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Claims

Select Health strives to meet and exceed benchmarks for on-time claims payment.

Claims fast and efficient

Our typical turnaround time for claims reimbursement is 93% of all claims completed within 15 days and over 98% within 30 days.

Claims Process

Learn about our claims process, the online provider benefit tool, and how to enroll a user.
Learn about PBT

EDI

Learn about the Electronic Data Interchange.
Learn more about EDI

Forms

Get the forms you need to manage claims and related appeals.
Access Forms

Verifying Member Eligibility

Verify Select Health member eligibility by:

  1. Checking member ID cards. Access and download ID card guides and member ID card samples by state. Learn more.
  2. Using the Provider Benefit Tool. Learn more.
  3. Calling Member Services at 800-538-5038

Submitting Claims

Submit claims to us via:

  1. Electronic Data Interchange (EDI) transactions
  2. U.S. Mail to:
  • P.O. Box 30192 SLC, UT 84130 (for Commercial/Medicaid/CHIP)
  • P.O. Box 30196 SLC, UT 84130 (for Medicare claims ONLY)

Monitor submitted claim status by:

  1. Using the Provider Benefit Tool. Learn more.
  2. Calling Member Services at 800-538-5038

Once a claim has been paid, providers receive either an electronic remittance advice as an Electronic Data Interchange (EDI) transaction or as a paper remittance advice. Access a Sample Remittance Advice and a Remittance Advice Key for more information.

 

ID Card Guides:

View guides with medical and dental ID card samples by state