Information For Providers
At CenterLight Healthcare PACE, we are committed to delivering high quality health and health-related services to our participants in the diverse communities we serve. This commitment is only possible through our relationship with you -- our network of caring and compassionate Providers dedicated to enhancing our participants' quality of life.
This section of our website affords our participating Providers access to a variety of useful tools and documents. Use the quick links below to obtain directories, forms and more.
IMPORTANT NOTE: When contacting us by fax or email, please make sure the communication is secure and encrypted.
If you need assistance or have any questions, please call our Customer Service department at 1-800-761-5602.
Provider Resources
Important Information for Providers
Please click on the links below to access Provider information in PDF format.
- CenterLight is now working with Nokomis to provide claim review services
- Collaborating with CenterLight Through HHAeXchange
- Prior Authorization Request Form
- Quick Reference Guide
- Medical Encounter Notes
- W-9
Drug Coverage Determination Forms
How To Submit A Claim
We understand that getting paid quickly and accurately is important to you and we encourage our participating providers to file claims online. Online claims processing saves time and paper.
Claims Submission
Please be sure to submit claims on a CMS 1500 or a UB 04 form and always include:
- The service facility location information
- The pay to group or individual name
- The National Provider Identifier (NPI)
- The Tax Identification Number (TIN)
- The name of the rendering provider and rendering provider NPI
- The CenterLight PACE participant ID
- NDC, when applicable
- Appropriate sequence code and claim number, when applicable
Submit paper claims to:
CenterLight Healthcare
P.O. Box 21546
Eagan, MN 55121
Submit electronically to payer ID 13360.
CenterLight works with SDS - Smart Data Solutions. Providers may contact SDS at stream.support@sdata.us or 855-297-4436 to register if they are unable to submit through their current clearinghouse (other than Change Healthcare)
Providers should submit all claims within one hundred eighty (180) days of the date of service for prompt adjudication and payment.
For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM.
Annual Enrollment Period
We understand that Annual Enrollment Period can be a confusing and stressful time for your patients and their caregivers, and our team is here to assist.
If you have patients who’d benefit from our services and want information about our program, you can refer them to us. Please note that if they wish to remain enrolled with us, current CenterLight Healthcare PACE participants do not need to take any action at this time.
CenterLight Healthcare PACE has no lock-in period, which means we can accept referrals and enroll participants any time of the year.
Simply call us at:
1-833-252-2737 (TTY 711)
8AM - 8PM Monday-Friday (Representatives and message service also available on weekends.)
We look forward to continuing to work with you in helping enrich the lives of the individuals and communities we serve.
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A Whole New Level of Care for Your Patients
With CenterLight PACE, you remain the Primary Care Provider (PCP) and share the responsibility of patient care with our Interdisciplinary Team (IDT) which includes, but is not limited to, Nurses, Rehab Therapists, Social Workers, Dietitians, and Therapeutic Recreation Specialists.
CenterLight Healthcare has a network of 4,000+ providers and growing! Click on the link to find a provider in our network.