{"id":1597,"date":"2022-07-08T07:06:00","date_gmt":"2022-07-08T14:06:00","guid":{"rendered":"https:\/\/samhealth.org\/samhealthplans\/?p=1597"},"modified":"2024-01-29T13:23:48","modified_gmt":"2024-01-29T21:23:48","slug":"presentar-reclamaciones-electronicamente-para-recibir-el-pago-mas-rapido","status":"publish","type":"post","link":"https:\/\/samhealthplans.org\/es\/news\/submit-claims-electronically-to-get-paid-faster\/","title":{"rendered":"Env\u00ede sus reclamaciones electr\u00f3nicamente para recibir el pago m\u00e1s r\u00e1pido"},"content":{"rendered":"<article class=\"article\">\n\t<header class=\"header\">\n\t\t<span class=\"type\"><\/span>\t\t<h1>Env\u00ede sus reclamaciones electr\u00f3nicamente para recibir el pago m\u00e1s r\u00e1pido<\/h1>\t\t<time>8 de julio de 2022<\/time>\n\t<\/header>\n\t<div id=\"block_955a0b3b5d6f8c238be63dcf84680b69\" class=\"shs-block block-news-article entry-content\">\n\t\t<div>\n\t\t\t\t\t\t<div class=\"acf-innerblocks-container\">\n\n<p>Presentar reclamaciones electr\u00f3nicas reduce los errores, aumenta la seguridad y la precisi\u00f3n de los datos, mejora el flujo de caja y agiliza el procesamiento y los pagos. Las reclamaciones electr\u00f3nicas deben enviarse directamente a Operaciones Samaritan Health Plans (SHPO) mediante Intercambio Electr\u00f3nico de Datos (EDI). Actualmente, SHPO no acepta reclamaciones secundarias de COB electr\u00f3nicamente.<\/p>\n\n\n\n<p>Para comenzar con este proceso, comun\u00edquese con cualquiera de las cuatro c\u00e1maras de compensaci\u00f3n a continuaci\u00f3n:<\/p>\n\n\n\n<p><strong>Soluciones para proveedores de Trizetto, LLC<\/strong>&nbsp;(anteriormente Gateway EDI, Inc.)<br><a href=\"http:\/\/www.trizettoprovider.com\/contact\" target=\"_blank\" rel=\"noopener\">www.trizettoprovider.com\/contact<\/a><br>Ventas <a class=\"phone-link\" href=\"tel:800-969-3666\">800-969-3666<\/a><br>ID de pagador:<strong>&nbsp;<\/strong>SAMAD (Samaritan Advantage), SAMCP (Samaritan Choice), INCHN (Red de Salud Intercomunitaria CCO), SAM00 (Grupo de Empleadores Samaritanos)<\/p>\n\n\n\n<p><strong>RelayHealth<br><\/strong><a href=\"http:\/\/www.relayhealth.com\/\" target=\"_blank\" rel=\"noopener\">www.relayhealth.com<\/a><br><a class=\"phone-link\" href=\"tel:800-457-1209\">800-457-1209<\/a><br>ID de pagador:<strong>&nbsp;<\/strong>SA01 (Samaritan Advantage), SCP (Samaritan Choice), IHN (Red de Salud Intercomunitaria CCO), SAM00 (Grupo de Empleadores Samaritanos)<\/p>\n\n\n\n<p><strong>Change Healthcare&nbsp;<\/strong>(anteriormente Emdeon)<strong><br><\/strong><a href=\"https:\/\/www.changehealthcare.com\/\" target=\"_blank\" rel=\"noopener\">www.changehealthcare.com<\/a><br><a class=\"phone-link\" href=\"tel:866-349-1607\">866-349-1607<\/a><br>ID del pagador:<strong>&nbsp;<\/strong>CP001 (Todos los planes)<\/p>\n\n\n\n<p><strong>Conexi\u00f3n del pagador, LLC<\/strong><br><a href=\"http:\/\/www.payerconnection.com\/\" target=\"_blank\" rel=\"noopener\">www.payerconnection.com<\/a><br><a class=\"phone-link\" href=\"tel:503-820-3803\">503-820-3803<\/a><br>ID de pagador:<strong>&nbsp;<\/strong>SA01 (Samaritan Advantage), SCP (Samaritan Choice), IHN (Red de Salud Intercomunitaria CCO), SAM00 (Grupo de Empleadores Samaritanos)<\/p>\n\n\n\n<p>Si a\u00fan necesita enviar reclamos en papel, visite a nuestro proveedor <a class=\"null\" href=\"https:\/\/samhealthplans.org\/es\/comuniquese-con-los-planes-de-salud-de-samaritan\/\">Cont\u00e1ctenos<\/a>&nbsp;P\u00e1gina para encontrar la direcci\u00f3n postal a utilizar para cada uno de nuestros planes.<\/p>\n\n\n\n<p>Al enviar reclamaciones corregidas, indique claramente que la reclamaci\u00f3n est\u00e1 corregida. Las reclamaciones HCFA corregidas deben presentarse en papel. Las reclamaciones UB-04 corregidas pueden presentarse electr\u00f3nicamente o en papel.<\/p>\n\n\n\n<p>Recuerde que SHPO no acepta reclamaciones enviadas por fax.<\/p>\n\n<\/div>\n\t\t<\/div>\n\t\t<aside>\n\t\t\t\t\t\t\t\t\t<figure><img loading=\"lazy\" decoding=\"async\" width=\"360\" height=\"300\" src=\"https:\/\/samhealthplans.org\/wp-content\/uploads\/sites\/3\/2023\/06\/Billing-News.jpg\" class=\"attachment-cta size-cta wp-post-image\" alt=\"Calculadora, estetoscopio, factura y bol\u00edgrafo\" srcset=\"https:\/\/samhealthplans.org\/wp-content\/uploads\/sites\/3\/2023\/06\/Billing-News.jpg 360w, https:\/\/samhealthplans.org\/wp-content\/uploads\/sites\/3\/2023\/06\/Billing-News-300x250.jpg 300w, https:\/\/samhealthplans.org\/wp-content\/uploads\/sites\/3\/2023\/06\/Billing-News-120x100.jpg 120w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/figure>\t\t<\/aside>\n\t<\/div>\n<\/article>","protected":false},"excerpt":{"rendered":"<p>Obtenga m\u00e1s informaci\u00f3n sobre c\u00f3mo presentar reclamos electr\u00f3nicos para reducir los errores, aumentar la seguridad, mejorar el flujo de caja y acelerar el procesamiento y los pagos. <\/p>","protected":false},"author":11,"featured_media":1354,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":"","_shs_workflow_notes":"","_shs_exclude_from_navigation":false,"_shs_promote_article_on_blogs":"","footnotes":""},"categories":[1],"tags":[],"news-topics":[89],"news-types":[87],"services":[78],"specialty":[],"class_list":["post-1597","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","news-topics-news","news-types-provider","services-providers"],"acf":[],"_links":{"self":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/posts\/1597","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/comments?post=1597"}],"version-history":[{"count":0,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/posts\/1597\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/media\/1354"}],"wp:attachment":[{"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/media?parent=1597"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/categories?post=1597"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/tags?post=1597"},{"taxonomy":"news-topics","embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/news-topics?post=1597"},{"taxonomy":"news-types","embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/news-types?post=1597"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/services?post=1597"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/samhealthplans.org\/es\/wp-json\/wp\/v2\/specialty?post=1597"}],"curies":[{"name":"Gracias","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}