Welcome MLTC Provider
As a member of the ICS Community Care MLTC provider network, your partnership with us in meeting the needs of our members is very important. With that in mind, we have gathered links that we thought would be helpful to you in working with ICS and our members. If you need something that is not here, please contact our Provider Relations Department at firstname.lastname@example.org.
As of June 18, 2016 the ICS Provider Claims Portal has been enhanced so that providers can search for authorizations on a range of dates.
Provider Manual for the MLTC Program
View the latest version of the ICS Community Care MLTC Provider Billing Manual.
Paper Claim Submissions
All paper claims should be submitted on either a UB-04, HCFA 1500 or ADA Dental claim form directly to PPI at the following address:
Productive Processing Inc.
319 Yard Drive
Verona, WI 53593-8434
All claims that are with our current claims processor will continue to be processed by them through the end of October. Any new claims received after October 1st will be forwarded to PPI for a limited period of time (until November 1st, 2013) after which they will be returned to you for resubmission to PPI.
Electronic Claims Submissions
For all electronic claim submissions, PPI currently uses the MD On-Line clearinghouse. Claims can be submitted electronically through MD On-Line using our new Payer ID: 13396. If you are not currently using MD On-Line to submit claims electronically, please call them at: 1.888.499.5465 (Option 1).
PPI is also in the process of obtaining an agreement with Emdeon clearing house. ICS will contact all providers as soon as the Emdeon EDI claim submission option becomes available (Option 2).
As a reminder, the electronic submission of claims will allow for more efficient and quicker processing and issuance of claim payments. If you do not have the capacity to submit EDI (Electronic Data Interchange) files, or if you require any additional information regarding the EDI submission process, please contact email@example.com.
Check the Status of Submitted Claims
To check on the status of submitted claims, a comprehensive online web portal can be accessed here or from the Provider Invoice Tracking link at the top of this page. Please call PPI at 1.877.585.1131 to set up a new user ID and password in order to access this site.
To submit an appeal on a previously denied claim, please mail the claim information with an attached EOP explaining the denial reason, to the following address:
Independence Care System
ATTN: Provider Claim Appeals
257 Park Avenue South, 2nd Floor
New York, NY 10010
Read the ICS Provider Newsletter!
Read “The ICS Snapshot” provider newsletter here.
The PPI Provider Claims Customer Service phone line is fully operational. Please call PPI toll free at 1.877.585.1131 to speak with a live representative from 9 a.m. to 5 p.m. EST, Monday through Friday.
If you have any additional questions, please feel free to email the ICS Finance Department.