Introduction
Provider Services is a team of experienced people whose mission is to help you provide quality care to PrimeWest members and ensure prompt, accurate payment for that care. We will help you with your claims, coding, contracting, and credentialing. At this link we will also provide the latest updates so you can quickly get the information you need.
>>>>> Important Notices <<<<<
Click here for Expansion Information
Posted: July 10, 2008
All corrected claims require an Adjustment Request Form
Effective Monday, August 25, 2008, please note that any corrected claims will now require an Adjustment Request Form accompanying the corrected claim. Corrected claims requiring this form include any claims that have previously been submitted and have received a full payment, a partial payment/denial, or a total claim denial. You will need to include an Adjustment Request Form in any instance when you are correcting the original claim submission. The following includes a few situations when you will need to include the Adjustment Request Form, but should not be read as an exhaustive list:
• When one line of the claim was denied due to an issue with a modifier
• When the entire claim was denied for primary Explanation of Benefits (EOB)
• When the entire claim was paid, but you later realize it was submitted with the incorrect practitioner
• When a line of the claim was paid, but you later realize it was billed in error
The Adjustment Request Form found on our website is an "interactive" form. This means that you have the option to type the information into the form before printing. You may also save the typed information by selecting File>Save As and saving the completed document to your computer.
Posted: May 19, 2008
Comprehensive Elder Health Evaluation (CEHE) incentive
The Minnesota Department of Human Services (DHS) recently announced the implementation of a Comprehensive Elder Health Evaluation (CEHE) incentive payment for primary care providers.
PrimeWest Health would like to ensure that primary care providers who are currently contracted with us and working in our communities are aware of this opportunity.
• CEHE payment letter from DHS (April 8, 2008)
• CEHE Incentive from DHS (How it Works - May 9, 2008)
• CEHE program announcement letter (May 2008)
• Provider Incentive Fact Sheet Grid
If you have questions, please call the Provider Services Contact Center at 1-866-431-0802 (toll free).
Effective May 1, 2008 ALL paper claims and related correspondence must be sent to the PrimeWest Health Alexandria address.
Paper Claims should be sent to:
PO Box 369
Alexandria, MN 56308
All other correspondence should be sent to:
2209 Jefferson St, Ste 101
Alexandria, MN 56308
Use only toll free numbers for SAs
Starting August 1, 2007, PrimeWest will bring utilization review and Service Authorization processes in-house. The toll free phone and fax numbers will remain the same:
Fax: 1-866-431-0804
If you have been using any other numbers, please stop using them immediately (this includes numbers with the 612 area code).
If you mail a request, the new address starting August 1, 2007, will be:
Alexandria, MN 56308