Action Required: Prepare for the January 1, 2027 Claims System Transition
VNS Health will transition to a new claims system effective January 1, 2027. This upgrade will help streamline claims administration and create a more consistent experience for providers. To help ensure a smooth transition, please review the information below and complete any required actions.
What You Need to Do
- By November 16, 2026: Review the enclosed Zelis Payment Options flyer. Providers who wish to enroll in a payment option should complete enrollment by November 16, 2026.
- Providers Submitting Paper Claims:
- Beginning December 1, 2026: Use the new address listed below.
- Take note of the Claims Processing Hold timeline below.
2a. New Mailing Addresses for Paper Claims Effective December 1, 2026:
| For Total, EasyCare, and EasyCare Plus plans, mail paper claims to: | For MLTC and SelectHealth plans, mail paper claims to: |
|---|---|
| VNS Health Medicare – Provider PO Box 211162 Eagan, MN 55121 | VNS Health Medicaid – Provider PO Box 21831 Eagan, MN 55121 |
Claims sent to an incorrect P.O. Box may result in delayed payment.
2b. Temporary Claims Processing Transition Period (Paper Claims Only)
Processing timelines are based on the billed date rather than the claim’s service date, as follows.
Paper Claims Timeline
| Billing Date | Paid Dates | Payer ID# | Claim Process By |
|---|---|---|---|
| Up to 11/30/26 | By 12/31/26 | 77073 | Current Claim Vendor |
| 12/01/26 to 12/31/26 | 1/1/27 forward | 77073 | New Claim Vendor |
| 01/01/27 and forward | 1/1/27 forward | 77073 | New Claim Vendor |
General Claims Guidance:
- Claims that remain pending with the current claim vendor as of December 31, 2026, will be migrated to the new vendor for continued processing beginning January 1, 2027.
- No timely filing penalties will apply solely due to transition-related processing delays.
- During the December 2026 transition period, claims will be received and routed appropriately.
What Is Not Changing
- The Payer ID will remain #77073.
- Electronically Submitted Claims: Continue your current billing process.
- Availity will remain the preferred clearinghouse for electronic claims submission.
- Electronically submitted claims will be automatically routed to the appropriate claims system based on the date the claim is billed.
- Clearinghouses other than Availity: Providers may continue using their current clearinghouse. Claims will be routed appropriately through existing connectivity arrangements with Availity.
- Authorizations: The processes for requesting prior authorizations and for requesting the status of prior authorization requests are not changing.
- Disputes, Grievances, and Appeals: The processes for submitting disputes, grievances, and appeals do not change.
- Member ID numbers: Most members will retain their current member ID number. Continue to verify member eligibility and obtain current ID card information at the time of service.
- Members who previously had two ID numbers will now have one.
How can I stay up to date?
Visit the Provider Newsroom for updates and additional information.
Questions? Call Provider Services: 1-866-783-0222, (TTY: 711), Monday to Friday, 8 am – 5 pm.