Provider Benefit Tool
- Verify member eligibility by checking member ID cards or by logging into the Provider Benefit Tool (Need to enroll? See steps below.)
- Submit the claim via:
- Electronic Data Interchange (EDI) transaction
- U.S. Mail to:
- P.O. Box 30192 SLC, UT 84130 (for Commercial/Medicaid/CHIP)
- P.O. Box 30196 SLC, UT 84130 (for Medicare claims ONLY)
- Payer ID 20501, P.O. Box 211375, Eagen, MN 55121 (for Medicare claims in NV only)
- Monitor submitted claim with Provider Benefit Tool.
- Monitor NV Medicare claims here.
- Once a claim has been paid, providers receive either an electronic remittance advice as an Electronic Data Interchange (EDI) transaction or as a paper remittance advice. Access a Sample Remittance Advice and a Remittance Advice Key for more information.