4287 0 obj <>stream % Our property experts assist customers with all types of property claims, from the most complex losses to everyday commercial and residential claims. Click below to learn more about additional services that are available through SUNZ Holdings. Enter Age of Injury (AOI), a valuable claims management tool that provides much-needed As we say goodbye to 2022, we reflect on the moments we were able to learn and grow alongside you, o A new year is approaching, bringing with it new opportunities to earn free CE credits*. Phone number where you can be reached landline and cell, if you have both. Contact Information PO Box 29210 Hot Springs, AR 71903-9210 Get Directions (503) 636-0786 Customer Complaints This business has 0 complaints File a Complaint BBB Rating & Accreditation This. YES. A completed Advance Beneficiary Notice (ABN) is required when Medicare medical necessity criteria are not met. Here is what sets our human-centered, technology-enabled service apart: Flexible Solutions Proactive provider collaboration Careers. This map is for general use only and may not represent the exact boundaries. 17672 Fax: 610-964-5227 888-275-9719 Address (Utilization/Medical Management): GENEX Care for Ohio 11590 Century Blvd., Suite 202 Cincinnati, OH 45246 Phone: 800-447-6250 ext. Together, we will begin to build a workers comp program to meet your companys unique needs. Genex has held Managed Care Organization (MCO) certification with the Ohio Bureau of Workers Compensations Health Partnership Program (HPP) since 1997. Our managed care coordinator provides individualized service to support a successful workers comp program, including: Claim status reviews can be conducted onsite or via email, telephone, or internet conference. Every workplace injury is a unique situation with its own set of circumstances and timeframes. Disability Claims Solutions, Inc. provides insureds across the USA with resources to make better decisions concerning ERISA Group STD/LTD claims, as well as Individual Disability Income benefits and Long-Term Care. This works very well for hospitals and institutions with clinical laboratories and those that have a Send-Out or Referral Testing department. Each month, the Cavs and Westfield will feature a new Small Business Spotlight winner. The tools you are given to work with are ridiculous - most of the time there isn't even contact information for the insured. Evolving from historic DMEplus and Priority Care Solutions and backed by the power of Enlyte, we are Apricus. User ID: Please enter a User ID. Established in 2005, SUNZ Insurance Company was founded specifically for PEOs, staffing agencies, transportation companies, and large companies. SUNZ Holdings provides an entire suite of insurance related services through its family of companies. Roles in the Ohio BWC Health Partnership Plan (HPP). We cannot express how impressed we are with the claims handling and the quality of service they provide. stream Please make checks and money orders payable to GeneDx. Genex also assists employers with BWC programs, including their new Destination: Excellence program. Corporate Headquarters, 440 East Swedesford Road Phone: 512-345-9335 or toll-free 800-856-0298 Fax: 512-345-9341 Email: info@tpciga.org Mailing address: TPCIGA, 9120 Burnet Road, Austin . Insurance Plans Medicare and Medicaid plans Medicare For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid For people with lower incomes Dual Special Needs Plans (D-SNP) For people who qualify for both Medicaid and Medicare Individuals and familiesSkip to Health insurance Supplemental insurance Dental Vision Genex Has Been Proven To: Improve return-to-work outcomes by more than 35%* Reduce the overall cost of medical care on lost-time cases by 41% Technology & Expertise Driving Better Claims Outcomes. Controlling our workers' compensation costs are a crucial factor in our claims management strategy. 1094. GeneDx can directly bill a referring institution if an institutional account with GeneDx has been established. ERA Enrollment Required. Payments can be made via wire transfer from your bank. Apricus is a specialty network company with long standing industry roots and partners. But what happens when those employees are injured outside the U.S.? Literally everything takes 3x as long as it should. P.O. Get the latest insights and industry updates you need to know. Please enter Group Number from ID card when submitting claims. Are you a physician that would like to be on our IME Panel? Medical bill review and demand management for auto liability The FAP is not available for: Plans may require additional documentation to complete the prior authorization and/or billing process. Insurance Specialty Insurance Business Insurance Personal Insurance . While GeneDx is a registered provider with several Medicaid plans, prior authorization (PA) is required for Medicaid specimens. Auto Physical Damage, Auto Casualty, Workers' Compensation, Disability. Find instant answers to the most frequently asked questions. gE_@AOzU/(>cbzpP0(s^` t8G!Bcx Kc,X\rc6O* Technical Support Social Security: Email us here. Referrals: Emails us here. From our first auto parts catalogues, to our innovations in claims technology, we remain dedicated to improving outcomes . Find a CONNECT phone number and other contact info you need. 1301 6th Avenue West Bradenton, FL 34205 Phone: 941.306.3077 Fax: 941.355.5490 info@sunzinsurance.com. Request Assistance. 