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Claims and Billing

Submit your claim online

Note: If you are currently using a practice management system that allows you to submit claims electronically to Change Healthcare, please continue to utilize that service. The HSCSN provider portal is not intended to replace your electronic claims process. If you are not sure if your current system has this feature, you may want to contact your practice management system vendor directly.

**HSCSN’s Change Healthcare Payer ID for electronic claims is 37290.

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Claims Tips

Submit claims electronically

Handwritten and photocopied claims may be rejected. Please submit the current version of CMS 1500 and UB-04 claim form electronically. Change Healthcare is our clearinghouse provider. The HSCSN Payor ID is 37290.

Provide complete information on the HSCSN Enrollee

Please provide complete information for items such as the name, date of birth, and gender. Verify that this information matches the HSCSN enrollee’s ID card. Always confirm the correct spelling of the first and last name of the HSCSN enrollee. Errors and omissions of these items cause an unnecessary delay in processing the claim.

Provide complete information for yourself, the Provider

Please provide complete information regarding the provider, including the names of both the treating provider and the billing entity. The taxpayer identification number for the billing entity must be given for the claim to be processed correctly. The billing or remittance address must be accurate for the check and/or voucher to be sent to the correct payee.

Ensure that the treating provider signs the claim form

The treating provider must sign the claim form to verify that the services performed by the provider are accurately reflected in the services reported. The provider is legally responsible for the contents of the claim once the claim form is signed. Do not give a signed claim form to the HSCSN enrollee or designee to complete.

Include the complete diagnosis for the enrollee

If the HSCSN enrollee has more than one diagnosis, please be sure to report all relevant diagnoses on the claim. For the diagnosis code, include all the required digits.

List dates of service for each procedure code

For individual services on different dates, such as office visits, services must be billed on separate claim lines. We cannot accept dates of service combined under “from” and “through” dates. Each date of service must be shown separately.  For spanning services, such as DME rentals, it is permissible to use “from” and “through” date fields for consecutive dates, such as: FROM THROUGH #DAYS/UNITS 9/1/19 - 9/2/19.