INTEGRANET-AMERIVANTAGE

All Medicare Advantage Plan members of our Primary Care Physicians will be delegated to IntegraNet Health for processing all professional and ancillary claims.

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

INET 1

You may continue to use your existing clearinghouse using our payor ID.  Contact your clearing house directly to verify if VisibilEdi would be eligible to receive claims from your payor system.

If you encounter any difficulty filing a claim using your clearing house, please contact us at 832-320-7220 for additional support. 

** Please note that your clearing house may have any variation of “INET”. Contacting your clearing house directly would provide 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.

PORTAL

If you would like to use the InetgraNet Portal to file a claim electronically in our system, please complete the Claims Portal Enrollment Packet.

The enrollment packet contains the following:

•      Portal FAQ (PDF)
•      Trading Partners Agreement (PDF)
•      EDI Form (PDF
•      EFT Form (PDF)

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 832-320-7221

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) 320-7221

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.

To begin the credentialing process for ancillary providers, please contact us at:

     anccontracting@integranethealth.com.