Vaya Health

How To Submit Claims To Vaya Health

The shared provider site describes ProviderCONNECT claim workflows and electronic EDI/SFTP resources.

Short answer

The shared provider site describes ProviderCONNECT claim workflows and electronic EDI/SFTP resources.

Coverage: North Carolina legacy Vaya Health record; official provider resources now describe the shared Vaya Partners operation. Identify the member’s program and date of service. Vaya Health and Partners Health Management merged on October 1, 2026.

Vaya Health claims guidance from the reviewed sources: ProviderCONNECT claims workflow. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

  • The shared provider site describes ProviderCONNECT claim workflows and electronic EDI/SFTP resources.

Submission channels

  • ProviderCONNECT claims workflow.
  • EDI/SFTP submission using the applicable enrollment process.

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

  • Paper claims are limited; confirm eligibility before using paper. Detailed subpages were access-restricted and ProviderCONNECT requires login. No universal payer ID or postal address is asserted.

Provider resources

Sources

FactValueSourceConfidence
Official policy reviewThe shared provider site describes ProviderCONNECT claim workflows and electronic EDI/SFTP resources.Officialhigh

Update notes

Last updated: 2026-10-30.

  • Vaya Health and Partners Health Management merged on October 1, 2026. This guide identifies the shared Vaya Partners operation; it does not count both predecessors as separate current payers.
  • Confirm legacy contracts and date-of-service transition rules. Public sources do not resolve all filing or login-only details.

Last reviewed: October 30, 2026

Sources used: 1 official

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