1 0 obj 208 Sedgwick Claims anagement Services Inc. . Service Area We pay close attention to our clients and treat every claim as if it were our own. Check with your workers compensation provider directly to verify the service area. Quick Resources by State. Thank you for visiting our website. Contact Next Level Administrators If reaching out in regards to a claim please call 941-306-2393 and select option 1 to report a new claim, or option 2 for claim inquiries. endobj Patient education is absolutely vital for getting hurt workers engaged in recovery and return-to-work plans. Corporate Mailing Address 9771 Clairemont Mesa Blvd, Ste. Contact Sedgwick today to learn more about our medical bill review services. Verifies entries for accuracy and completeness. Thats why we offer a Financial Assistance Program (FAP) to assist qualifying, eligible patients. Request Assistance. For more information, contact: As managed care specialists, workers compensation payers and risk managers rely on Genex to achieve superior results through expertise, assured quality, and local knowledge. Questions about a claim or need assistance? If you have an open Social Security case with Genex. We are moving injured workers through their care journeys better than ever before, providing exceptional, predictive, and responsive care coordination. As a leader in the workers' compensation industry, One Call has an unwavering commitment to getting injured workers the care they need when they need it. Email Address. Address 440 E Swedesford Road, Suite 1000 Wayne, PA 19087 Telephone: (888) 464-3639, ext 5433 Fax: (855) 253-3910 Attorney for Service Information not available Service Area Map View larger service area map This map is for general use only and may not represent the exact boundaries. Specialized, customizable services delivered by in-house disability experts help you reduce claims costs, improve processing efficiency and ensure you remain compliant with regulatory requirements. With critical claims data at our fingertips, our team monitors, measures and consistently finds innovative ways of elevating the outcome of a claim through utilization of E3VA, our visual analytics platform. Enlyte brings together the brightest minds and smartest technology from Mitchell, Genex and Coventry. Claims: 1-888-256-3378 Flood Claims: 1-800-759-8656 The Department is currently gathering claim files and claim data to forward the information to guaranty associations. Establishment of an institutional account is very simple and requires only a phone call to GeneDx Accounts at (888) 729-1206, option 4. endobj <> Please apply here. 3 0 obj With national coverage and local expertise, our clinical services help you improve productivity, contain costs, and help injured employees get better faster. 888-200-3412; LA1010@summitholdings.com . Please have your bill available when paying online. New York, NY 10087-1997. As a leader in the workers compensation industry, One Call has an unwavering commitment to getting injured workers the care they needwhen they need it. PHCS/Cigna. <>/Metadata 1100 0 R/ViewerPreferences 1101 0 R>> Genex is the most experienced managed care provider in the industry, delivering clinical services and solutions that improve productivity, contain costs, and help injured employees get better faster. Empowering clients to plan, execute, and improve outcomes. Click on the claim number to view the claim details. This position is on-site only and located in Boca Raton, FL. Pay by US Mail or by overnight delivery Payment Address: P.O. Box 21997 Institutional/UB Claims. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 14 0 R 15 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Reporting online via PMA Cinch or our Report a Claim tool carry the advantages of an immediate claim number, ability to attach reference documents, and instant entry into our system for quick claims servicing. Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677, DBA GENEX Workers' Compensation Health Care Network (WCHCN), State Auditor's Office Hotline: 800-TX-AUDIT. contact us (U.S.) 800.243.0210; One Park Circle P.O.Box 5001 Hear how PepsiCo used Independent Age of Injury to drive successful return-to-work outcomes. How do I contact the Texas Property and Casualty Insurance Guaranty Association? Contact. Our representatives have significant experience representing disabled claimants before the Social Security Administration. Get in touch with us and send some basic info about your project. Bridgefield Employers Insurance Company; Summit Claims Center. Cost containment. Delaware, Maryland, New Jersey,Northern Virginia, Pennsylvania & Washington, D.C. Joseph Gallagher, 1-800-537-2966 (x 3006), Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio & Wisconsin, Alabama, Georgia, Kentucky, North Carolina, South Carolina, Tennessee & Virginia, Arkansas, Louisiana, New Mexico, Oklahoma & Texas, Michael MacAulay, 1-800-537-2966 (x 3157), 1-800-222-2749 and ask to speak with a member of our Distribution Management Team, Medical Bill Submissions & Claims Correspondence, PMA Customer Service CenterP.O. However, you may also obtain this information from the Customer Center website. Opioid utilization in workers comp has steadily been trending downwards. To help lower your total cost of risk and return injured workers to work as quickly as possible, we offer a FREE consultation with a workers comp expert. For more than 75 years, Mitchell has been dedicated to meeting the practical demands of the industry with solutions that streamline and simplify our clients' business. Social Security: Email us here. Workers' comp protects Texas businesses. Click for links, phone numbers, and more information for insurance claims service. Are you a provider looking for a payment? New claims may be reported 24/7/365 via our client portal, email, fax or mail. Genex provides nationwide Social Security Disability Insurance (SSDI) representation services for claimants who are referred by insurance carriers, self-insured employers and individuals independently seeking representation services.
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