The Claims Department at CompleteCare is committed to providing you with the highest level of service possible. Our mission is to pay claims correctly and quickly the first time. Doing it right the first time saves time and money for everyone. We want to help you improve the premier health outcomes of our members by reducing the time you spend on claims follow-up.

If you have questions for the Claims Department or suggestions on how we can improve our operations, please call us at 855-338-6467, press 3 for Providers then press 2 for Claims. Our fax number is 877-739-1362.

Claims Forms

All of our forms can be found in the Claims section of the Provider Forms Library.

Virginia Premier CompleteCare (Medicare-Medicaid Plan) Providers

Below is a list of resources to help with submitting claims:

Clearinghouses:– Virginia Premier is pleased to be partnering with two of the largest clearinghouses in the industry to provide a full range of electronic capabilities for our CompleteCare providers and network partners.

Clearinghouse Phone Email 837 Claims Professional 837 Claims Institutional 835 ERA
Availity – Providers (800) 282-4548 YES YES YES
Availity – Clearinghouse (800) 282-4548 YES YES YES
RelayHealth (800) 527-8133 Opt 2 YES YES YES

CompleteCare Companion Guide– Instructions related to 837 Health Care Institutional & Professional Claims Transaction Based on ASC X12 Implementation Guides