New Claims System Update
VERDA
IntegraNet Health is implementing an upgrade to a new claims processing system and Provider Portal. Claims for dates of service on or after January 1, 2024, are currently being processed. We ask that you bear with us during the transition of services as we continue to strive to make our service better. You will soon receive an invitation to enroll on the new portal.
VERDA HEALTH PLAN OF TEXAS-MEDICARE ADVANTAGE
- Use Provider Portal to verify eligibility and claims payor: www.integranet.quickcap.net/
- 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: www.integranet.quickcap.net/
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 c/o VERDA P.O. Box 7540 Houston, TX 77008-9998 |
Provider Portal www.integranet.quickcap.net/ |
Payor ID=INET1 Clearinghouse: VisibilEdi.com *Contact your clearing house for variations of this payor ID |
Provider Demographics/Customer Service Questions: Submit a ticket through our ticket system under the Customer Service Module. www.integranet.quickcap.net/ Claims Processing Department Customer Service: 832-320-7220 |
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 (832) 320-7221 |
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
Not all services require precertification. For services/procedures that require precertification from IntegraNet or for a specific code to determine if precertification is needed (or not) use the precertification lookup tool online at Prior Authorization Requirements :: IntegraNet Health. For additional questions please call:
281-447-6800.