Electronic Claims and Payments




Vendor information

Providence Health Plan (PHP) designates Zelis to carry out all claim payment-related functions, including check issue, EFT payments, and online EOPs. PHP no longer offers direct EFT payment arrangements. If you are interested in arranging electronic payments, please contact your bank or Zelis (855 496-1571) directly for assistance.


Below is a list of clearinghouses that Providence Health Plan has a direct connection with for submitting electronic claims and providing electronic remittance advice.


Providence Health Plan offers free electronic claims transactions fees for our members only. There is a possibility that you will have costs associated with other carriers or services.


Electronic claims are paid on an average of 10 business days.

Vendor Name Contact Information Transaction Types Plan ID/Payer ID Numbers
 Change Healthcare https://www.changehealthcare.com/ 
866-371-9066
Professional claims 
Institutional claims
ERA Electronic Remittance Advice
SX133
 Office Ally https://cms.officeally.com/ 
360-975-7000
Professional claims
Institutional claims
ERA Electronic Remittance Advice
PHP01
 SSI Group https://thessigroup.com/ 
800-820-4774
Professional claims 
Institutional claims 
ERA Electronic Remittance Advice
SX133
Trizetto Provider Solutions https://www.trizettoprovider.com/ 
800-556-2231
Professional claims
Institutional claims
ERA Electronic Remittance Advice
PHP01
 VisibilEDI https://www.visibiledi.com/ 
503-345-6440
Professional claims
Institutional claims
ERA Electronic Remittance Advice
PHP01

If your clearinghouse is not listed, contact your vendor to check if they have a connection to one of the listed clearinghouses. Also check the internet for payer IDs by looking for your clearinghouse and finding the payer identification list.


835 Electronic Remittance Advice (ERA). If you are interested in receiving the 835 Electronic Remittance Advice (ERA) from Providence, please contact your clearinghouse as they will set it up for you. Once ready, the clearinghouse will contact Providence Health Plan to start sending your ERA data. The ERA will be available on Mondays and Wednesdays of each week from your clearinghouse.


Regarding electronic claims or electronic remittance advice questions: Please send email to PHPEDISupport@Providence.org
Please include your tax id and clearinghouse information.

Providers

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