We want to thank you for the essential services that you provide to our beneficiaries.  As you are aware, our current process of claim submission is by fax or mail to our office.  Once review has been completed, an EOB Billing Letter is sent with the appropriate Ecard information to process payment.  To offer you the highest level of service, and to assure prompt and accurate processing of claims, we are partnering with a professional claims administrator, Florida Health Administrators (FHA).  We ask that after April 1, 2017 you submit all claims as outlined below. If you recently filed claims to us, you do not need to take any action as we will make sure to handle the claims appropriately.  As a reminder, please submit all previous year claims by March 31, the timely filling cutoff date.

To file a claim, please review the available methods below:

1.       EDI Submission

Please use Electronic Payer ID  86753.  You may also take advantage of the ability to upload claims, review submitted claims, and send/receive messages directly by registering at the below portal:

Registration Link

2.       Paper

Please mail the CMS 1500 for Professional Sites of Care or Institutional Providers the UB-04 to FHA-TPA at the following P.O. Box.

Florida Health Administrators TPA 
P.O. Box 21426 
Eagan, MN 55121

Please make sure to include a copy of the Explanation of Payment from the primary payor and indicate the member’s identification number.  For Plan name, please use The Assistance Fund to complete the secondary or tertiary payor in Form Locator 61 for UB-04, and for the CMS, please use The Assistance Fund for Box 9c. Place The Assistance Fund member's ID into Box 1a.


3.       Fax

Please fax the CMS 1500 for Professional Sites of Care or Institutional Providers the UB-04 to FHA-TPA at the following Fax Number.

Fax Number – (954) 901-2711

Please make sure to include a copy of the Explanation of Payment from the primary payor and indicate the member’s identification number.  For Plan name, please use The Assistance Fund to complete the secondary or tertiary payor in Form Locator 61 for UB-04, and for the CMS, please use The Assistance Fund for Box 9c. Place The Assistance Fund member's ID into Box 1a.

 

To receive payment on a claim, please review the available payment methods below:

1.       QuicRemit

A fax is sent to your office containing a virtual credit card with a number unique to each payment transaction.  The amount of credit is for the total due for claims processed during that cycle for all Payers members.  You will receive a detailed Explanation of Payment in the fax along with the card number.  Please note:

a.       Standard credit card debit transaction fees apply.  Payments are received 7-10 days earlier than paper checks since there are no print and mail delays.

You can “opt out” of this payment option at any time by calling 888-834-3511.  If you “opt-out” all future payments will be delivered via Electronic Fund Transfers (EFT) or paper check at your direction.

2.       Electronic Funds Transfer (EFT) / Automated Clearing House (ACH)

By providing your banking account information to ECHO, you can receive payment via EFT.

a.       Minimal transaction fees may apply to EFTs.  We recommend that you check with your banking institution.  Payments are typically received 2-5 days faster than paper checks since there is no print and mail delays.

b.       You may “opt in” to this process by logging in to www.providerpayments.com . If you chose this option, you would continue to receive payments via EFT until such time as you call and let us know that you prefer another payment option. 

3.       Paper Check

a.       To receive paper checks, please call 888-834-3511.

b.       If you elect this option, you will receive payments via paper check until you call and elect another payment option.

 

If you are already registered with ECHO or QuicRemit, there is no additional action required. 

 

Copyright © 2009 FHA-TPA.All Rights Reserved

HOME | ABOUT US | PRIVACY | DISCLAIMER | CONTACT US