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Affiliate Providers

Affiliate Providers

Billing Information

CPT-4 Coding
Effective January 1, 2017 we will no longer accept the codes of EAPNE and EAPSU from participating practices.  Please use CPT-4 codes to submit charges for services provided to our EAP members.

Electronic Claim Submission
We have the capability to accept claims electronically.  Our electronic payor number is CB457.  If you choose to send claims electronically, please use CPT-4 codes, as the clearing house will be unable to accept the EAPNE and EAPSU codes.

WellSpan EAP Billing Information
Claims Address: WellSpan EAP
P.O. Box 1827
York, PA 17405-1827
Customer Service #: 1-866-227-6527
FAX: 717-851-4493
Electronic Payor #: CB457
Initial Visit Code: 90791
Subsequent Visit: 90834
Subsequent Visit: 90837

We will continue to accept paper claims from your practice. 
The billing address for EAP claims is: WellSpan EAP, PO Box 1827, York, PA 17405-1827.

Sample HCFA 1500 Claim Form 
WellSpan Referral and Invoice Form 

If you have any questions, please call WellSpan EAP customer service at 1-866-227-6527.


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