Transactions

MHS 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 Health – Free EFT/ERA Service for Providers
MHS and PaySpan Health are partnering to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs).

How to Charge a POWER Account
MHS participating primary medical providers may deduct the cost of certain services from Healthy Indiana Plan members’ POWER Account. Please follow these steps when presented with a POWER Account card…

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.

As of 4/15/2013, MHS updated the single payer IDs for electronic submissions:

  • Medical-68069
  • Cenpatico-68068

The 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.

Trading Partner Telephone
Emdeon/WebMD/Envoy (800) 845-6592 # 2
Gateway EDI (800) 969-3666
McKesson/HBOC (800) 735-8254
Capario/ProxyMed (800) 586-6938
Relay Health/NDC Corp (800) 942-3022
Relay Health/Per Se (563) 557-4265