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IHC Health Solutions (IHC) is a Third Party
Administrator for a number of insurance companies and self-funded
corporations. We utilize many different PPO's throughout the country and to determine
the method of submitting electronic claims to IHC you will need to know the PPO (if any)
that is shown on the front of the member's ID card.
If the front of the ID card shows PHCS, First
Health, Beech Street, Interplan, Verity, Evolutions, ppoNEXT, Ohio Health Choice,
InterWest or Multiplan as the member's PPO (the
logo will be in the upper middle of the card), then you
may submit your electronic claims to either Emdeon or ENS or Availity.
For Emdeon our payor id is 86304. For ENS and Availity, our
payor id is IAC01. If you cannot have your electronic claims
reach any of these 3 networks, please continue to send paper claims
to this address: IHC, PO Box 21456, Eagan, MN 55121-0456.
For all other PPO's , if you
are a participating provider in that PPO shown on the front of the
card, you should follow the instructions you have received from that PPO
to submit electronic claims to them. Your PPO will then forward the
claims to IHC.
If there is no PPO Network
logo on the front of the card OR if you are not a participating
provider in the network shown on the front of the card, you
may submit your electronic claims to Emdeon with our payor id of 86304 or
to either ENS or Availity with our payor id of IAC01.
If you are a dental provider ,
please send paper claims to IHC, PO Box 21456, Eagan, MN 55121-0456. We are not yet
ready to accept electronic dental claims.
Should you require
further assistance, please call IHC at 815-316-6710.
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