Claims

Information on Submitting a claim

Please submit all claims within 360 days of service rendered date, else claims will be denied for late filing and Members cannot be balance billed.

Tier 1 Claim Processing
1. Submit claim to your clearing house or via paper.
For faster service, include with submission:
• Authorization (HCFA – Box 23, UB04 – Box 63)
• Contracted tax ID

        Electronic EDI Payor ID

•          Valenz Health : 94749
•          Optum: 95279
•          Office Ally: KEE01

2. When received, the claim is processed within 60 working days (or per contract).
3. Payment issued to Zelis unless LIVE check is requested.

Tier 2 Claim Processing
1. Submit claim to local BCBS with accurate place of service (HCFA Box-32, UB04-Box 1)
2. When received, the claim is processed within 60 working days (or per contract).
3. Processing progress may be monitored at the Keenan MESA portal

Note: When accessing Keenan MESA portal, note that claims are posted as closed two weeks prior to completing processing.