Celtic Insurance Company dba Ambetter
How To Submit Claims To Celtic Insurance Company dba Ambetter
Provider-side claims submission guidance for Celtic Insurance Company dba Ambetter, including channels, payer IDs, paper addresses, and follow-up resources.
For Celtic Insurance Company dba Ambetter, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.
At a glance
- Claims may be submitted electronically through the secure provider portal or through clearinghouses/EDI; paper claims can be mailed to a P.O. Box that is state-specific in some materials, but one common Ambetter paper-claims address repeatedly appears in quick-reference guides. Corrected-claim handling is state-specific and may require the plan's corrected-claim process or CMS claim form for paper/EDI submissions.
Submission channels
- Secure Provider Portal
- EDI / clearinghouse
- Paper claim mail
Electronic claims payer IDs
- 68069
Paper claims addresses
- P.O. Box 5010, Farmington, MO 63640-5010
Corrected claims and follow-up
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Use the plan's corrected-claim process as described in the provider manual.
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Some Ambetter guidance says to allow time before resubmitting a correction after an electronic or paper submission.
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At least one Ambetter state communication says to submit a corrected claim with medical records or correspondence attached when disagreeing with a denial.
Caveats
- Submission methods and mailing addresses vary by state and by business unit; confirm in the exact provider toolkit/manual for the member's plan.
- The common EDI payer ID 68069 is shown in multiple state quick-reference guides, but should still be validated against the applicable state manual before filing.
- Some payer materials separate claim reconsideration/dispute from corrected claim submission.
Provider resources
- Ambetter Health Provider Toolkit (state-specific landing page examples and access to provider manual / pre-auth tools / claims) (official)
- Ambetter of Illinois 2026 Provider and Billing Manual (official)
- Ambetter of Illinois Provider Resources: Manuals and Forms (official)
- Ambetter Health provider news / operational updates (state-specific example) (official)
Sources
| Fact | Value | Source | Confidence |
|---|---|---|---|
| Georgia quick reference guide | Claims can be submitted via secure portal, EDI payor ID 68069, or paper claims to P.O. Box 5010, Farmington, MO 63640-5010. | Official | high |
| South Carolina quick reference guide | Claims can be submitted via secure portal, EDI payor ID 68069, or paper claims to P.O. Box 5010, Farmington, MO 63640-5010. | Official | high |
| Illinois provider manual | Health plan contact / paper-claims address shown as P.O. Box 733, Elk Grove Village, IL 60009-0733 for Ambetter of Illinois. | Official | high |
| Illinois provider manual | Provider must use plan-specific manual for claims, utilization review, and billing procedures. | Official | medium |
| Texas claims denial article | Corrected claims may be submitted when changes/modifications are needed; paper/EDI submissions require appropriate CMS billing form. | Official | medium |
Last reviewed: March 27, 2026
Sources used: 4 official