Welcome from RiverSpring Health Plans. We have provided below some basic information and materials. Please feel free to reach out to us with any questions.
Billing, Claims and Payment Information
How to Submit a Claim
Claims can be submitted via paper or electronically, although processing and payment of electronically submitted claims will be quicker.
Paper Claims:
Providers must submit the applicable, completed and legible forms to:
ElderServe Health, Inc. d/b/a RiverSpring Health Plans
c/o Relay Health
1564 Northeast Expressway
Mail Stop HQ-2361
Atlanta, GA 30329
Electronic Claims:
RiverSpring has partnered with Change Healthcare, as our electronic claim submission gateway. Change Healthcare is a cost‐ effective, long‐term solution for managing HIPAA‐compliant 837 EDI transactions for claim submissions. RiverSpring Payer ID: 05178
To sign up with Change Healthcare Clearinghouse:
- Visit: https://www.changehealthcare.com/solutions/medical-network/claiming-remittance or,
- Call: 1‐877‐831‐4338
Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA):
RiverSpring has engaged Payspan’s claim reimbursement and remittance advice/explanation of payment (EOP) service. EFT is the direct deposit of claim reimbursements into your bank accounts. For more information or to obtain a copy of an EOP, please:
- Visit: payspanhealth.com/nps
- Call: 1-877-331-7154 for information on how to enroll in EFT/ERA.
- Log into Payspan Provider Portal at: https://www.payspanhealth.com/nps/login.aspx
For Claim Inquiries or Disputes, please contact:
- RiverSpring at Home: MLTCClaims@elderservehealth.org
- RiverSpring MAP & RiverSpring Star: Claims@riverspringhealthplans.org
Provider Participation
If you are interested in joining the RiverSpring network, please email Providerrelations@elderservehealth.org and include the following information in your request:
- Provider Name and Services
- National Provider Identifier(NPI)
- Contact Information
Provider Materials & Compliance