Reminders from our Provider Manual

Here are a few key areas for your attention.

Paper Claims Mailing Address Update (pages 32-33)

BadgerCare Plus claims previously had a unique mailing address. Effective April 1, 2021, all Quartz claims (except PPO) can be sent to Quartz P.O. Box 211221 Eagan, MN 55121.

Electronic Claims Submission (page 33)

If you submit claims electronically, Quartz now utilizes Availity as our exclusive 837 claims clearinghouse. (This is not for other transactions such as 270s, 271s, and 835s).

Replacement/Corrected Claim Submissions (page 33)

The Replacement/Corrected claim submissions procedures are slightly different than submitting a new claim. If the appropriate submission process is not followed correctly, it can cause claims to deny. Paper corrected claims require the appropriate form to be included. Electronic corrected claims require a frequency code of 7.