Electronic Transactions
Secure Provider Portal
The secure provider web portal offers many of the same features available through our Provider Services phone number, without the need to make a call - no waiting and no on-hold music!
On our secure provider portal you can:
- Verify Member Eligibility
- Submit Claims and Check Claim Status
- Submit and Confirm Authorizations
- And More!
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
MHS and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). Click here for more info.
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. 25525.
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.
MHS Trading Partners
Medical Clearing Houses
| Clearinghouses/Direct Submitters | Single Payer (Y/N) | Payer ID |
|---|---|---|
| Availity | Y | |
| Capario | Y | 68069 |
| Smarta Data | Y | |
| Allscripts/Payerpath | Y | |
| IGI | Y | |
| Physicians CC | Y | |
| Claimsource | Y | |
| Claim Remedi | Y | |
| First Health Care | Y | |
| Viatrack | Y | |
| GHNonline | Y | |
| Medassets/exactimed | pending single | |
| Practice Insight | Y | |
| SSI | Y | |
| Gateway EDI | Y | 68069 |
| Relay Health (relayhealth.com) / McKesson (mckesson.com) | Y | 68069 |
| MDOnLine (mdon-line.com) | Y | 68069 |
| CPSI | Y | |
| DeKalb | Y |
Cenpatico Behavioral Health LLC Trading Partners
| Clearinghouses/Direct Submitters | Single Payer (Y/N) | Payer ID |
|---|---|---|
| Availity | Y | |
| Capario | Y | 68068 |
| Smarta Data | Y | |
| Allscripts/Payerpath | Y | |
| IGI | Y | |
| Physicians CC | Y | |
| Claimsource | Y | |
| Claim Remedi | Y | |
| First Health Care | Y | |
| Viatrack | Y | |
| GHNonline | Y | |
| Medassets/exactimed | pending single | |
| Practice Insight | Y | |
| SSI | Y | 68068 |
| Gateway EDI | Y | 68068 |
| Relay Health (relayhealth.com) / McKesson (mckesson.com) | Y | 68068 |
| MDOnLine (mdon-line.com) | Y | 68068 |
| CPSI | Y | |
| DeKalb | Y |