Providers

Billing & Payment Information

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. https://providerpay.secureconduit.net 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 claimsappeal@thcmi.com 313-748-1393
Paper Claims:	Paper claims must be standardized to meet imaging specifications as noted below:
Insurance Refund Request	Insurance Refund Request Form

DO’S

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.