claim is the patient’s Health Partners Plans /Kidz Partners ID number.
  • The sex indicator for the patient should be verified before claims are submitted.
  • All physician claims must be submitted with the individual rendering provider’s 10 digit National Provider Identifier (NPI) number.
  • All facility and ancillary claims must be submitted with the group or organizational 10 digit NPI number.
  • For CMS- 1500 claims, individual physician’s number should be entered in the “RENDERING PROVIDER ID. #” field (box 24J), The billing provider’s NPI number should be entered in the “BILLING PROVIDER INFO &PH #” field (box 33A).

To learn more about EDI and become a certified EDI Professional please visit our course schedule page.

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