Claims and Billing 2021 through October 31, 2022

Claims Submission:

Vivida encourages all providers including non-par providers to submit claims electronically. For those interested in electronic claim filing, contact your EDI (Electronic Data Interchange) software vendor or the Availity Provider Support Line at 800-282-4548 to arrange transmission.

Vivida’s Electronic Payer ID: A0102

For paper claims, please submit to Vivida at the following address:

Vivida Health
PO Box 211290
Eagan, MN 55121

The benefits of submitting EDI claims include:

  • Improved cost effectiveness
  • Improved claims tracking
  • Electronic acknowledgment of claim receipt
  • Faster payment of claims
  • Better turnaround time for timely reimbursement
  • Timely Filing – 180 calendar days from the date of service or date of discharge (inpatient), or as specified in provider contract.


Corrected Claims:

Corrected claims can be sent electronically. All corrected claims should have the corrected claim indicator (a 7) on the claim and the original claim number that you are correcting.

Claims originally denied for missing/invalid information for inappropriate coding should be submitted as corrected claims. In addition to writing “corrected” on the claim, the corrected information should be circled so that it can be identified.
Claims originally denied for additional information should be sent as a resubmitted claim. In addition to writing “resubmitted” on the claim, the additional/new information should be attached.

Corrected and resubmitted paper claims are scanned during reprocessing. Please use blue or black ink only, and refrain from using red ink, white out, and/or highlighting that could affect the legibility of the scanned claim.

Corrected/Resubmitted paper claims should be sent to:

Vivida Health
PO Box 211290
Eagan, MN 55121


Interim Billing for Inpatient Hospital Stays

Below is the process for interim billing for inpatient hospital stays that exceed one hundred (100) consecutive days. This applies to hospital providers that request assistance due to a member’s protracted length of stay greater than one hundred (100) days in addition to the financial strain it imposes in having to wait for the member to be discharged to seek reimbursement.

Interim Inpatient hospital bill should be billed with the following:

  • Initial inpatient Hospital claim should be billed with a bill type of 112 (interim bill – first claim) and a patient status code of 30 (still patient).
  • Subsequent Interim bills should be billed with bill type 117 (corrected claim) with a patient status of 30 (still a patient) OR a discharge patient status. (Ex: 01, 02, 20 etc.)
    • With each subsequent inpatient hospital billing the previous claim is voided and replaced with a new claim.
    • The new inpatient claim should include initial date of admission, the dates of services and amounts from previous claims through the current billing.
    • The final replacement claims be billed for the complete stay from the first date of admission through the date of final discharge.
  • Each bill must include all diagnoses and procedure applicable to the admission.

For questions concerning this process, please call Provider Services at 844-243-5175 or email [email protected]


Provider Billing Resources

Vivida EFT Payer Payment Form

Well Child Visit (CHCUP) Billing

Medical Foster Care Claims Filing Guide