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MHS Count Down

To new claim flow process


Countdown to a Better Claim Experience


To our Cofinity Group Health providers:

By November 30, 2019, you’ll need to start submitting claims directly to claims payers instead of Cofinity. Login and access the News page to learn more about this change and the benefits to you.

Together First Health® and Cofinity® now offer more cost-savings solutions. We offer an expanded product suite that provides stronger medical cost containment solutions with simple implementation and administration. At Cofinity and First Health we value:

  • Network Quality and Stability
  • Service Excellence
  • Operational and Administrative Ease
  • Flexibility
Find a Provider

Check your medical identification (ID) card to confirm your network name (Cofinity or First Health) before clicking on one of the links below.


Cofinity Group Health and First Health

Cofinity Workers Compensation and Auto


Cofinity Platform Migration

As part of our ongoing efforts to improve efficiency and better serve our providers, clients and members, we’re consolidating our claims repricing and provider data platforms. The work needed to transition our data and processes is already underway and will conclude on December 31, 2019.

New claim submission workflow

The change in claim repricing platform requires a change to the traditional Cofinity Group Health claim workflow. In the new workflow, providers will submit claims to the payer, instead of directly to Cofinity. We’re migrating payers to the new claim flow between now and July, 2019. As payers migrate, they’ll issue new member ID cards that will include the following information:

  • The payer’s electronic payer ID
  • The mailing address for non-electronic claims

Log in to view the migrated payers list

Registered providers can log in to view the migrated payers list on the “Tools” page. If you don’t have a login, it’s easy to register. Simply click “Register” on the right side of this page and follow the easy instructions.


   



   

 
 



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