Member Company Info
Referral Form

Provider Directory
Claims

Contacts & FAQ's
Becoming a Provider
   

 

Claim Status Web Portal

Providers can check claim status via the ECOH Claim Status Web Portal.

Log-In to the Claim Status Web Portal here.

 

If you do not yet have a Claim Status Web Portal account, please download and complete the ECOH Web Portal Access Request Form and an ECOH staff member will contact you regarding setting up your account.

Click here to download the ECOH Web Portal Access Request Form.

 

Web Portal Customer Support

If you already have a Web Portal account and are having trouble accessing it or need assistance, please contact Lauren in Customer Service at 800-990-3204 or ECOHSupport@us-hsi.com

 

Claims Submission


All physician claims should be submitted on the HCFA 1500 form and all hospital claims should be submitted on the UB-92 form. When submitting claims, please use the appropriate coding (CPT-4, Revenue Code, DRGs, ICD-9 procedure or diagnostic codes).

Please include the following on all claims:

  • Provider Name, Tax ID Number, NPI Number, Address, Phone Number
  • Patient Name
  • Name and Social Security Number of Insured
  • Appropriate CPT, ICD-9 or DRG Code

      

    ALL ECOH CLAIMS (BOTH NETWORK AND RIVER VALLEY) ARE SUBMITTED TO:

       ECOH CLAIMS

       P.O. BOX 091040

       MILWAUKEE, WI 53209

       Electronic Payor ID #: 27008

 

 

Please Note: As of March 1, 2008 all claims sent to the previous repricer address at Midwest Security Administrators will be returned to the provider.

 

 


 


     
  Edgebrook Court - 1639 N. Alpine Road Rockford, IL 61107 -  815-397-0790   F: 815-397-2790