INTEGRANET-AMERIVANTAGE

DATES OF SERVICE BEGINNING August 1, 2019

IntegraNet Health is processing claims for all Amerivantage Plan members of our Primary Care Physicians. 

 

Two changes will affect the network of providers used for these patients:

• CLAIMS PROCESSED BY INTEGRANET - Claims for Amerivantage members assigned to our contracted Primary Care Physicians. 
• NETWORK  - The network will be comprised of physician and ancillary vendors contracted directly with IntegraNet for the Amerivantage Medicare Advantage products.

In-Network Lab – LabCorp

In-Network Hospital – HCA Houston Health System

See ‘Find A Doctor’ for a complete physician/ancillary/facility directory.

 

Claims FAQ

Claims Appeal FAQ

Claim Reconsideration-Appeal Request Form

Authorization Related Appeals FAQ

ARC Appeal Form

Refund Notification Form

Physician Profile Form – to update your contract and billing information

Provider Manual  

 

A letter and new ID Cards were sent to all affected members by Amerigroup.

• Sample ID Card
• Sample letter to Members

CLEARING HOUSE

The clearing house for IntegraNet is VisibilEdi. 

 

Payor ID

IntegraNet Health Payor ID for professional and Institutions claims: INET1

** The clearing houses may have variation of “INET”. Contact your clearing house for the correct payor ID variation**

EFT Form

     Click here for EFT form.

ELECTRONIC CLAIMS

INTEGRANET CLEARING HOUSE (PORTAL ACCESS)

Submit claims electronically, check the status of an existing claim, download EOP’s and/or 835 remittances, and

check patient’s eligibility. For access you may self-register at VisibilEDI

OTHER CLEARING HOUSES

Use your existing clearing house or enroll and use the IntegraNet clearing house - Visibiledi.

To enroll with VisibilEDI click here-User Guide

Please refer to VisibilEDI or Availity provider portals to verify eligibility

Please continue to use your current method of checking for eligibility. You may also refer directly to Amerigroup to check eligibility. Visibiledi is in the process of loading eligibility.

*If for any reason eligibility is not available in the IntegraNet provider portal VisibilEDI, providers may use Amerigroup’s provider portal Availity.

OUT OF NETWORK

Out of network providers filing a claim electronically or by paper will also need to complete  Wavier of Liability.

All enrollment forms should be returned to :

Providers: credentialing@integranethealth.com

Ancillary: AncillaryContracting@integranethealth.com

For instructions on how to navigate the portal and file a claims, check status of a claim use the IntegraNet Provider Portal User Guide

To file an electronic claim: Visibiledi   Inetclaims.com

 

IntegraNet Health Claims Department – Only original HCFA and UB paper submissions

1813 W Harvard Ave., Suite 204

Roseburg, OR 97471

Phone: (541) 464-6296 – Claim status inquiries and claim payment questions

 

Reconsiderations and Appeals:

Fax: (832) 320-7221

Claim Payment Disputes and All Anthem requests:  INET Claims Appeals, Reconsiderations & Anthem Priority form

Reconsideration and Appeal Status inquiry: Appeal Status Form

 

Click Here to submit a request.

 

For additional information, please reference the IntegraNet Provider Manual.

To begin the credentialing process, please contact our credentialing department at:

     credentialing@integranethealth.com or complete the contact form by clicking here.

To begin the credentialing process for ancillary providers, please contact us at:

     AncillaryContracting@integranethealth.com