Providers.

We are here to answer your questions and verify your patient's benefits and account status, as well as to provide claim status updates.

Contact Us

If you have questions, please call our Customer Service Specialists anytime between 8 a.m. and 4:30 p.m. (CST) Monday through Friday at 866-323-2985. For more information on how to best reach us, please refer to our contact page.

Self-Service Site

You  have 24-hour access to verification of your patient's benefits, claim status or coverage information. Just visit this link. Providers needing to check an insured's eligibility or claim status will need to refer to the information on the insured ID card.

Submit a Claim

If the fully-insured insurance plan has no PPO network, then there are no restrictions or requirements. All licensed health care providers are accepted.

Payment is up to 25% more than what Medicare pays for doctor office visits and up to 50% more for facilities.

Step-by-Step Process for Submitting Claims

Step-by-Step process for submitting claims

1. Your patient will provide you an ID card for their short term medical plan.
2. If you would like to verify insurance benefits, contact the benefit verification line: 866-323-2985.
   
3. Copay plans (when applicable) can be collected at the time of service for the office visit.
4. Your patient's plan may include a pre-notification requirement for services, including hospitalizations, other inpatient care, inpatient surgeries or surgical procedures and outpatient IV infusion therapy, radiation therapy and cardiac surgery. Refer to the patient's ID card for details. Contact the pre-notification line at 866-317-5273.
5. Medical claims can be sent to: Insurance Benefit Administrators, c/o Zelis, Box 247, Alpharetta, GA, 30009-0247; EDI Payor ID: 07689
6. You will be contacted by Insurance Benefit Administrators regarding final pricing for the claims submitted in the weeks following submission.