Electronic Transactions

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.

PaySpan
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).

Secure Web Portal
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI
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. 

Companion Guide – Coming Soon

For questions or more information on electronic filing please contact:

SilverSummit Healthplan

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:

SilverSummit Healthplan

Attn: Claims Department

PO Box 5090, Farmington MO 63640-5090