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Claims, Billing, and Payment

Payment

Electronic Funds Transfer (EFT)

  • Payspan is an innovative web-based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). By using Payspan, you can speed up the processing and payment of your claims. 
  • Note: In November of 2022, Zelis, a company modernizing the business of healthcare, completed the acquisition of Payspan.  Providers should continue using the Payspan payment portal: login or register.
  • Payspan: A Faster, Easier Way to Get Paid (PDF)
  • To contact Payspan: Call 1-877-331-7154, Option 1 – Monday thru Friday 8:00 am to 8:00 pm est.

Provider Claims Schedule

Claim Type

Claims Schedule

MedicalMonday, Wednesday and Friday (Effective 7/28/25). Payment issued to providers the following business day.

Envolve Vision

Weekly,  Wednesday

NIA

Weekly, Tuesday and Friday

Pharmacy

Weekly,  Wednesday

Definitions

  • Paid in Full - The claim has been adjudicated, processed and reimbursed in accordance and with the executed provider contract on file including the coordination of benefits, as applicable per claim.
Page Last Updated: 07/24/2025