Payer ID
59274
59274 for professional + institutional. Alt IDs: AVMED, 1573, 3802.
Timely Filing Limit (TFL)
180 days from date of service (RCM sources stating '1 year' are incorrect)
Appeal Window
Participating 150 days from initial EOP; non-participating 60 days from remittance
Clearinghouse
Availity (portal) + Zelis (payments/ERA)
Provider Services
800-452-8633
Claims Fax
800-452-3847
Claims Address
AvMed, PO Box 569000, Miami, FL 33256-9000
Provider Portal
https://myhub.avmed.org/en/provider
Commercial HMO + Medicare Advantage (South FL + Orlando metro), now under Sentara Health Plans. Appeals go to PO Box 569004, Miami, FL 33256-9004.
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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