Please click here for an important update on our claims submission policy.
Community Health Solutions of Louisiana (CHS-LA) is committed to providing all participating providers with the best tools available to make their claim submission process as efficient as possible. CHS-LA can accept claims in both paper and electronic format.
Providers must submit claims for covered Medicaid State Plan services to CHS-LA for preprocessing for our members. Claims for carved-out services, must be submitted directly to Molina. CHS-LA will preprocess claims and submit clean claims to Molina within two business days for adjudication and payment, and four business days for paper claims with attachments. Remittance Advices will still be provided by Molina exactly as they are now. If a claim is determined not to be a clean claim, CHS-LA will reject it back to the provider with a written explanation of rejection. When directly submitting claims for our members, please submit with our Payer ID number-CLA11. If submitting claims through a third party, please contact your submitter to determine if they are accepting our Payer ID (CLA11) or if they require you to submit claims for CHS-LA members with a proprietary Payer ID.
We have established direct interface capabilities for all providers serving CHS-LA Members to enable CHS-LA to accept claims electronically. The link below will provide you with step by step instructions on how to establish direct connectivity with CHS-LA (anyone can login to this site for easy to follow instructions on submitting electronic claims).
Download CHS-LA Claims Submission Connectivity Instructions
To login to the Claims web portal go to the following url: https://xchange.clearprocessingsolutions.com/ .
If you have difficulty in accessing this link, please contact our helpdesk at 1-855-229-0258 or by email at: edihelpdesk@chsamerica.com . We will be happy to assist you.
Additionally, CHS-LA currently has trading partner agreements with numerous submitters.
For any and all billing agents, clearinghouses, or providers that wish to submit their claims electronically to CHS-LA, please call 1-855-229-0258 for more information or download the necessary documents below:
CHS-LA Electronic Claims Submitter Registration Packet
CHS-LA EDI Trading Partner Agreement
837 Professional EDI Companion Document and Guide
837 Institutional EDI Companion Document and Guide
When submitting paper claims, please mail to:
CHS-LA
P.O. Box 23199
St. Petersburg, FL 33742
This address is also listed on the back of CHS-LA Member ID cards.
Claims for dates of services on or after 2/1/12, for covered Medicaid State Plan services provided to enrolled CHS-LA members, must be submitted to CHS-LA for preprocessing. Please continue to submit claims for carved-out services directly to Molina. Carved-out services include:
Click here to download the Medicaid Provider Billing Change Flier.
For more information on submitting claims phone 1-855-229-0258 or email edihelpdesk@chsamerica.com
