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Welcome Prescription Drug Plan members! We have important information to share with you about your 2019 plan. Read More. ×

Claims

Staywell wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements.

Institutional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions.

Professional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Other Resource Guides

Explains how to receive, load and send 834 EDI files for member information.

Instructions on how to submit a corrected or voided claim.

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Last Updated On: 12/4/2018