Submitting Claims

You can submit medical claims one of two ways:

  • Submit claims electronically through Ability
  • Submit claims electronically through Emdeon

It is important to remember that an Electronic Data Interchange (EDI) submission is the recommended method for all claims. Claims Submitted via EDI are received and processed in a more efficient manner. Senior Whole Health works with Emdeon for all EDI transactions. When submitting your 837 (I & P) files, please use our Payer ID: SWHNY.

If the need arises to submit claims in paper format, send claims to:

Senior Whole Health Claims Department
PO Box 956
Elk Grove Village, IL 60009-0956

More information on claims can be found in the Provider Manual. If you have questions or need assistance, please contact the Senior Whole Health Claims Department at 1-866-233-4773 Monday through Friday from 9 a.m. to 5 p.m.