Passport Health Plan EDI

Passport Health Plan EDI Guidelines And Recommendations

Passport Health Plan EDI Program stimulates providers to submit claims electronically using Electronic Data Interchange instruments. Passport Health Plan EDI claims submitting allows faster, more efficient, and cost-effective claim submission for providers. EDI, performed in accordance with nationally recognized standards, supports the health care industry’s efforts to reduce administrative costs. Find below some useful answers to frequently asked questions regarding Passport Health Plan EDI.

What is the position of the Rendering Provider Network ID field?

According to Envoy proprietary format the Rendering Provider Network ID is in the following location:

if filing for hospital charges (UB 92) – 46:12
if filling Medical charges (HCFA 1500) – E6:14

Must I enter Providers Id number in block 33?

Every software is different and mapped differently. Please contact your software vendor for the location.

How soon will Passport Health Plan receive my claims?

Passport Health Plan will receive claims within 24 to 48 hours from Emdeon.

When will I receive my payment?

Usually it takes approximately 2 weeks or less for the payment to be processed.

How do I begin to do EDI billing with your company?

In order to bill Passport Health Plan electronically you will need to contact your vendor and/or clearinghouse to request for our payer ID be added to your list of payers. This should be sufficient to get you started.

What is Passport Health Plan Payer ID Number?

Passport Health Plan payer ID number is 61129.

I received a rejection report stating “Invalid Provider ID prevents Carrier from processing”. What does it mean?

This message is issued whenever Rendering Provider Network ID field on the electronic claim is populated with incorrect information. The field should only be populated with the Provider’s Individual ID number assigned by the Plan. 

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