Reference Guide for HealthSpring
Effective January 1, 2026
This contract is for HealthSpring’s Medicare Advantage Plan (sometimes called “Part C” or “MA Plan”).
MA plans are offered by various private companies (such as CIGNA, BCBSNC, United Healthcare, etc.) that have been approved by Medicare.
Individuals that join a Medicare Advantage Plan still have Medicare, but coverage is from the Medicare Advantage Plan and not original Medicare.
The HealthSpring Medicare Advantage Plan covers those same chiropractic services covered by original Medicare. Just as with Medicare, please be sure to include the AT modifier as applicable.
This Quick Reference Guide provides information specific to HealthSpring concerning claims, members, and policies.
General Information
Please do not send claims directly to HealthSpring. All HealthSpring claims must be sent to HNS.
Please ignore the claims billing address on the member ID card or any address given to you on the telephone when verifying eligibility and benefits. You are under contract as a participating HealthSpring provider through HNS and our instructions for filing claims supersede information given to you by HealthSpring Representatives!
If you have any questions about HealthSpring, please contact your HNS Service Representative. Your HNS Service Representative’s email address is displayed on the provider dashboard on the secure section of the HNS website.
Eligibility/Benefits
Be sure to ALWAYS verify eligibility for each HealthSpring member!
To verify eligibility and benefits – Refer to the telephone number on the member’s identification card.
Please remember to ask for specific information on chiropractic benefits for each member. CLICK HERE to see a sample Verification of Eligibility/Benefit Form.
Copayments
HealthSpring copays will vary by MA plan product and county in which the plan is offered.
HealthSpring Member ID Cards
All HealthSpring claims must be submitted to HNS. Please remember to obtain a copy of the front and back of the insurance card and maintain this in the member’s health care record.
If you are uncertain about where to file a claim, please email your HNS Service Representative a clear, legible copy of the member ID card and we will promptly respond back to you with an answer. Your HNS Service Representative’s email address is displayed on the provider dashboard on the secure section of the HNS website.
Claims Submission
All HealthSpring claims must be submitted to HNS. All primary claims must be submitted electronically to HNS.
CLICK HERE for information on filing corrected claims.
Please ignore any instructions regarding where to submit claims by payor phone representatives. HNS instructions regarding where to submit claims supersede all other instructions given by payor representatives when verifying eligibility and benefits.
In order for HealthSpring claims to adjudicate quickly and accurately, please note the following information regarding claims submission specific to HealthSpring is in addition to the HNS instructions under Filing Claims to HNS.
- HealthSpring must be in box 11c.
- Even when filing the claim electronically, the claim must be identified as a HealthSpring claim in the address section at the top of the CMS 1500 claim form (HNS/HealthSpring is an acceptable format) using the example below:
Example: HNS/HealthSpring
PO Box 2368
Cornelius, NC 28031
Claims Inquiries
For tracing outstanding claims (after 60 days from your billing date), please email your HNS Service Representative and include the patient name, date of birth, member ID number and the dates of services in question. We will gladly trace the claim for you and will respond back to you within three business days.
Resubmit lost/missing claims through HNS.
Refer to your HNS/HealthSpring fee schedule to confirm allowable amounts if prior authorization was obtained before rendering services.
Provider Relations
Questions relating to your participation in HealthSpring should be directed to your HNS Service Representative. Your HNS Service Representative’s email address is displayed on the provider dashboard on the secure section of the HNS website.