VERDA
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.
VERDA HEALTH PLAN OF TEXAS-MEDICARE ADVANTAGE
Questions regarding the Members Benefits Package contact VERDA Health: 877-933-6767
Eligibility and Benefits contact IntegraNet Health: 832-456-2630
Claims payment for Medicare Advantage members:
Use Provider Portal to verify eligibility and claims payor: Click here.
- Verify provider network status with IntegraNet visit our 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://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 | Payor ID=INET1 INET2 – Trizetto Only 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. 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 For medical records only, submit via fax to: 1-800-783-9885 EXCEPT FOR HCA CLAIMS - BILL VERDA DIRECTLY |
To file an Appeal or Payment Dispute Resolution (PDR) please submit to: IntegraNet Health C/O Appeals and Reconsiderations 2900 N. Loop West Suite 700 Houston, TX 77092 or to file an Appeal online via the IntegraNet portal at www.inetdr.com (Appeals Only) |
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. For additional questions please call:
281-447-6800.
For an electronic copy of this information, please click here.