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Electronic Transactions

MHS Health Wisconsin 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
MHS Health Wisconsin and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s). Enroll today! Call PaySpan Health at 1-877-331-7154 or register at www.payspanhealth.com.

Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

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.

Trading Partner Payer ID Telephone
Availity MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) AVAILITY (282-4548)
Allscripts/Payerpath MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 654-0889
Capario MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (888) 894-7888
Claim Remedi MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 763-8484
Claimsource MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
CPSI MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 711-CPSI (2774)
DeKalb MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
Emdeon/WebMD/Envoy MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 845-6592 # 2
First Health Care MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
Trizetto Provider Solutions (formally GatewayEDI) MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 969-3666
GHNonline MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (877) 932-6301
IGI MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
McKesson MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 527-8133 # 1
MD On-Line MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (888) 499-5465
Netwerkes MHS/NHP and Advantage by MHS – 68069 (262) 523-3600
Physicians CC MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
Practice Insight MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (713) 333-6000
RelayHealth/NDC/Per Se MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 527-8133 # 1
Smarta Data MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
SSI MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068  
Viatrack MHS/NHP and Advantage by MHS – 68069 Behavioral Health – 68068 (800) 426-3385