Electronic claims

Vendor information

Providence Health Plan contracts with numerous vendors to assist in filing claims electronically. Below is a list of our vendors along with pertinent information that can help you decide which vendor is the best fit for your office’s needs. Providence Health Plan offers electronic claims payment at no charge to our providers. Claims sent electronically are paid on average of 10 business days.

For assistance, contact us:

PHPEDISupport@Providence.org

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

If your clearinghouse is not listed, contact your vendor to check if they have a connection to one of the listed clearinghouses. You also can conduct a search of your clearinghouse online by typing the name of your clearinghouse along with “payer list” into your preferred search engine (e.g., Google, Yahoo, etc.)

835 Electronic Remittance Advice (ERA)

If you are interested in receiving the 835 Electronic Remittance Advice, or ERA, from Providence, please contact your clearinghouse. Your clearinghouse will set up the ERA for you. Once ready, the clearinghouse will contact PHPEDISupport to start sending your data. The ERA will be available each Monday and Wednesday from your clearinghouse. Along with the ERA, you will continue to receive paper EOPs until you notify Providence to stop sending paper.

Electronic Funds Transfer (EFT)

For clinics/facilities wishing to sign up for Electronic Funds Transfer (EFT), please fill out this form.

Questions?

For assistance, contact us:

PHPEDISupport@Providence.org

**Providence Health Plan does not pay for any costs associated with submission of paper claims.