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How to Submit a Claim

As a VNS CHOICE provider, you can submit claims electronically or by mail.

All claims must be received within 90 days of the date of services (or the timeframe in your agreement). If VNS CHOICE Medicare is not the member’s primary insurance, please submit the claim within 90 days of the date on the Explanation of Benefits or Explanation of Payment (EOB/EOP). Please use your National Provider Identifier (NPI) and Tax ID on all claims. See detailed information on the provider dispute process.

At VNS CHOICE, we believe that electronic claims submission offers several benefits, including greater efficiency, reliability and convenience, and improved cash flow. To enroll in our electronic claims submission, please refer to the Provider Manual for instructions.

Nursing home providers should mail claims to:

VNS CHOICE Medicare Claims Department
ATTN: Claims Department
1250 Broadway, 11th floor
New York, NY 10001

All other providers should mail claims and claims inquiries to:

VNS CHOICE Medicare Claims
P.O. Box 4498
Scranton, PA 18505

Covered Part D vaccine claims should be mailed to:

Caremark Medicare Vaccine Processing
P.O. Box 52193
Phoenix, AZ 85072-2193

For electronic submissions (not applicable to SNF providers):

Use VNS CHOICE Medicare Payer ID# 77073. We accept ANSI X12 8371 and 837P 4010 addendum versions. See the Provider Manual for details.

Downloadable Forms

Claims Dispute Form

Waiver of Liability Form

Detailed Information on the Provider Dispute Process

Contact

For any questions regarding claims status, please call Provider Services at 1-866-783-0222 from 8 AM to 8 PM, seven days a week.

Network pharmacies should call 1-888-352-5602 for support, 24 hours a day, seven days a week.

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