Trading Partner ID
Answered

I simply need to get the Trading Partner ID - its almost impossible to submit this request via email as I dont have an attachment.

8 comments

  • Avatar
    Gillian

    Hi Karen, can you clarify for us which payer you need the Trading Partner ID?

    Hi Karen, can you clarify for us which payer you need the Trading Partner ID?

  • Avatar
    Karen Foley

    I need to enlist on Humana’s self service military provider site for multiple services. It’s asking me for the clearinghouse used and Trading Partner ID.
    Eligible Inc is not listed as an option if that’s the clearinghouse used.

    I need to enlist on Humana’s self service military provider site for multiple services. It’s asking me for the clearinghouse used and Trading Partner ID.
    Eligible Inc is not listed as an option if that’s the clearinghouse used.

  • Avatar
    Jeremiah

    Hi Karen,

    I see that you have not submitted an enrollment to either file claims electronically through SimplePractice or to receive payment reports through SimplePractice from Humana

    In this case, it sounds like you're still in the paneling/credentialing phase and you'll want to let the payer know that you aren't going to be using a billing agent. Our clearinghouse's information is typically not requested unless you are using our clearinghouse as the "billing agent" which is not possible as our clearinghouse is unable to provide the information that may be requested after you give our clearinghouse's information to the payer. 

    For further context, if you send the payer our clearinghouse's information they will try to send our clearinghouse documents that need to be signed by them and they'll ask for W-9 forms from our clearinghouse, neither of which our clearinghouse will be able to do. 

    However, if you let this payer know that you'll be billing on your own (without a billing agent) they will process your application without needing any of this information from our clearinghouse. I don't want you to submit our clearinghouse's information and have that stall the process of you getting paneled/credentialed with them. Therefore, the best thing to do in this case would be to submit an enrollment through SimplePractice, if available for this payer. Thank you for your understanding. 

    In the meantime, I recommend that you continue to file your claims to this payer outside of SimplePractice so you don't experience an interruption to your cashflow.

    Hi Karen,

    I see that you have not submitted an enrollment to either file claims electronically through SimplePractice or to receive payment reports through SimplePractice from Humana

    In this case, it sounds like you're still in the paneling/credentialing phase and you'll want to let the payer know that you aren't going to be using a billing agent. Our clearinghouse's information is typically not requested unless you are using our clearinghouse as the "billing agent" which is not possible as our clearinghouse is unable to provide the information that may be requested after you give our clearinghouse's information to the payer. 

    For further context, if you send the payer our clearinghouse's information they will try to send our clearinghouse documents that need to be signed by them and they'll ask for W-9 forms from our clearinghouse, neither of which our clearinghouse will be able to do. 

    However, if you let this payer know that you'll be billing on your own (without a billing agent) they will process your application without needing any of this information from our clearinghouse. I don't want you to submit our clearinghouse's information and have that stall the process of you getting paneled/credentialed with them. Therefore, the best thing to do in this case would be to submit an enrollment through SimplePractice, if available for this payer. Thank you for your understanding. 

    In the meantime, I recommend that you continue to file your claims to this payer outside of SimplePractice so you don't experience an interruption to your cashflow.

  • Avatar
    Karen Foley

    I am already an in network provider for Humana.
    I am being asked to use their self service provider claims system on their website. It’s Humana TriCare East Military. Please advise how to proceed. They are asking for this info.

    I am already an in network provider for Humana.
    I am being asked to use their self service provider claims system on their website. It’s Humana TriCare East Military. Please advise how to proceed. They are asking for this info.

  • Avatar
    Gillian

    Hi Karen, please read the above - the enrollment process in SimplePractice creates a connection between our clearinghouse and your payer. It is different from the credentialing process. 

    Hi Karen, please read the above - the enrollment process in SimplePractice creates a connection between our clearinghouse and your payer. It is different from the credentialing process. 

  • Avatar
    R. Chris Turner

    This is an issue with myself as well. They are asking for the Trading Partner ID for Tricare West. I submitted an enrollment a WHILE back, to no avail. 

    This is an issue with myself as well. They are asking for the Trading Partner ID for Tricare West. I submitted an enrollment a WHILE back, to no avail. 

  • Avatar
    Mandy Carr

    Would you suggest waiting until we are paneled with Tricare East before attempting to enroll with Simple Practice? When I attempted to enroll with SP, Tricare East requested I do the above-referenced application process through CAQH. Please advise. Thank you.

    Would you suggest waiting until we are paneled with Tricare East before attempting to enroll with Simple Practice? When I attempted to enroll with SP, Tricare East requested I do the above-referenced application process through CAQH. Please advise. Thank you.

  • Avatar
    Jeremiah

    Hi Mandy,

    Yes, I recommend paneling/credentialing with Tricare East before submitting your enrollment with Tricare East. The credentialing process is completed so that your information is on file with the insurance payer. After you've been credentialed with the insurance payer, you can file claims (directly on the website or via mail), receive ERAs, and accept payments directly from the insurance payer.

    In our system, the enrollment process is completed so that you can file electronic claims and receive payment reports directly in your SimplePractice account. This process involves connecting the insurance payer's system, our clearinghouse's system, and your SimplePractice account together so that your claims and payment reports can smoothly travel through all 3 systems.

    In light of this, the insurance payer will only accept your enrollment if they're able to find your information in their system (by being a credentialed provider).

    Hi Mandy,

    Yes, I recommend paneling/credentialing with Tricare East before submitting your enrollment with Tricare East. The credentialing process is completed so that your information is on file with the insurance payer. After you've been credentialed with the insurance payer, you can file claims (directly on the website or via mail), receive ERAs, and accept payments directly from the insurance payer.

    In our system, the enrollment process is completed so that you can file electronic claims and receive payment reports directly in your SimplePractice account. This process involves connecting the insurance payer's system, our clearinghouse's system, and your SimplePractice account together so that your claims and payment reports can smoothly travel through all 3 systems.

    In light of this, the insurance payer will only accept your enrollment if they're able to find your information in their system (by being a credentialed provider).