Electronic claims filing.

Here’s some important information to keep your Encore claims repricing flowing smoothly.

Encore has entered an EDI relationship with WebMD (formerly Envoy). Your office may now submit your HCFA and UB92 claims electronically to Encore via WebMD using Payor ID 35206 for only the employer groups that require Encore repricing. All employers utilizing Encore repricing will include either of the following addresses on their members’ identification cards:
Encore (Old Address)
P.O. Box 490
Hillview, KY 40129-0490

Encore
P.O. Box 80612
Indianapolis, IN 46280-0612

Please note: Only the above claim filing address should be sent electronically to ID 35206. All other claims should be mailed to the appropriate claim filing address as indicated on the identification card. Claims received for the above P.O. Box numbers will be repriced and forwarded to the contracted insurance company or third-party administrator.

All electronically submitted claims must contain the following information:
Policy and/or Group Number
Name of Employer
Name of Insurer
Insured’s Name, Social Security Number, and Address
Member’s Name and Date of Birth

Claims without this information may be returned electronically, which will delay claim processing.

Note: Other payors also accept electronic claims. Either the identification card will supply the Payor ID or you can contact your clearinghouse for the unique payor ID.

If you are not currently submitting claims electronically and are interested in learning how, please contact WebMD Customer Support toll free at (800) 845-6592.