Claims must be filed within 180 days** of the date of service. You may submit either electronic or paper claims. Providers should submit paper claims to:
P.O. Box 958438
Lake Mary, FL 32795
**Timely filing for all out-of-network (OON) Medicare claims is one (1) calendar year.
Healthfirst encourages providers to file online claims and accepts both institutional and professional claims this way. Electronic filings are submitted through the Electronic Data Interchange (EDI) utilizing the Emdeon claims clearinghouse (formerly Web-MD).
Providers who don’t have claims submission software may sign up for a free online account with MD Online to begin filing electronically. Once on the MD Online site, click on Claims Submission under Provider Services to register.