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
Experian Health
eSolutions, Inc.
nThrive, Inc.
Trizetto Provider Solutions, LLC
ZirMed, Inc.
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:

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

For more information, please visit the NEMS MSO website.