Submitting Claims

Claims are typically submitted to the client who then submits them to MultiPlan for repricing. There are two ways to submit a claim.

  • By mail to the address found on the patient's ID card using a CMS-1500 or UB92, or successor, claim form
  • Electronically through transaction networks and clearinghouses in a process known as Electronic Data Interchange (EDI). This method promotes faster, more accurate processing than with paper claims that are submitted by mail and is a requirement for federal benefit plans. For additional EDI information, please refer to the patient's ID card to obtain the payer identification number of the clearinghouse used for claims submission.