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SWMBH- Paperless Claims Submission Changes

January 31, 2019

As Southwest Michigan Behavioral Health (SWMBH) continues to move forward in reducing paper and finding more efficient and cost effective ways to reduce healthcare administrative costs we are making changes to allowable claims submission methods for providers.

Effective October 1, 2018, SWMBH will no longer accept paper claims from its provider network. Claims will be returned to the provider.  There are now multiple ways for providers to submit claims to SWMBH without the need for paper forms. Claims may be submitted in any of the following ways:

  • Manual data entry of claims directly into the SWMBH Smartcare system
  • Upload of an 837 file directly into the SWMBH Smartcare system
  • Through the SWMBH claims clearinghouse, Availity, LLC

Included with this communication is the SWMBH 837 Companion User Guide that includes information on 837 file format requirements, how to upload files directly to SWMBH Smartcare system, and how to get set up with Availity, LLC. For questions on file formats or contacting Availity, LLC you may contact technical support at providersupport@swmbh.org.