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21-611 Avoid Delays: Use the New CCIH Toll-Free Fax Number to Submit Additional Documentation for EDI Claims

Health Net·Provider News
Effective date
Aug 16, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

CorrectCare Integrated Health (CCIH) changed their toll-free fax number for submitting additional documentation for EDI claims to 844-836-7475, effective August 16, 2021. Providers must use specific PWK elements in their ASC X12 837 EDI submissions and complete a PWK Fax Cover Sheet when sending supporting documentation.

Action Required

Action needed
Immediately: Update fax number to 844-836-7475 for all CCIH additional documentation submissions. Billing team must ensure PWK elements (PWK01, PWK02, PWK05, PWK06) are properly populated in Loop 2300 of ASC X12 837 EDI submissions. Download and use the PWK Fax Cover Sheet from CCIH provider website for all supporting documentation. Submit attachments within 10 calendar days of electronic claim submission to avoid claim rejection.

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