VERDA
IntegraNet Health is completing a conversion to a new claims processing system and Provider Portal. We ask that you bear with us during the transition of services as we continue to strive to make our service better. If you have not already, please enroll in the new portal.
VERDA HEALTH PLAN OF TEXAS - MEDICARE ADVANTAGE
| BENEFITS & ELIGIBILITY | ||
|---|---|---|
| Members Benefits Package contact VERDA Health | 877-933-6767 | |
| Eligibility and Benefits contact IntegraNet Health | 832-456-2630 or www.inetdr.com | |
| Provider Demographics/Customer Service Questions Submit a ticket through our ticket system under the Customer Service Module | https://integranet.quickcap.net/ | |
| Verify provider network status with IntegraNet visit our Directory on our website | ||
PROVIDER PORTAL
- Self-Register: www.inetdr.com
- Submit claims electronically
- Check the status of an existing claim
- Download EOP's and/or 835 remittances
- Check Eligibility
- Available to Network and Non-Network providers
| HOW TO SUBMIT A NEW CLAIM, CORRECTED CLAIM, OR RESUBMIT A CLAIM | ||
|---|---|---|
| Paper Claim | Electronic Claim | Payor ID |
| IntegraNet Health c/o VERDA P.O. Box 7540 Houston, TX 77008-9998
|
Provider Portal | Payor ID=INET1 INET2 – Trizetto Only Clearinghouse: VisibilEdi.com *Contact your clearing house for variations of this payor ID |
| Additional claims information - including the Enrollment Packet | https://integranethealth.com | |
| Timely filing for In-Network providers | 95 days from date of service | |
| Medical Records only fax to: | 1-800-783-9885 | |
| Claims Processing Department Customer Service | 832-320-7220 | |
| HCA CLAIMS - BILL VERDA DIRECTLY | ||
| DO NOT SUBMIT CLAIMS TO APPEAL & RECONSIDERATIONS. WILL NOT BE PROCESSED FOR PAYMENT | ||
| TO FILE AN APPEAL OR PAYMENT DISPUT RESOLUTION (PDR) | |
|---|---|
| Paper | Electronic Claim |
| IntegraNet Health C/O Appeals and Reconsideration Department 2900 N. Loop West Suite 700 Houston, TX 77092 |
Provider Portal APPEALS ONLY |
PRIOR AUTHORIZATION
Not all services require precertification. For services/procedures that require precertification from IntegraNet for a specific code to determine if precertification is needed (or not) use the precertification lookup tool online at Prior Authorization Requirements. For additional questions please call:
281-447-6800.
For an electronic copy of this information, please click here.