Claims & Payment

Claim Status

PrimeWest Health strongly encourages providers to check the status of a claim electronically, without manual intervention, or confirm claims receipt. Benefits to electronic claim status inquiry and response include the following:

1. Less staff time spent on phone calls and websites
2. Increased ability to conduct targeted follow-up
3. More accurate and efficient processing and payment of claims

Claim Status Inquiry

Access member claim status information through any of the following:

1. PrimeWest Health’s web service (CORE certified) – Note: Your clearinghouse and system software program will need to support the claim status transaction in the standard EDI transaction ASC X12 276/277. 
2. PrimeWest Health web portal. Prior registration is required using the Web Portal Registration Form.
3. PrimeWest Health Provider Contact Center: 1-866-431-0802 (toll free)

PW_03-19_108
Updated_01/06/2020