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 | 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
Virginia Premier Elite, Platinum and Gold Plans will accept HCFA-1500 and UB-92 paper claims for these programs. Please mail the claims to the following address:
Virginia Premier EliteP. O. Box 4250
Richmond, VA 23220-8250
Elite 837 Companion Guide– Instructions related to 837 Health Care Institutional & Professional Claims Transaction Based on ASC X12 Implementation Guides