Payer ID
45564
Payer ID 45564; claims and status via Availity Essentials.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Availity
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Centivo, PO Box 211681, Eagan, MN 55121
Provider Portal
https://www.provider.centivo.com/
ACO-based health plan/TPA for self-funded employers; timely filing is plan-specific.
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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