Electronic Solutions for Providers

Real-Time Eligibility & Benefits

There are four ways to get real-time eligibility and benefit information for WHA members:

  1. Through your medical group/IPA portal
  2. Using 270-271 transactions (see below)
  3. WHA’s online eligibility tool
  4. Calling WHA at 888.563.2250

270/271 Transactions

Commercial Members:
WHA has partnered with Change Healthcare to electronically exchange real-time eligibility and benefit information. To get started, contact your practice management system vendor to initiate the process using Payer ID: WSTHA. For more information, please contact Change Healthcare or call 877.363.3666.

Medicare Members:
Please use Payer ID: PVDNC
For more information, please contact us at 916.563.2250 or 888.563.2250, and please select the option for Medicare members.

Claim Submissions

To expedite and improve the efficiency of claim processing, WHA has created an online resource to provide you with the applicable claim address per medical provider.

Claim Submission Information

For the latest on Coronavirus (COVID-19), click: getting care, at-home tests, vaccines and more