EDI vendors

Providence Preferred Electronic Claims Vendors

Providence Preferred PPO contracts with several electronic claims vendors and the information below can help decide which vendor would work best for your office. Providence Preferred offers free electronic claim transaction fees for our members and electronic claims are paid on an average of 10 business days.

Electronic Claims Vendors

*AMB/MCPS Medical Claims Processing Solutions
Contact: Steve Singer, 503-291-7134 ext. 12 or Steves@ambpro.com See AMB/MCPS for payer ID for PPO claims


CareVu
Contact your CareVu representative for electronic claims information. Sub-contracted through MedAvant (ProxyMed).
Payor ID: PPO = PHP00


ENS
Contact your ENS representative for electronic claims information. Sub-contracted through MedAvant (ProxyMed).
Payor ID: PPO = PHP00


Gateway EDI
Contact your Gateway EDI representative for electronic claims information. Sub-contracted through MedAvant (ProxyMed).
Payor ID: PPO = PHP00


*McKesson HBOC
Contact your McKesson representative for electronic claims information or call 800-891-8601.
Payor ID: PPO-Professional = 2403, PPO-Institutional = 1915


*MedAvant/ProxyMed
Contact: Provider.Enrollment@MedAvantHealth.com or 800-792-5256 Ext. 812
Payor ID: PPO = PHP00


*Per Se' (formerly National Data Corporation - NDC)
Contact your McKesson representative for electronic claims information or call 408-985-1777
Payor ID: PPO=2411


*Payer Connection
Contact: products@payerconnections.com or 503-419-6208
Payor ID: PPO = PPOOR


*Per Se' Technologies
Contact: Corrine Morrow, Corrine.Morrow@Per-Se.com or 847-608-7000 Ext. 111
Payor ID: PPO = 1999001


*SSI Group
Contact: Thomas Mitchell 800-880-3032 Ext. 1131 or Thomas.Mitchell@ssigroup.com
See vendor for Payer ID


THIN
Contact your THIN representative. Sub-contracted through MedAvant (ProxyMed).
Payor ID: PPO = PHP00

Questions?

Contact your Providence Health Plans Provider Relations Representative or Deb Wallenstein, Providence Health Plans EDI Coordinator at 503-574-7450 or Debra.Wallenstein@providence.org


*Indicates a direct connection with Providence Health Plan and clearinghouse.

Providence Health Plan does not pay for any costs associated with submission of paper claim