Reminder on corrected claims and records submission
Not all denied claims require that you submit a corrected claim Not all corrected claims require medical records.
If no payment on the entire claim – make the changes and submit a new original claim.
If some or all lines paid – make the changes and submit a corrected or voided claim. Be sure to submit the entire claim, not just the claim lines you are correcting.
Use U.S. Mail
When adding modifier 25 or 59 to a denied line, submit a corrected claim by U.S. Mail and include medical records. Our mailing address for claims is:
Priority Health Claims
P.O. Box 232
Grand Rapids, MI 49501
Use your Priority Health Secure Mailbox
A reminder - we no longer accept medical records submission through Priority Health Secure Mailbox except for denied claims for which we specifically request medical records.
If you receive a claim denial requesting submission of medical records:
- Go to your Priority Health Secure Mailbox.
- Select "compose a message."
- For the "To" address, choose "medical record submission" from the drop-down list. Reference the original claim number or inquiry number (if you have one).
- Attach the medical records to your message.