Claims
The Claims Department at CompleteCare is committed to providing you with the highest level of service possible. Our mission is to pay claims correctly and quickly the first time. Doing it right the first time saves time and money for everyone. We want to help you improve the premier health outcomes of our members by reducing the time you spend on claims follow-up.
If you have questions for the Claims Department or suggestions on how we can improve our operations, please call us at 855-338-6467, press 3 for Providers then press 2 for Claims. Our fax number is 877-739-1362.
Claims Forms
All of our forms can be found in the Claims section of the Provider Forms Library.
Virginia Premier CompleteCare (Medicare-Medicaid Plan) Providers
Below is a list of resources to help with submitting claims:
API Claims Submissions:– We want to make the process as easy as possible. Learn about the portal and who to contact to get started here.
Clearinghouses:– Virginia Premier is pleased to be partnering with two of the largest clearinghouses in the industry to provide a full range of electronic capabilities for our CompleteCare providers and network partners.
| Clearinghouse | Phone | 837 Claims Professional | 837 Claims Institutional | 835 ERA | |
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| Availity – Providers | (800) 282-4548 | [email protected] | YES | YES | YES |
| Availity – Clearinghouse | (800) 282-4548 | [email protected] | YES | YES | YES |
| RelayHealth | [email protected] | YES | YES | YES |
CompleteCare Companion Guide– Instructions related to 837 Health Care Institutional & Professional Claims Transaction Based on ASC X12 Implementation Guides