CLAIMS SUBMISSION
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The instructions provided below are for claim submissions on the two National Industry Standard billing forms:  the Center for Medicare and Medicaid Services Claim Form, CMS-1500 (formally known as HCFA-1500), and the Uniform Billing Form, UB-04/ CMS-1450.

Following these instructions will assist VBH-PA in processing your claim in an efficient timeframe.

1. Paper Claims Submission Requirements
   
   Claims for services must be submitted on the National Industry Standard Claim Form:  Center for Medicare and Medicaid Services (CMS-1500), or the Uniform Billing Form (red ink UB-04/CMS-1450).  Claims should be mailed directly to the VBH-PA dedicated addresses:
   
   

   Incoming Claims Information for  Value Behavioral Health of PA

   Business Line New Claims Addresses SWPA HealthChoices Claims 516 Pleasant Valley Road Trafford, PA  15085

   Armstrong, Beaver, Butler, Fayette, Greene, Indiana, Lawrence, Washington, Westmoreland Counties (HealthChoices)

   Erie Base Services Claims

   520 Pleasant Valley Road Suite 100B Trafford, PA  15085

   Erie County Base Services Program (Non-HealthChoices)

   Erie HealthChoices Claims

   520 Pleasant Valley Road Suite 200E Trafford, PA  15085

   Erie County (HealthChoices)

   Cambria HealthChoices Claims

   520 Pleasant Valley Road Suite 300C Trafford, PA  15085

   Cambria County (HealthChoices)

   NW3 HealthChoices Claims

   520 Pleasant Valley Road Suite 400NW  Trafford, PA  15085

   Mercer, Venango, and Crawford Counties (HealthChoices)

   Corrected Claims / Adjustment for all counties: VBH-PA Attn Customer Service 520 Pleasant Valley Road Trafford PA  15085 Fax 724-744-6379

   
   
2. Electronic Media Claims Submission Requirements

There are three ways that a provider can submit claims electronically:

1. Using VBH-PA Software
2. Practice Management Software
3. Programming Custom File

VBH-PA has software available for electronic billing that is free of charge to the provider.  In order to obtain a CD, call the toll-free provider line at 877-615-8503 and request to speak to the designated Provider Field Coordinator for the county, who will send you a packet of information related to the Electronic Data Integration (EDI) billing.  You can also logon to www.valueoptions.com and download the software, free of charge.

If using your own software or a billing service, please contact the Service Center to obtain an application to submit EDI.  The software must meet National Standard Format.  An EDI specialist will work with you to ensure that your software is compatible for billing VBH-PA.

For providers interested in submitting claims electronically, please refer to “Going Online with ValueOptions” at the end of this section.