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HealthPartners has relationships with the following intermediaries to provide clearinghouse functions for providers who want to submit claims and perform other transactions electronically with HealthPartners:

EDI Vendor	Payer ID
Availity	07003
ClaimLynx	00055
Change Healthcare	SX009 (Professional) 12X51 (Institutional)
Health E-Connect	55764
MedData Health	10484
Optum Healthia Exchange	Contact the Clearinghouse
PNT Data	HPAMN
Relay Health	3411 (Professional) 1525 (Institutional)

 

Providers are required to contact these intermediaries directly to enroll for electronic transaction with HealthPartners. Providers may also check with their current clearinghouse to find out if they can submit to any of the intermediaries.

Some of the electronic transactions that providers can perform through HealthPartners approved clearinghouses include:

• Submit claims electronically (837)

• Receive electronic remittance advice (835)

• Verify patient eligibility and coverage (270/271)

• Check the status of a claim (276/277)

Midlands Choice will be reaching out to providers' offices in the near future that have a large volume of paper claims submitted to HealthPartners and will assist those offices in getting set up to submit claims electronically.

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