HealthLink Electronic Data Interchange

HealthLink has been encouraging providers to submit electronic claims for over ten years. All of your claims can be sent to HealthLink electronically. Electronic claims are less expensive for you to send and provide faster processing.
 

To start sending electronic claims to HealthLink you must:

 

Contact your clearinghouse and tell them you want to send claims electronically to HealthLink. Your clearinghouse will need to know your National Provider Identifier (NPI) number and that HealthLink uses the (NEIC) Payer ID numbers: 90001 PPO (this includes
Open Access)

96475 HMO (this includes
POS and State of
Illinois claims)

 

Your clearinghouse should help you get started and do all testing necessary to assure the electronic pathway between you and HealthLink is working. All claims can be sent to HealthLink electronically.

If you are mailing claims to the following P.O. Boxes and can file electronic claims, please update your billing information to the following:

 

 

HealthLink PPO
P.O. Box 419104
St. Louis, MO 63141

 

HealthLink HMO and State of Illinois
P.O. Box 411580
St. Louis, MO 63141

 
  Change to electronic:
90001
  Change to electronic:
96475
 

 
HealthLink will return two types of reports:
 

  CONFIRMATION
R EPORT
This report is returned for every file sent to HealthLink. The confirmation report verifies that HealthLink received your claims.  
       
  REJECTION
REPORT
This report is returned only for claims that HealthLink cannot process. This is due to inability to identify the member. This report will follow the Confirmation Report by several days.  
 
Download Adobe Acrobat Reader to view the various portable document format (PDF) documents available throughout the HealthLink website.