WellPoint
IntegraNet Health is completing a conversion to a new claims processing system and Provider Portal. We ask that you bear with us during the transition of services as we continue to strive to make our service better. If you have not already, please enroll in the new portal.
AMERIGROUP
IntegraNet Health processes claims for Wellpoint (formerly Amerigroup) Medicare Advantage Plans (except PPO) for members of our Primary Care Physicians.
- Use Availity Provider Portal to verify eligibility and claims payor: https://www.availity.com
- Questions regarding the members Benefits Package contact Amerigroup: +1 (800)-600-4441
- Verify provider network status with IntegraNet visit our Provider Directory on our website
- Timely filing for In-Network providers: 95 days from date of service
CLAIMS PORTAL
- Submit claims electronically
- Check the status of an existing claim
- Download EOP's and/or 835 remittances
- Check Eligibility
- Available to Network and Non-Network providers
Self-Register: https://visibiledi.com/integranet/Account/Register
Additional claims information - including the Enrollment Packet: https://www.integranethealth.com/
Additional claims information - including the Enrollment Packet: https://www.integranethealth.com/
PAPER CLAIMS
- Original, red and white CMS-1500 or CMS 1450 with black machine printed text
- Attachments must be on 8.5"x11" paper accompanied by valid claim form
- No photocopies or altered claims will be accepted
| HOW TO SUBMIT A NEW CLAIM, CORRECTED CLAIM, OR RESUBMIT A CLAIM | ||
|---|---|---|
| Paper Claim | Electronic Claim | Payor ID |
| IntegraNet Health Claims Department c/o Wellpoint P.O. Box 924528 Houston, TX 77292 |
Provider Portal https://visibiledi.com/integranet/Account/Register |
INET1 INET2 - Trizetto Only Clearinghouse: VisibilEdi.com *Contact your clearing house for variations of this payor ID |
Claims Processing Department Customer Service: (832) 320-7220 Problems with Provider Portal submit a web-ticket (not for claim submissions):
Provider portal & Appeal Status form
INet Claims Appeals, Reconsiderations & Anthem Priority Form
|
DO NOT SUBMIT PAPER/ELECTRONIC CLAIMS TO APPEAL AND RECONSIDERATIONS THESE WILL NOT BE PROCESSED FOR PAYMENT Appeals and Reconsiderations (also see Appeals FAQ): Fax 1-800-783-9885 |
Effective October 1st to file an appeal or reconsideration please file to: IntegraNet Health C/O Appeals and Reconsiderations 2900 N. Loop West Suite 700 Houston, TX 77092 or file online via the IntegraNet portal at www.inetdr.com |
PRIOR AUTHORIZATION
Providers are solely responsible for and are strongly encouraged to verify authorization requirements prior to rendering service. All questions regarding prior authorizations call:
Utilization Management: 281-591-5289.