VERDA
VERDA HEALTH PLAN OF TEXAS - MEDICARE ADVANTAGE
| BENEFITS & ELIGIBILITY | ||
|---|---|---|
| Members Benefits Package contact VERDA Health | 877-933-6767 | |
| Eligibility and Benefits contact IntegraNet Health | 832-456-2630 or www.inetdr.com | |
| Provider Demographics/Customer Service Questions Submit a ticket through our ticket system under the Customer Service Module | https://integranet.quickcap.net/ | |
| Verify provider network status with IntegraNet visit our Directory on our website | ||
PROVIDER PORTAL
- Self-Register: www.inetdr.com
- 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
| 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 |
| Additional claims information - including the Enrollment Packet | https://integranethealth.com | |
| Timely filing for In-Network providers | 95 days from date of service | |
| Medical Records only fax to: | 1-800-783-9885 | |
| Claims Processing Department Customer Service | 832-320-7220 | |
| HCA CLAIMS - BILL VERDA DIRECTLY | ||
| DO NOT SUBMIT CLAIMS TO APPEAL & RECONSIDERATIONS. WILL NOT BE PROCESSED FOR PAYMENT | ||
| TO FILE AN APPEAL OR PAYMENT DISPUT RESOLUTION (PDR) | |
|---|---|
| Paper | Electronic Claim |
| IntegraNet Health C/O Appeals and Reconsideration Department 2900 N. Loop West Suite 700 Houston, TX 77092 |
Provider Portal APPEALS ONLY |
PRIOR AUTHORIZATION
Not all services require precertification. For services/procedures that require precertification from IntegraNet 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.