Claim Submission Process
Our claims are processed by jointly-owned Automated Benefit Services, Inc. (ABS). Once the selected method of claim submission is implemented, the process is tested and verified.
Review the ABS claim submission file requirements here.
Once claims are processed, providers can choose to receive explanation of benefits (EOBs) in either electronic (EDI X 12) or paper form.
Available claim submission options:
Claims can be processed directly through ABS’s contracted clearinghouse, Change Healthcare. A secure link to the provider office must be established– contact Change Healthcare at 800-527-8133, Option 2 or go to www.changehealthcare.com.
Providers working with a clearinghouse other than Change Healthcare may continue to work with their current vendor, assuming that vendor can push files to Change Healthcare. Contact Change Healthcare (at the number above) or your clearinghouse regarding this relationship.
Change Healthcare PCS Portal
Trading partners transmitting claim volumes in excess of 200 claims daily should utilize the ABS Change Healthcare PCS Portal. Contact ABS EDI Support for portal access instructions.
This method of claims submission is not recommended; however, If you choose this method, you must contact ABS EDI Support for proper implementation of FTP protocols.
Paper Claim Submission
Although paper claim submission is not recommended, providers having only this capability can arrange such submission by contacting ABS EDI Support. UB-92 (institutional) and CMS-1500 (professional) paper forms are accepted for processing. Paper claims should be submitted to submitted to SafeGuard Wisconsin, PO Box 321125, Detroit, MI 48232.