EDI Connectivity Information - Kansas

A. Is there a logo on the front side of the patient's health insurance card?

If this network repricing plan logo is present on the front side of the patient's health insurance card and you are a participating provider with PHP or HPK please use the EDI connectivity information below. If you are a non-participating provider filing claims, please use the EDI connectivity information in Section B below.

PHP is currently accepting claims electronically thru the following Clearinghouses:

Providers using one of these clearing houses should contact their rep for details as to what they will need to do to be able to send claims electronically.

If a provider uses a billing service, they should contact their billing service provider and have the billing service provider make the appropriate contacts to submit claims electronically.

We will also accept claims directly from providers if they can submit compliant ANSI 837 transactions (ASC X12N 837 004010X098A1, 004010X097A1 & 004010X096A1).

Clearinghouse logo

B. No logo on front side of card, non-participating hospital provider, or a provider filing non-hospital claims?

If the above displayed logo is not present OR the logo is present but you are a non-participating hospital provider OR a provider filing non-hospital claims, there are several methods for submitting claims, depending on the EDI connectivity available to you and/or your clearinghouse:

1. HDM (can be used only if the provider uses HDM's Qwik File Product)

2. THIN

3. Emdeon

  • Payor ID: Hospital: 12T31; Medical: TH095
  • Phone number: 1-800-845-6592
  • Website: www.emdeon.com

C. Need further assistance?

If you need further assistance, please call 1-888-755-3064.

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