When you visit a Health Tradition network healthcare provider (see your
Provider Directory), you do not need to file any healthcare claims—your
network healthcare provider will file them for you. Please inform your network provider
that you are a Health Tradition member.
When you visit healthcare providers outside the network, simply present your membership
card for billing. Information for filing a claim and contacting the Plan for eligibility
information is located on the back of your card. You usually do not have to file
claims. However, an out-of-network provider may not file a claim and bill you immediately
instead. If there is a situation where you need to pay for healthcare services and
then file a claim to be reimbursed, follow these simple steps:
- Obtain an itemized bill and receipt from the healthcare provider. Each bill should
include items such as the patient’s full name, date(s) of service, type(s)
of service, diagnosis, network healthcare provider's name and address and itemized
charges.
- Record your ID number from the front of your membership card on the bill.
- Submit the original itemized bill and receipt of payment.
Health Tradition’s claims filing address for Premier,
Premier Plus and 65Plus is:
Health Tradition
c/o MMSI
4001 41st Street N.W.
Rochester, MN 55901-8901
Call Customer Service at 1-877-832-1823 to verify eligibility and
claims status.
Health Tradition’s claims filing address for Medicaid/BadgerCare
is available here.
After the claim has been processed, your reimbursement will be mailed to the healthcare
provider, unless you provide proof of payment. If you have questions about this
process, please call Customer Service toll-free at 1-877-832-1823
for Premier, Premier Plus and 65Plus claims. For Medicaid/BadgerCare, call 608-781-9692
or toll-free at 1-800-545-8499.