Electronic Transactions

Delaware First Health is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan

Delaware First Health is pleased to partner with Payspan Health to provide an innovative web-based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs).  This service is provided at no cost to providers and allows online enrollment.

Payspan offers monthly training webinars for providers. These webinars cover the registration process for both electronic funds transfers as well as registering and navigating the Payspan portal where providers will be able to view their explanation of payments. Please visit our Provider Training and Education page for more information.

For additional support, providers can also contact the Payspan call center at 1-877-331-7154 (ext. 1), Monday-Friday between the hours of 8am-8pm ET or the Payspan FAQs.

Secure Provider Portals

Delaware First Health partners with Availity Essentials, a multi-payer portal, to offer select secure provider portal services. Our current legacy portal will continue to remain active and available to you. The Secure Provider Portal (Legacy) and Availity Essentials are the fastest ways to get help with routine tasks.

Both portals offer convenient self-service options to get you fast results for:

• Authorization Requirements/Status
• Authorizations Requests
• Benefits/Copayment Information
• Claims/Reconsiderations/Appeals Status
• Eligibility Verification
• Submit Appeals/Claims/Claims Disputes/Corrections

EDI

Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at EDIBA@centene.com or 1-800-225-2573 ext. 6075525.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.