Medical Claims Mailing Address:

Health First Health Plans
PO Box 211321
Eagan, MN 55121
Payer ID: 95019

The most current forms for your use are below.
 

Claim Forms

• Dispute Process
• Provider Claim Dispute Request

• Provider Claim Dispute Request – Second Level

   

• Corrected Claim Flyer
• Medical Reimbursement Form
• Timely Filing Guidance
• Waiver of Liability
• Claim Submission for Unlisted Procedure
• Electronic Fund Transfer (EFT) Claim Submission through Zelis

Provider Billing Guidelines

As a private payer processing claims for both Medicare and Commercial lines of business, Health First  Health Plans adheres to standard billing practices, supplemented by plan-specific billing requirements. The guidelines on this page provide information on any unique billing requirements for provider claims.  

In general:

As a Medicare Advantage plan, Health First Health Plans (The Plan) complies with Medicare guidelines across both Medicare and Commercial lines of business. The Plan reimburses covered services in accordance with applicable federal and state regulations, CMS program requirements, member benefit plans, and the terms of applicable provider agreements.

Providers are expected to submit claims using valid diagnosis and procedure codes and in compliance with billing and coding guidance issued by the Centers for Medicare & Medicaid Services (CMS), applicable Medicare Administrative Contractors (MACs), and other nationally recognized coding standards, including but not limited to Correct Coding Initiative (CCI) policies, Local Coverage Determinations (LCDs), and any associated articles or transmittals.

In the absence of specific billing or reimbursement guidance from CMS, Medicare contractors, or nationally recognized industry coding standards, Health First Health Plans reserves the right to establish plan-specific billing or reimbursement guidelines, which will be published on this website.

Health First Health Plans may apply coding edits, billing validations, and reimbursement methodologies consistent with regulatory requirements and plan policies. Claims that do not comply with applicable billing or coding requirements may be denied, adjusted, or returned for correction.

• Bilateral Procedure Guidelines 

• Clinical Trial Billing Guidelines

• Corrected Claims Billing Guidelines

• Co-Surgeons, Team Surgeons, and Assistant Surgeons Billing Guidelines 

• Drug HCPCS Codes No Longer Requiring a Paper Invoice (JN) Billing Guidelines

   

• Home Health Notice of Admission Billing Guidelines 

• Inpatient Hospital Readmission Guidelines

• Modifiers 26, TC, and Global Services Billing Guidelines 

• Modifier Billing Guidelines

• Multiple Surgery Guidelines 

• No Surprises Act Billing Guidelines

• Oxygen Reimbursement Table 

• Professional E/M CPT Coding Billing Guidelines

• Telehealth Billing Guidelines

• Unlisted Codes and Carrier Discretion Code Guidelines

Last updated 01/01/2026