Electronic Transactions

PA Health & Wellness is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan
PA Health & Wellness and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).

Secure Web Portal
Partial list of secure website functions include verify participant eligibility, view PCP listing, check/submit/correct claims, submit/confirm authorizations, update provider demographic data, view provider specific reports and Patient Analytics, and communicate with PA Health & Wellness using Secure Messaging.

EDI
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 25525.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

APEX INFINEDI
Availity
InMediata
ClaimMD
Mckesson
ClaimRemedi
MDONLINE
ClaimSource
Medavant
EDI360
Netwerkes                     
ELIGIBLEAPI
Payerpath
Emdeon is now Change Healthcare PrInsight
ENCODA
SDS
Experian
SSI
FirstHealthcare
ViaTrack
GatewayEDI
Xactimed
GHNOnline
Zirmed