How To Submit Claims To Select Health

For Select Health, 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

• Select Health supports electronic claims submission through EDI/UHIN and offers a Provider Benefit Tool for claims and eligibility review. The provider manual also allows paper claims, with different mailing addresses for Select Health Medicare and for provider appeals. The manual points providers to the Select Health EDI page for companion guides and forms. Claims status and eligibility review are handled through the Provider Benefit Tool for registered users.

Submission channels

• EDI through UHIN
• Practice Management Software (PMS) / electronic claims transactions
• Paper claim forms (CMS 1500 for professional services; UB-04/UB-92/04 for facility billing)
• Provider Benefit Tool for claims and eligibility review
• Mail (paper claims and appeals, depending on line of business)

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Select Health Medicare, P.O. Box 30196, Salt Lake City, UT 84130-0196
• Select Health Provider Appeals, P.O. Box 30192, Salt Lake City, UT 84130-0192

Corrected claims and follow-up

• The sources reviewed did not identify a general corrected-claim submission rule for all Select Health products.

• The manual notes that electronic 835 remittances may reverse and correct claims on the same transaction when a claim is paid incorrectly.

• Claims status resource 1

• Claims status resource 2

Caveats

• The reviewed sources do not provide a single universal paper-claim address for all Select Health product lines.
• Electronic access to claims and eligibility information is available to participating providers only.
• Non-contracted providers are directed to call Member Services for benefits, eligibility, and claims information.

Provider resources

• Provider Reference Manuals (official)
• Provider Benefit Tool (official)
• Provider Access Point / Join Our Networks (official)
• Preauth & Care Plan Tool announcement (official)
• Claims submission / EDI resources (official)

Sources