Electronic Submissions

CeltiCare Health is committed to providing our participating providers with the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims.

CeltiCare Health Plan accepts NEHEN for electronic data interchange (EDI) for claim submissions. 
If you are interested in becoming a member or are an existing member of NEHEN, contact the Centene/CeltiCare EDI Service Desk at: ediba@centene.com or call: 1-800-225-2573 ext.25525 and begin to take advantage of the opportunities that NEHEN has to offer. 

CeltiCare Health Plan partners with PaySpan to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). Please call 877-331-7154 or e-mail PaySpan at ediba@centene.comto register.


EDI
Send professional, institutional, and encounter transactions electronically, as well as to generate an electronic explanation of payment (EOP).


PaySpan
Use our web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs).


HIPAA
Beginning on January 1, 2012, a federal mandate requires health plans, clearinghouses, and providers to use new standards in electronically conducting certain health care administrative transactions at the heart of daily operations, including claims, remittance, eligibility, and claims status requests and responses.