SilverSummit Healthplan is committed to providing our participating providers with the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims.
SilverSummit Healthplan and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).
Visit PaySpan’s website for more information.
Secure Web Portal
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 6075525
The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.
SilverSummit Healthplan Payor ID is 68069. Our Clearinghouse vendors include Availity, Change Healthcare (formerly Emdeon) and McKesson.
For questions or more information on electronic filing please contact:
c/o Centene EDI Department
1-800-225-2573, extension 6075525
Or by e-mail at EDIBA@centene.com
Paper Claim Submission
For SilverSummit Healthplan enrollees, all claims and encounters should be submitted to:
Attn: Claims Department
PO Box 5090, Farmington MO 63640-5090