Where to submit claims from 2023
If Medicare is the patient's primary plan:
If you have claims for GEHA FEHB members and Medicare is the primary plan, GEHA participates in CMS’ Coordination of Benefits Agreement (COBA) Program and will receive claims and the Medicare primary benefit information electronically from the Coordination of Benefits Contractor (COBC).
If you do have electronic claim submission capabilities, please submit claims electronically.
All medical claims should be submitted electronically using the network EDI numbers as listed below for each network.
All dental claims should be submitted to EDI: 44054
If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms.
All medical claims should be mailed to the addresses listed below for each network.
All dental claims should be mailed to GEHA at the appropriate address below:
Dental Claims: | |||
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GEHA FEHB Medical P.O. Box 21542 Eagan, MN 55121 |
GEHA FEHB Dental P.O. Box 21542 Eagan, MN 55121 |
GEHA Connection Dental Federal (FEDVIP) P.O. Box 21542 Eagan, MN 55121 |
Connection Dental Plus P.O. Box 21542 Eagan, MN 55121 |
Medical Claims: | |
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For High, Standard or HDHP member claims If the patient has Medicare primary coverage, mail to GEHA: Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: Medical claims rendered by in and/or out-of-network providers: Aetna Signature Administrators (If the subscriber lives in any of the following states: Alaska, Arizona, Colorado, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Washington)
UnitedHealthcare Choice Plus (If the subscriber lives in any of the following states: Alabama, Arkansas, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming) UnitedHealthcare Select Plus (If the subscriber lives in Utah) EDI Payer ID #39026 UnitedHealthcare Shared Services P.O. Box 30783, Salt Lake City, UT 84130-0783 UHC Provider Services Phone: (877) 343-1887 |
For Elevate or Elevate Plus member claims If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical P.O. Box 21542 Eagan, MN 55121 UnitedHealthcare Choice Plus (all 50 states) |