Claim Submission

 

SCAN offers two options for submitting claims:

Electronic Claim Submission (EDI 837: Healthcare Claim Transaction)

SCAN encourages Providers to submit claims electronically utilizing the EDI 837 Healthcare Claim Transaction.

Providers can contact their Clearinghouse (provide SCAN’s Payer ID# SCAN1) and Practice Management System (PMS) vendor or Hospital Information System (HIS) vendor to establish EDI 837 connectivity with SCAN.

Note: Provider submission must comply with current HIPAA EDI standards.

SCAN Clearinghouse Information
- SCAN EDI 837 Vendor: SCAN partners with Office Ally at no cost to providers
- SCAN’s Payer ID#: SCAN1
- Office Ally Contact Information:
- Phone: (360) 975-7000 (Mon-Fri, 5am-9pm PST, Sat/Sun 6am-5pm PST)
- Email: info@officeally.com
- Live Chat: support.officeally.com

Mailed Paper Claims

Providers can view the Address to Submit Claims on SCAN’s Provider Portal under the Eligibility Tab. The returned eligibility search will include the claim submission address.

Paper claims, which are the responsibility of SCAN, must be submitted on current CMS standard UB-04 or CMS -1500 forms and mailed to:

SCAN Health Plan
P.O. Box 21543
Eagan, MN 55121

Paper claims for the service providers listed below can be mailed to:

Service Provider Claim Submission Address
American Specialty Health (ASH) California Claims Department, PO BOX 509002, San Diego, CA 92150-9002
American Specialty Health Group (ASH) National Claims Department, PO BOX 509001, San Diego, CA 92150-9001
American Specialty Health Group (ASH) Texas Claims Department, PO BOX 509078, San Diego, CA 92150-9078
Delta Dental PO Box 997330, Sacramento, CA 95899
Carelon Behavioral Health PO Box 2759, Cypress, CA 90630
LUCET PO Box 6729, Leawood, KS 66206-0729
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