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If you have other medical insurance, all medical bills must be first submitted to that carrier for their determination of eligibility. A-G Administrators requires 3 things to process a claim: Not all claims for members of GPS are filed to the same address. Contact First. 2. To view a sample of an itemized bill, click on the link below: Explanation of Benefits defines coverages from other health insurance providers. Fringe Benefit Group University of Minnesota, Medica Individual & Family Business Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. We do not accept paper claims for Medicare Supplement plan claims. GRV12345), please submit claims to: Payer ID: 41147 Mail: Gravie Administrative Services PO BOX 59212 Minneapolis MN 55459 For prior authorization and medical necessity, contact American Health Holdings : Fax: 866.881.9643 If you Check-ups, screenings and sick visits for adults and children. Note: documents in Excel format (XLS) require Microsoft Viewer, download excel. Attn: Claims Department WebUse this guide as a reference tool when submitting professional claims. WebAs a HCSM, members of Jericho Share voluntarily share in one anothers eligible medical needs based on the acceptance of the Member Information Guide. All dental claims should be submitted to EDI: 44054. We use cookies to give you the best possible user experience. For paper claims, please submit to Vivida at the following address: Vivida Health PO Box 211290 Eagan, MN 55121 The benefits of submitting EDI claims include: Improved cost effectiveness Improved claims tracking Electronic acknowledgment of claim receipt Faster payment of claims Better turnaround time for timely reimbursement Claims filed with Medicare will electronically transmit to Pekin Life Insurance Company for our Medicare Supplement insureds. P.O. By Phone. Eagan, MN 55121-0342, Rx Bin: 003858 Be sure to verify that services are covered under your plan by contacting your insurance company, human resources representative or benefits administrator directly. Rx PCN: MD You may also ask Us or Our Administrator for the applicable benefit limitations that apply to the ordered nonemergency health care services you are entitled to receive under your coverage. Login, ExpressScripts (ESI). Medica Choice Passport Minneapolis, MN 55440-0212, Authorizations/treatment plans are not required, Altru & You With Medica Did you receive an inquiry about buying MultiPlan insurance? Medica Select Solution If your provider is not listed, you may nominate him/her into the network by using the Nominate a doctor provider link at the top of this page.