Provider Payments
Provider Payment Information
- All payments go through our payment vendor, Zelis Payments.
- Explanations of Payment (EOP’s) are available through the Zelis Provider Portal, which is available here.
Claims Information
Payer ID: H0657
Mailing/Claims Address: Friday Health Plans, PO Box 21594, Eagan, MN 55121 (If you send a claim to the Sidney, NE PO Box, it will be forwarded).
Zelis Payment Information
Friday Health Plans partners with Zelis Payments to ensure quick, accurate, and timely payments are made to our providers. To obtain remittance advice (EOP) for claims, visit Zelis Payments’ website at: https://provider.zelispayments.com/registration.
For issues with logging in or to set up a new login account:
Call the Zelis Provider Service Line: 877-828-8770
Email: payerservice@zelispayment.com
Zelis Payments’ Solutions are Designed To:
- Accelerate payment – Receive payment 11-14 days faster than check
- Reduce risk – electronic payments are more secure, traceable and monitored
- Streamline workflow – reduce manual processes, minimize data handling and manage multiple payers via a single account
- Lower expenses – decrease lockbox and bank fees
- Increase accuracy – detailed, accurate, error-free data helps you balance to the penny
Claim Payment Options Include:
VRA (Virtual Reimbursement Account)
VRA is the most efficient way to maximize payment process for your practice, facility or health system by settling electronic payments directly into your bank account via ACH.
VRA offers a choice of remittance data formats delivered via your choice of secure portal download, Clearinghouse, SFTP or secure email. Additionally, this solution aggregates all payer data into a single 835 transaction, which simplifies data handling.
There is a fee associated with accepting this payment method. The provider contracts with Zelis Payments and agrees to a percentage fee for each transaction.
EOP's on portal.
Select
Select payments utilize a MasterCard branded, virtual payment card which is delivered by fax or may be downloaded from Zelis Payments’ secure online portal. To accept payment, you must manually enter the card number into your credit card terminal to receive immediate payment for the claim.
There is no Zelis Payments fee to accept this payment method. The Provider is responsible for their pre-established merchant terminal fee associated with processing credit cards.
EOP's on portal.
Paper Checks
No transaction fees.
EOP's sent via mail with check.
No portal access.
Helpful Information when Working with Zelis
Providers may submit an appeal to either Zelis or Friday Health Plans if they disagree with a claim determination. If it is a Zelis denial, then the code will have a “z” at the end of the denial reason (e.g., 00504z). This is an identifier that the claim determination came from Zelis. Friday Health Plans will then forward the appeal request to Zelis for further review. If it is an appeal for any other denial reason such as Not Medically Necessary, Out of Timely, etc. then it would need to be submitted to Friday Health Plans. If the provider does not have the EOP, then they will need to call for claim status or verify the denial reason to truly know whether to submit an appeal to Zelis or Friday Health Plans.
