Billing & Payment Information

Total Physicians, Hospitals & Others
PAYER ID: 38201


THC preferred clearinghouses: Emdeon, Ingenix, Netwerkes, SDS


Claim Address: Total Health Care Inc, Michigan

P.O. Box 21486

Eagan, MN 55121-0486


EOP/Remittance Advice: Visit. to obtain EOP/Remittance advice

now available through Ventanex. Claim line detail via THC Portal – see attached manual


Filing Limit: Medicaid – 365 days from date of service.

Commercial – 180 days from service date

Appeals and re-submission of unclean claims – 180 days from original denial date

Billing Guidelines THC follows Medicaid billing guidelines for all lines

of business. CMS edits apply according to

Medicaid rules.


Claims Manual: Claims Manual


Appeal Process Policy


Paper Claims: Paper claims must be standardized to meet

imaging specifications as noted below:


Insurance Refund Request Insurance Refund Request Form



  • Billing Tips & Guidelines
  • Use only the red and white CMS 1500 claim form with pre-printed patch code for all submissions including status claims. No copies or other forms will be accepted.
  • Use only the red and white UB 04 OCR/original claim for all submissions including status claims. No copies or other forms will be accepted.
  • Make certain print type on the claim is a dark and legible print and printed within the correct column/ box. Make certain that no data is on the red dividing line.
  • Eliminate all character symbols, i.e., periods, commas, etc.


  • Do NOT cut perforated forms. The claim forms should be separated in a burster or hand separated.
  • Do NOT handwrite on the claims forms. Type all claim information and comments.
  • Do NOT staple claims and attachments.


Behavioral Health Claims: Submit claims to Beacon Health Options

Contact Beacon Health Options at 855-377-2416


NDC Claims Submit 11 digit National Drug Code (NDC) with

corresponding procedure code.


ICD10 ICD10 Introduction

ICD-10 Coding Tips

ICD-10 Provider Compliance Information


Visit the CMS website for helpful information, using the links below: