Golden Bay Health Plan delegates claims payment processing to North East Medical Services Management Services Organization (NEMS MSO). NEMS MSO accepts claims submitted electronically or on paper by mail.
EDI Claims Submission
EDI claims may be submitted electronically using one of NEMS MSO’s partnered clearinghouses.
| Clearinghouse | Payer ID |
|---|---|
| ClaimRemedi Experian Health eSolutions, Inc. nThrive, Inc. Trizetto Provider Solutions, LLC ViaTrack Waystar ZirMed, Inc. |
GBHP |
| Office Ally, Inc. | GBHP1 |
To inquire about clearinghouses that are not listed, please contact the NEMS MSO Provider Relations at [email protected].
The following companion guides may be referenced for implementation of electronic 837 professional and institutional claims transactions:
- Professional – NEMS MSO 837P HIPAA 5010A1 Companion Guide
- Institutional – NEMS MSO 837I HIPAA 5010A2 Companion Guide
Paper Claims Submission
Paper claims and any supporting documents may be submitted by mail to NEMS MSO. Paper claims must be on the current and standard original claim forms. NEMS MSO does not accept faxed copies of the claims.
Claims Mailing Address
NEMS MSO Claims
PO BOX 1548
San Leandro, CA 94577
For more information, please visit the NEMS MSO website.