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Provider Manual

Electronic file submission process

Last Updated on August 28, 2018

Does your software already create the HIPAA 837 format for electronic claims?

  • If yes, Security Health Plan can accept your claims directly.
  • If no, Security Health Plan cannot accept your claims directly – you will need to obtain 837 software; Security Health Plan does not provide or assist with 837 software. We recommend you contact a clearinghouse for assistance (example: http://www.mcps-inc.com/).

Providers interested in submitting electronic claim transactions directly to Security Health Plan should visit the Security Health Plan Web site at www.securityhealth.org and click on the Providers link, then Forms Library. Choose the 837/835 Enrollment Request form and mail or fax to the address noted on the form. Upon setup completion, the submitter will be notified of the username and password.

File naming standards

  • 6-character name plus a 3-character extension complying with the following standards:
    • first character is D
    • second through sixth characters are your submitter ID
    • 3-character extension will be
      tst = if this is a test file
      dat = if the data is not compressed, production file
      zip = if the data is compressed (with PKZIP or compatible compression), production file