3400 Yankee Drive Eagan MN 55121-1627. @0/I S6*R`R60znamc,?1s.qeCs7IcV\9OhwUwkY- K8'/T)k b`(cOVW&[5X^H!0O5xlXMW>L;Q3{:LY[eI~vH,uB_a|_c7iwm%ha Ya'QVMYv9W*cFmrTY0J1y. To ensure prompt and accurate service, please check the member's current ID card for the correct member information to obtain Eligibility, Verification of Benefits, Claim Filing Information and Claim Status. Contact your local Provider Relations representative, or connect with one of our other friendly, knowledgeable teams. Home; Service. For reimbursement of covered dental care claims. EDI # 19753 You . GRV12345), please submit claims to: Payer ID: 41147 . Eagan, MN 55121. PDF Claims & Benefits Help To File a Claim: PPO Network Portal & Faxback P.O. P.O. Note: MultiPlan does not sell health insurance directly to members or employers, and does not administer your plan or maintain any information about your health benefits. Sutter Lakeside Hospital. Click the button below to login. For reimbursement of covered vision care claims. Please reference your summary plan description to determine which Life or AD&D conversion form applies to you. Were committed to our agent and broker partners, from individuals to national firms. Fringe Benefit Group Non-Discrimination Policy | Interoperability | Price Transparency. See map. Sutter Center For Psychiatry. HealtheNet's mission is to optimize delivery of patient information to the health care community locally in Western New York. Claim Adjustment or Appeal Request Form (DOC) . Benefit Plan Administrators' Customer Service Representatives can be reached at 1-800-277-8973. You can contact SDS at: Smart Data Solutions . Healthcare, retirement and specialty benefits programs for government contractors. For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM. All rights reserved. Wisconsin Physicians Service Insurance Corporation and WPS Health Plan, Inc. EEO/AA employer. Then, print out the form, sign, and return to us using one of Box 211533 Eagan, MN 55121 Electronic Submission Submit to Paycor ID 86145 *Once a claim is received by Redirect Administrators, a clean claim is expected to be paid within 45 business days. Where should I send medical, dental, or vision claims? E-Mail Quick Suggestions Information Area Please call us at (269) 343-2611 or (616) 940-2099 to talk to a representative or complete the following form to send us a message. Learn more. Tel: (800) 298-7269 Fax: (210) 610-5468 Leading provider of outsourced Health and Welfare benefit solutions to government contractors. Box 211422, Eagan, MN 55121 PPO Network Your patient's PPO network is listed on their Member ID card. Self-insured, employer-sponsored health plan Nationwide claims payer Standard member ID cards and claims process No credentialing or cumbersome paperwork PO Box 211428 Eagan, MN 55121. Contact information by category. The single-source provider of benefits for hourly employees. Claims WEA Trust PO Box 211438 . 4 0 obj Offices. All Rights Reserved. Dental pre-estimates can be faxed to TLC Benefit Solutions, 229-249-9840, or mailed to P.O. Sutter Delta Medical Center. Provider Tax Identification Numbers will endstream endobj startxref 3 0 obj Pre-certify before any planned surgical and hospital admission or within 48 hours of emergency admissions. menifee shockers basketball By continuing to browse, you are agreeing to our use of cookies. Subscribe to our mailing list and the latest news, important notices & industry scoop, Simple business solutions that save money and time, Important Notice To Plan Participants Regarding The End Of The Covid-19 National Emergency. . endstream endobj 11 0 obj <> endobj 12 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>> endobj 13 0 obj <>stream Register New User Claims Department Appeals Department Download Form W-9 (Request for Taxpayer Identification Number and Certification) endobj The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has mandated the adoption of a standard unique identifier for health care providers. QCH : Keystone Health . Medica Behavioral Health claims should be submitted to: Medica PO Box 30757 Salt Lake City, UT 84130 Electronic pay ID: 87726. 1800 Yankee Doodle Road Eagan, MN . RiverPark II. PO Box 21631 Eagan, MN 55121 . the means below): For reimbursement of covered prescription drug claims. Note: When submitting claims under this payer ID, use only the 10-digit member ID.