Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
claims
VYEPTI CONNECT Copay Assistance Program — provider claim submission
Official page read
Phone
No phone listed for this route
Fax
866-281-3479
Copay claim forms with EOB
Published hours
Not published in this record
Product, plan and location
Confirm the exact product or service National contact — confirm product and location
Mailing addressVYEPTI CONNECT Copay Assistance Program
2250 Perimeter Park, Suite 300
Morrisville, NC 27560
Mail copay claims (CMS-1500/UB-04 plus EOB)
Submit CMS-1500 or UB-04 plus the insurer EOB by fax or mail; electronic (EDI) submission uses Payer ID 56155 (TrialCard). Payment by check or EFT (InstaMed). VYEPTI only.
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Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
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Claim number, service dates and billed amount
Submission acknowledgement and remittance
Provider billing identifiers
Questions to resolve
Was the claim received and accepted for processing?
What specifically prevents payment or final processing?
Is a corrected claim, reconsideration or appeal the right route?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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