Providers.

We're here to assist you. Feel free to call us during working hours to verify benefits or get your questions answered anytime of the day by logging in to the Self Service Site.  No registration or password is necessary.

Contact Us

If you have questions, please call our Customer Service Specialists between 8 a.m. and 4:30 p.m. (CST) Monday through Fridays at 800-650-6497.

Self-Service Site

You  have 24-hour access to verification of your patient's benefits, claim status or coverage information. Just visit this link.

---

Submit a Claim

To verify your patient's benefits, acquire a copy of the member's ID card; and send the original, fully itemized bill to the claims address or EDI routing shown on the member's ID card. 

Benefit Verification Instructions for Providers

Step-by-Step process for submitting claims

1. Your patient will provide you an ID card for their short term medical plan. Pivot Health plans are underwritten by insurance carrier Companion Life Insurance Company.
2. This fully-insured insurance plan has no PPO network restrictions or requirements. All licensed health care providers are accepted.
3. Payment is up to 25% more than what Medicare pays for doctor office visits and up to 50% more for facilities.
4. If you would like to verify insurance benefits, contact the benefit verification line: 886-323-2985.
5. Copay plans (when applicable) can be collected at the time of service for the office visit.
6. Get pre-certified taken care of in advance if necessary. All hospitalizations, other inpatient care, inpatient surgeries or surgical procedures and outpatient IV infusion therapy, radiation therapy and cardiac surgery, must be pre-certified. Contact the pre-certification line at 866-317-5273.
7. Medical claims can be sent to: Insurance Benefit Administrators (formerly Allied National), c/o Zelis, Box 247, Alpharetta, GA, 30009-0247; EDI Payor ID: 07689
8. You will be contacted by Insurance Benefit Administrators regarding final pricing for the claims submitted in the weeks following submission.