Claims

Kansas Medical Assistance Program (KMAP) portal

You can file all claims electronically through Kansas Medical Assistance Program (KMAP). Just log in to the KMAP portal.

Below are your options for filing medical claims (not including dental, vision or nonemergency transportation claims).

Electronic 

You can file claims electronically via: 

• Your Provider Portal: You can access a clearinghouse through your Provider Portal. Just log in to your Provider Portal to get started. 

• Office Ally: Use payer ID “128KS.” To register, visit the Office Ally portal and follow the prompts. Note: Before submitting a claim through your clearinghouse, verify that your clearinghouse is compatible with Office Ally.

• Change Healthcare (only CMS-1500 claims): You can submit CMS-1500 claims electronically through ConnectCenter using payer ID “128KS” (claim submission) and ABHKS (real time). These come directly to the KanCare (Medicaid) claims system. This is our provider claims submission portal via Change Healthcare (formerly known as Emdeon). To register, visit the ConnectCenter portal and follow the prompts to “Enroll New Customer.”
   

Note: We cannot accept tertiary claims electronically.
 

By mail

You can also mail hard copy claims to:
 

        Aetna Better Health® of Kansas 

        PO Box 982961

        El Paso, TX 79998-2961

Dental
 

• Electronic:

      You can use payer ID “SCION” to submit dental claims electronically through one of these options:

   

  • SKYGEN:

       Visit the Provider Web Portal.

  • Change Healthcare:

       Visit the ConnectCenter portal.

  • DentalXChange:

       Log in or register at the DentalXChange portal.

  • By mail:

        You can also mail hard copy claims to:

     

                      Aetna Better Health of Kansas
                      Claims
                      PO Box 359
                      Milwaukee, WI 53201

Note: The clearinghouses aren’t able to accept and convert paper American Dental Association claims for electronic submission. Your provider office would need to submit the claim data to the clearinghouse from your practice software. Also, SKYGEN’s provider portal supports secondary and tertiary dental claims.

Vision
 

• Electronic:

      You can use payer ID “L0140” to submit vision claims electronically through one of these options:
   

  • SKYGEN:

        Visit the Provider Web Portal.

  • Availity:

        Log in or register to your Provider Portal.

  • Change Healthcare:

        Visit the ConnectCenter portal.

  • Waystar:

        Log in or register at the Waystar website.

  • By mail:

        You can also mail hard copy claims to:
            
            Aetna Better Health of Kansas
            Claims
            PO Box 1607
            Milwaukee, WI 53201

Note: SKYGEN’s provider portal supports secondary and tertiary vision claims.
 

Transportation

• Electronic: You can submit transportation claims electronically through Access2Care. 

• By mail: You can also mail hard copy claims to:

                            Access2Care, LLC

                            6363 Fiddler’s Green Circle

                            Suite #1400            

                            Greenwood Village, CO 80111

What is a claim resubmission? 

The purpose of a resubmission is to get a clean claim on file. You have 365 days from the date of service to resubmit a revised version of a processed claim.
 

What is a claim reconsideration?
 

A claim reconsideration is a request that we previously received and processed as a clean claim. The purpose of a claim reconsideration request is to dispute/request review of the processing of a clean claim. A clean claim must be on file prior to submitting a reconsideration request. Providers have 120 days from the date of the Explanation of Benefits (EOB) to file a reconsideration.
 

What is a claim appeal?

Both in-network and out-of-network providers have the right to appeal the result of a decision. You’ll want to file your appeal in writing within 60 calendar days of the reconsideration response (date of EOB).
 

You can check out the flyer to learn more about our claim resubmission, appeals and reconsideration processes.

Claim resubmission, appeals and reconsideration information flyer (PDF)

More about appeals

EERS offers payees multiple ways to set up EFT and ERA in order to receive transactions from multiple payers. If a provider’s tax identification number (TIN) is active in multiple states, a single registration will auto-enroll the payee for multiple payers. You can also complete registration using a national provider identifier (NPI) for payment across multiple accounts.
 

Registering for EERS enrollment
 

If you currently use Change Healthcare as a clearinghouse, you’ll still need to register for EERS enrollment. If you currently have an application pending with Change Healthcare, you won’t need to resubmit. Once you’re enrolled, you can use the Change Healthcare user guide to help you navigate the new system.

To enroll in EERS, you can visit Change Healthcare Payer Enrollment Services.
 

Questions? Just visit the Change Healthcare FAQs page. Or call us at 1-855-221-5656 (TTY: 711).