Provider Resources

Claims

Claims and remittance advices can be submitted and retrieved electronically through your existing clearinghouse or billing company.

If you do not use a clearinghouse or billing company, you can use the EZ-NET Provider Portal for online submission.

For ease of processing payment, electronic claims are preferred; however, if you are unable to send us a claim electronically, please mail it to:

Longevity Health Plan
PO Box 908
Addison, TX 75001-0908

SSI Claimsnet Customer Support

EFT Authorization Form and Agreement

  • Download the agreement form here