The Claims Department 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 877-739-1370, 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

Clearinghouses

Virginia Premier Elite, Platinum and Gold Plans are pleased to be partnering with two of the largest clearinghouses in the industry to provide a full range of electronic capabilities for our providers and network partners. Our clearinghouse information is shown below: 

Clearinghouse
Phone
Email
837 Claims Professional
837 Claims Institutional
835 ERA
Availity
800-282-4548
support@availity.com
YES
YES
YES
RelayHealth
800-527-8133
DBQTSHInsuranceSupport@RelayHealth.com
YES
YES
YES

Paper Claims

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