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Centene Corp selects Availity as primary gateway connection

Date: 12/06/16

This update is informational only, and requires no action by providers.

Thank you for your continued partnership with MHS Health Wisconsin.  In an effort to improve our claims processing, our corporate parent, Centene Corporation, has selected Availity as their primary gateway connection for all plans including MHS Health. This change will allow Centene to better service our providers with more advanced engagement and communication strategies in the future.

There should be no impact to provider claims and other transactions. We are working with each Clearinghouse through a migration effort, including claims, eligibility and claims status. Each of these clearinghouses already submits transactions to Availity today. Clearinghouses are being asked to migrate the MHS Health volume no later than February 17, 2017.

Clearinghouse list:

                Change Healthcare / Emdeon / Capario / MedAvant / ProxyMed

                TriZetto Provider Solutions / GatewayEDI

                Zirmed

                MedAssets / Xactimed

                SSI

                All Scripts / Payerpath

                SDS – Smart Data Solutions

                MD Online

                Practice Insight

                NEHEN

                Netwerkes/Optum

In summary, no change is required for our provider community.  Providers who currently submit claims through any of the clearinghouses listed above may continue to do so with no interruption to their current business processes.  Your connection will remain intact.  Providers who submit directly or through other intermediaries may also continue to do so without interruption.  Your current process will remain intact as well.