Hometown Health

How To Submit Claims To Hometown Health

Hometown Health supports electronic claims submission using EDI Payer ID 88023 and provider self-service claim status checking through EpicCare…

Short answer

Hometown Health supports electronic claims submission using EDI Payer ID 88023 and provider self-service claim status checking through EpicCare Link/HealthConnect. Paper claims are not preferred and should be used only if electronic submission is not…

Hometown Health's reviewed provider guidance starts with this submission channel: Electronic claims via EDI. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

  • Hometown Health supports electronic claims submission using EDI Payer ID 88023 and provider self-service claim status checking through EpicCare Link/HealthConnect. Paper claims are not preferred and should be used only if electronic submission is not possible. Paper claims must be on CMS-1500 or CMS-1450 (UB-04) and mailed to Hometown Health in Reno, NV. Corrected/tracer claims should be checked in EpicCare Link before resubmission, and submitted within 180 days from date of service. Hometown Health also states that claims status can be checked online and that providers should use EpicCare Link during the first 30-45 days after submission.

Submission channels

  • Electronic claims via EDI
  • EpicCare Link / HealthConnect for claim status and related self-service workflows
  • Paper mail
  • Fax for some provider communications during contingency situations; not the preferred claim method

Electronic claims payer IDs

  • 88023

Paper claims addresses

  • Hometown Health, 10315 Professional Circle, Reno, NV 89521

Corrected claims and follow-up

  • Check claim status on EpicCare Link before submitting a tracer or resubmission.

  • Submit tracer and corrected claims within 180 days from date of service.

  • Post-service claim reconsiderations by contracted providers must be submitted via EpicCare Link as a CRM request.

  • If disputed reconsiderations are resubmitted, new and material evidence is required or the request may be dismissed as duplicate.

  • Claims status resource 1

  • Claims status resource 2

Caveats

  • Paper claim submission is not the preferred method of claim receipt and should not be used unless the provider is unable to submit electronically.
  • Hometown Health says it only accepts CMS-1500 and CMS-1450 (UB-04) for paper claims.
  • The official administrative guidelines contain contingency language around paper/fax claims during the Change Healthcare disruption, so channel availability may vary by circumstance.
  • Claims reconsiderations are a distinct process from corrected claims.

Provider resources

Sources

FactValueSourceConfidence
EDI Payer IDProviders may submit claims electronically using EDI Payer ID #88023.Officialhigh
Paper claims address and form rulesPaper claim submission is not the preferred method; only CMS-1500 and CMS-1450 (UB04) accepted; mail to Hometown Health, 10315 Professional Circle, Reno, NV 89521.Officialhigh
Claim status onlineProviders can check the status of claims on-line using EpicCare Link.Officialhigh
HealthConnect / claim statusHealthConnect enables participating providers to manage eligibility, check claim status, and view pre-authorization submissions.Officialhigh
Corrected and tracer claimsSubmit tracer and corrected claim to Hometown Health within 180 days from the date of service.Officialhigh
Provider reconsideration workflowContracted providers must submit all post-service claim reconsiderations via EpicCare Link by completing a CRM request.Officialhigh

Last reviewed: March 27, 2026

Sources used: 2 official

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