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Apple Health (Washington State Medicaid)

Medicaid

Also covers: Washington Apple Health, WA Medicaid, ProviderOne, Washington HCA

Payer ID

Varies — confirm via portal / clearinghouse

Apple Health FFS claims go through the state's ProviderOne system, not a standard commercial EDI payer ID. Managed-care plans each have their own IDs. (Washington)

Timely Filing Limit (TFL)

Varies — confirm via portal / clearinghouse

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse

ProviderOne (state Medicaid claims system)

Provider Services

800-562-3022

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://www.waproviderone.com

Washington State's Medicaid program, administered by the Health Care Authority (HCA) via ProviderOne. Most enrollees are in managed-care plans.

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

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