How To Submit Claims To Florida Health Care Plan,

For Florida Health Care Plan,, 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

• FHCP accepts electronic and paper claims. The public claims page instructs providers to submit electronically via payer ID 59322, through Availity, or paper to P.O. Box 10348 in Daytona Beach, FL. Participating providers are directed to use the FHCP Provider Portal for eligibility, benefits, authorization, claim status, and electronic submission/document upload. Nonparticipating providers use Availity for status/eligibility/authorization information.

Submission channels

• Electronic via Availity
• Electronic via FHCP Provider Portal for participating providers
• Paper claims by mail
• Electronic funds/payment via VPay/ACH/835 options for payment only

Electronic claims payer IDs

• 59322

Paper claims addresses

• FHCP Claims Department, P.O. Box 10348, Daytona Beach, FL 32120-0348

Corrected claims and follow-up

• Mark paper corrected claims clearly as 'Corrected Claim'.

• Submit a copy of the remittance advice with the correction clearly noted.

• If submitting electronically, use appropriate frequency/bill type codes for replacement or void/cancel claims.

• If a claim was returned before processing, resubmit it as a new claim rather than a corrected claim.

• Do not submit modifier 25/59 coding-payment issues as corrected claims; FHCP directs these to coding and payment rule appeal with supporting documentation.

• Claims status resource 1

Caveats

• The public claims page does not provide a separate all-purpose e-claim submission companion guide URL in the reviewed excerpt.
• A specific paper claim address may be used for claims and a different address may be used for appeals; do not conflate the two.
• The public sources do not state a universal clearinghouse ID beyond payer ID 59322.

Provider resources

• Provider Claims (official)
• FHCP Provider Resource Guide (official)
• FHCP Provider Resource Guide (alternate copy) (official)
• Resources, Education & Support (official)
• Prior Authorization Form (official)
• Prior Authorizations FAQ (official)
• Utilization Management (official)

Sources