Claims resources and guides

General information

• Claims requiring submission of clinical information
• Referral submission rules

Payer ID provider number reference guides

Use these guides as a reference tool when submitting facility claims or professional claims.

2025

• Facility claims
• Facility claims

2024

• Facility claims
• Professional claims

Provider user guides

• CMS-1500 claims submission toolkit
• UB-04 claims submission guide

Provider appeals and disputes

• IBX’s post-service appeals and grievance processes
• Independence Administrators provider claim appeals form

Medicare Advantage members

• Medicare payment dispute process for non-contracted providers
• Medicare provider appeals process for non-contracted providers
• Payment dispute decision request form
• Waiver of liability statement