INTEGRANET-AMERIVANTAGE

DATES OF SERVICE BEGINNING August 1, 2019

IntegraNet Health is processing claims for all Amerivantage Plan members of our Primary Care Physicians. 

 

Two changes will affect the network of providers used for these patients:

• CLAIMS PROCESSED BY INTEGRANET - Claims for Amerivantage members assigned to our contracted Primary Care Physicians. 
• NETWORK  - The network will be comprised of physician and ancillary vendors contracted directly with IntegraNet for the Amerivantage Medicare Advantage products.

In-Network Lab – LabCorp

In-Network Hospital – HCA Houston Health System

 

See ‘Find A Doctor’ for a complete physician/ancillary/facility directory.

 

Claims FAQ

Physician Profile Form – to update your contract and billing information

Provider Manual  

 

A letter and new ID Cards were sent to all affected members by Amerigroup.

• Sample ID Card
• Sample letter to Members

 

CLEARING HOUSE

The clearing house for IntegraNet is VisibilEdi. 

 

Payor ID

IntegraNet Health Payor ID for professional and Institutions claims: INET1

EFT Form

     Click here for EFT form.

ELECTRONIC CLAIMS

INTEGRANET CLEARING HOUSE (PORTAL ACCESS) – NEW SITE UPDATED 1-1-2020

Submit claims electronically, check the status of an existing claim, download EOP’s and/or 835 remittances, and

check patient’s eligibility. For access you may self-register at https://www.visibiledi.com/integranet/Home/Login

or www.INETCLAIMS.com (user access old portal is no longer valid).

 

OTHER CLEARING HOUSES

Use your existing clearing house or enroll and use the IntegraNet clearing house - Visibiledi.

To enroll with Visibiledi, go online to https://www.visibiledi.com/integranet/Home/Login

 

 

** clearing houses may have variation of “INET”. Contact your clearing house for the correct payor ID variation

 

ELIGIBILITY

Please continue to use your current method of checking for eligibility. You may also refer directly to Amerigroup to check eligibility.  Visibiledi is in the process of loading eligibility.

 

 

OUT OF NETWORK

Out of network providers filing a claim electronically or paper will also need to complete the Wavier of Liability.

 

All enrollment forms should be returned to https://inetclaims.zendesk.com or fax them to 832-320-7220

For instructions on how to navigate the portal and file a claims, check status of a claim use the IntegraNet Provider Portal User Guide

To file a claim:  Inetclaims.com

 

IntegraNet Health Claims Department

1813 W Harvard Ave., Suite 204

Roseburg, OR 97471

Phone: (541) 464-6296

Fax: (541) 677-6078

 

Reconsiderations and Appeals:

Claims Reconsideration Form

Phone: (832) 320-7220

Fax: (832) 320-7220

https://inetclaims.zendesk.com

 

For additional information, please reference the IntegraNet Provider Manual.

To begin the credentialing process, please contact our credentialing department at:

     credentialing@integranethealth.com or complete the contact form by clicking here.