How To Submit Claims To Peak Health

Coverage: Peak Health participating-provider guidance; distinguish Peak Health LLC third-party administration in West Virginia, Pennsylvania and Kentucky from West Virginia Peak Advantage PPO insurance.

Peak Health claims guidance from the reviewed sources: Electronic claims under Peak’s participating-provider billing instructions. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

• The manual requires electronic claims except for the specified nonparticipating or incapable-provider exceptions.

Submission channels

• Electronic claims under Peak’s participating-provider billing instructions.
• CMS-1500 or UB-04 paper claims only where the manual’s exception applies.

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Not clearly published in the researched sources.

Corrected claims and follow-up

• Not clearly published in the researched sources.

• No direct topic-specific link was captured in the current research set.

Caveats

• A clearinghouse may assign its own routing ID; no universal ID is asserted. Old mailing addresses are omitted. Verify product and contract before billing.

Provider resources

• Official 2026 Medicare documents (official)
• Official policy source (official)
• Official policy source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed official indexed participating-provider manual text, the policy library and 2026 Medicare documents. Separated insurer and administrator scope.
• Direct main-site/manual retrieval was blocked by HTTP 403. Indexed official evidence supports the limited filing/submission facts, not a complete current PA intake process.