Claim Mailing Instructions
Submit claims to Keystone Mercy Health Plan at the following address:
Keystone Mercy Health Plan
Claim Processing Department
P.O. Box 7115
London, KY 40742
The Plan encourages all providers to submit claims electronically. For those interested in electronic claim filing, contact your EDI software vendor or Emdeon’s Provider Support Line at 1-800-845-6592 to arrange transmission.
Any additional questions may be directed to the EDI Technical Support Hotline at 1-877-234-4271 or by E-mail at edi.kmhp@kmhp.com
Claim Filing Deadlines
Original invoices must be submitted to the Plan within 180 calendar days from the date services were rendered or compensable items were provided.
Re-submission of previously denied claims with corrections and requests for adjustments must be submitted within 365 calendar days from the date services were rendered or compensable items were provided.
Exceptions
Claims with Explanation of Benefits (EOBs) from primary insurers must be submitted within 60 days of the date of the primary insurer’s EOB
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