Tips on How to File Claims for VAN LANG IPA Providers ===================================================== For billing of Amerigroup MMP and Medicaid patients - please bill Amerigroup as you do currently with your normal billing process as Van Lang IPA does not contract for this line of business. Only for VAN LANG IPA contracted providers ------------------------------------------ For billing Amerigroup CLASSIC & SELECT (Medicare only) and DUAL Coordination & Premier (Medicare + Medicaid) you will need to bill Van Lang IPA. The electronic claims will go through our clearinghouse at `www.freeclaims.com `_ whose office is in Sugarland, Texas. Electronic Claim ----------------- Each Provider will get an ID and password for the clearinghouse from Jeff Ngo, Manager of Provider Network [jeff.ngo@vanlangipa.com] Our payer ID for Freeclaims clearinghouse will be VLIPA. There will be one submitter ID per Tax ID for the clearinghouse. Paper Claim ------------ For those that cannot upload their claims to www.freeclaims.com because they use a billing company that sends to a clearinghouse that does not connect to Van Lang IPA, (i.e. Athena), you will need to drop to paper. Alternatively, you can ask your billing company/clearinghouse to connect to VLIPA electronically. Just give us a contact name & number of your clearinghouse and Van Lang IPA will reach to them for a electronic interface. If you prefer, you can also fax us your claims. | VAN LANG IPA | C/O MSO, INC. OF SOUTHERN CALIFORNIA | MSO, INC. OF SOUTHERN CALIFORNIA | 100 E. HUNTINGTON DRIVE, SUITE 209 | ALHAMBRA, CA 91801 | CLAIMS PHONE: `(626) 656-2370 OPTION 1 `_ | CLAIMS FAX: `+1 (833) 585-5295 `_ | | (please dial +1 before fax number or fax will FAIL) Claims Department ----------------- For claim submission questions, contact the Provider Hotline at +1 (626) 656-2370 (option 1). You can also call Jeff Ngo, Manager of Provider Network Operation at `+1 (832) 998-1936 (cell) `_. For all providers that mistakenly send claims to Amerigroup, these claims will still be paid. Amerigroup will forward these claims to MSO, Inc. (VLIPA management team) to pay the claims. Be sure to include: - All necessary, complete, correct and compliant data including current CPT and ICD-10 codes. - The provider’s NPI number and tax ID number (TIN). All claims must be submitted within six months from the date of service. Claims Payments ~~~~~~~~~~~~~~~ Paid Claims: Clean claims are paid within 30 or 45 business days (Electronic or Paper) Denied Claims: Services indicated on the submitted claim that are not authorized (per VLIPA pre-authorization guidelines), not covered, or the member insurance is not eligible. EDI Questions and Assistance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For inquiries related to your electronic claim submission to Van Lang IPA please contact our EDI team, who will assist to identify, test, and correct issues. EDI Team contact: dnguyen@msosocal.com