Remember to carefully review you the HNS/HNS Payor Policies located under the PROVIDER tab on the home page of our website.
Post a list of HNS Contracts in a convenient place for quick referral!
Always obtain a copy of the patient's most current insurance ID card at each and every visit and make sure any changes are noted in your practice management software.
Always verify benefits for every patient and DOCUMENT the information you receive, the date and time of the call and the name of the person that provided you with the benefit information. Please remember the information you receive does not take precedence over any payor's corporate medical policy for chiropractic.
Claims for ALL covered services must be submitted to HNS, regardless of the amount of the co-payment. This includes any self-funded groups who utilize a HNS contracted payor as a third party administrator. (Exception to this policy: If a patient does not wish to have their claims filed to their health care plan, providers must comply with this request. However, such requests must be documented in the patient's health care record and the patient must pay in full at the time service is provided.)
Primary claims should be filed within 30 days of the date services were rendered.
All EOB/NOP must be posted within 30 days of receipt. If any discrepancies or inconsistencies are found while posting your EOB/NOP they must be promptly reported to HNS
All primary claims must be submitted electronically to HNS via HNSConnect®
Secondary & corrected claims, claims with attachments and certain claims for CIGNA HealthCare cannot be submitted electronically and must be submitted via the CMS 1500 paper claim form.
Any paper claims (secondary & corrected claims, claims with attachments) must be submitted to the following address:
All claims with errors on HNSConnect® should be checked, reviewed, and corrected 24 hours after you have submitted the claim to HNS.
Claims with errors cannot be transmitted to the HNS contracted payors until all corrections have been completed.
Please ignore the address on the member’s card as well as any instructions you receive when verifying benefits regarding where to submit claims. HNS instructions supersede all other instructions regarding where to submit claims.
To assist in the payor's correct adjudication of your clams, please make sure that the HNS address prints on the top of your CMS 1500 claim form, whether the claim is a paper claim or is submitted electronically.
Example:
HNS/MedCost
PO BOX 2368
Cornelius, NC 28031
If you submit your claims directly to the address shown on the member’s ID card, instead of HNS, your claims will be denied or processed at the “out-of-network” benefit!
Please make sure you send all “HNS” claims to HNS!
Complete your master HNS Fax Inquiry Form. This form should be used for all requests to trace claims or for assistance with review of an EOB/NOP. Take time to complete this form with your provider name, phone and fax number before making copies. This will save you valuable time in the future.
Review your Quick Reference Guide for each insurance plan for contract specific information.
Each contract has specific requirements unique to the claims payor. Take the time to familiarize yourself with each contract!
- Review the “sample” CMS 1500 claim form for each contract.
Each contract has specific requirements for proper claim submission so pay careful attention to the sample CMS 1500 claim form
for each contract.
- Ensure that all EOB’s sent to you with your HNS remittance are routinely filed in your office for easy access! (Should you have to resubmit a claim, you will need to attach a copy of the original EOB.)
You are REQUIRED to keep ALL payor EOB’s/NOP's included with your HNS remittances for 7 years and you will need easy access to them if you have to file a secondary or corrected claim.
ADL Forms 
