Network Solutions IPA Claims Department handles claims processing, appeals and written correspondence from providers regarding claims issues. All claims must be submitted within 60 days of the date of service to avoid denial. All claims for Network Solutions IPA including fee for service, encounters and capitated services must be submitted using one of the following methods.
Network Solutions IPA (NSIPA) encourages all providers to submit claims via an Electronic Data Interchange (EDI) process. Electronic claim submissions of claims allow for more efficient and quicker turnaround time for processing claims, as well as a faster issuance of claim payments (ERA).
Network Solutions IPA utilizes Office Ally as their exclusive clearinghouse. If you use another clearinghouse, check their online payer list to confirm if Payer ID “NSIPA” is available for use. If not, please reach out to your clearinghouse and request Network Solutions IPA (NSIPA) be added to their payer list and sent under the Office Ally connection. If your clearinghouse is unable to add Payer ID “NSIPA” to their payer list, you can submit your claims directly through Office Ally (www.officeally.com) at no charge. To ensure Network Solutions IPA claims are routed accurately, be sure to include Payer ID “NSIPA” on the claims when submitting.
All claims should be mailed to the following address:
Network Solutions IPA
PO Box 190416
Brooklyn, NY 11219
Providers must submit claims with the following information:
- Patient name, address and DOB
- Provider name and federal ID number
- Date of Service
- Number of units/hours/visits
- Service Code/HCPCS Code
- ICD-10 Code/Diagnosis coded to the highest specificity/Modifier
- Contractual or prevailing Medicaid rate
PO Box 190416
Brooklyn NY 11219