Watch for the upcoming Provider Satisfaction Survey!
Oct 12, 2023
Effective January 1, 2022, CCA has two claims processing systems based on product as outlined below. Please ensure you are utilizing the appropriate billing addresses and payor IDs by product to minimize reimbursement delays.
Medicare Advantage Plan Claims
Please reference the Medicare Advantage (MA) Provider Manual, Section 6, “Claims and Billing Procedures,” for billing guidance, EDI claims information (including payor ID), and billing address.
Electronic Claims Submissions
- To submit original claims, or corrected claims, electronically, providers must submit claims through Change Healthcare Portal and/or your clearinghouse using the MA payor ID 14316.
Paper Claims
- Mail MA paper claims (original/corrected) to the address below.
Commonwealth Care Alliance – MA
P.O. Box 3012
Milwaukee, WI 53201-3012
Claim Status
- To check the status of a claim, providers must use the QicLink Benefit Exchange system.
Senior Care Options and One Care Plan Claims
Please reference the Senior Care Options / One Care Provider Manual, Section 6, “Claims and Billing Procedures,” for billing guidance, EDI claims information, and billing address.
Electronic Claims Submissions
- To submit original claims, or corrected claims, electronically, providers must submit claims through the EZNet Online Claims Web Portal or your clearinghouse using the SCO/ONC payor ID 14315.
Paper Claims
- Mail Senior Care Options / One Care paper claims (original/corrected) to the address below.
Commonwealth Care Alliance
P.O. Box 548
Greenland, NH 03840-0548
Claim Status
- To check the status of a claim, providers must use the EZNet Online Claims Web Portal.
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