Genex Services provides best-in-class clinical solutions that enable customers to transform their bottom lines while enhancing the lives of injured . .st0{fill:none;stroke:#2736AA;stroke-width:3;stroke-linecap:round;stroke-miterlimit:10;} New claims may be reported 24/7/365 via our client portal, email, fax or mail. Together, we will begin to build a workers' comp program to meet your companys unique needs. Performs audits of own work or that of others to ensure conformance with established procedures. Our solutions are designed to protect your investments and provide a high level of care as we restore property across all areas of coverage, including auto, marine, aviation and transportation. Contact Us Become a Westfield Agency . Rise above the competition with dynamic claim solutions, Innovative tools to simplify the claim process. You can also reach us Monday through Friday from 7 a.m.-7 p.m. Central time. If the amount due remains unpaid, we will issue a nonpayment cancellation notice. GEOTSb- )|TQ8c-0P;1tcS=r 5:ZcAQ{o Please make checks and money orders payable to GeneDx. We're here to help with all of your healthcare questions and benefits concerns. Find the right address for medical, pharmacy or dental claims. LEARN MORE Going a step above But what happens when those employees are injured outside the U.S.? Go to Availity Portal and select Anthem from the payer spaces drop-down. Home / Claims / Workers Compensation Claims. Genex has held Managed Care Organization (MCO) certification with the Ohio Bureau of Workers Compensations Health Partnership Program (HPP) since 1997. Call our Customer Service Center at 1-888-476-2669, Claims can be reported in a number of ways, whichever is most convenient for your organization. 1 0 obj Claims Questions & Medical Providers. Our proprietary platform integrates end-to-end with your claims system, provider and specialty networks, clinical services and IME systems, electronic billing and payment technologies and more to provide you the information you need exactly when you need ithelping you to see the full picture of the claim. Leveraging our rich database and reporting capabilities, our Claims Performance Consulting professionals use in-depth expertise to help clients identify untapped opportunities in their claims management processing as well as reveal custom, actionable insights and benchmark their results compared to the industry. x][o~7y^(;I>>(b[iJk\JD~3?_\\,~:~XL.ML.g|vr:4i$%eS[VO 17637 Medical Documentation Fax: Ms. Nee is a trained contract specialist and assists claimants with policies for all of the major US disability insurers and reinsurers. 2023 PMA Companies. SUNZ Holdings provides an entire suite of insurance related services through its family of companies. Next Level Administrators (NLA) partners with Carriers, Program Administrators, Captives and Self-Insured Employers to develop customized claim programs geared towards maximizing claim outcomes and helping injured workers return to work quickly and safely. . Please contact us at 1-888-729-1206, option 2, to arrange for wire transfer payment from your bank. While GeneDx is a registered provider with several Medicaid plans, prior authorization (PA) is required for Medicaid specimens. 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. Email: Genex.Intact@trustflowds.com Fax: 866.378.7031 Intact Insurance PO Box 6814 Scranton, PA 18505 All Other Claims Correspondence: Please mail all other claims correspondence to: Email: DenverClericalSupport@intactinsurance.com Fax: 888.364.6002 Intact Insurance Attn: Workers Comp Claims 188 Inverness Drive W, Suite 600 Englewood, CO 80112 Find a CONNECT phone number and other contact info you need. Empowering clients to plan, execute, and improve outcomes. Insurance Billing Process Commercial Insurance Contracts. Call your Care Coordinator today at (800) 257-2038. It's not about cost, it's about injured employee safety and improved claim outcomes. endobj Apricus is a specialty network company with long standing industry roots and partners. Workers Compensation Claims. CONTACT US. Electronic Services Available (EDI) Professional/1500 Claims. Barbara.McDowell@genexservices.com Ascension Parish; Resolution Services, Inc. 225-769-5585; . Our team finds the CCMSI employees, system and services to be fast and efficient. For more information and the latest news, subscribe to the One Call blog or follow us on LinkedIn, Facebook, and Twitter. Questions about a claim or need assistance? cards Employer claims Medical bill payment reports This map is for general use only and may not represent the exact boundaries. call: 800-467-5281 (TTY: 866-846-5924) email [email protected] Search available positions today. h[ K$J@}i&p]4\h\{N4p03"(&:(GX5\Q z; D F] kfqlf gj=@@) =z A1.AkU V!V*G`f When you call, have this information handy: Your policy number. Hear how PepsiCo used Independent Age of Injury to drive successful return-to-work outcomes. Get answers to your questions about eligibility, benefits, authorizations, claims status and more. Request Assistance. Working a claim file takes an eternity because of so many redundant steps and separate notes for every step in documenting the file, reviewing coverage, making a payment. As managed care specialists, workers compensation payers and risk managers rely on Genex to achieve superior results through expertise, assured quality, and local knowledge. Workers' comp protects Texas businesses. Are you a provider looking for a payment? Get in touch with us and send some basic info about your project. Genex also assists employers with BWC programs, including their new Destination: Excellence program. Our success is built on demonstrating empathy and guidance to employees when they need it most. 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. If you have any questions, please feel free to contact Juliette Payne at (646) 925-8453 or at Juliette.payne@gcgriskmanagement.com. By Phone: Call the number on the back of the member's ID card or dial 800-676-BLUE (2583) to . Menu menu button. Meet Jonathan Gotschall from Pok Fresh with locations in Cuyahoga Falls and Highland Heights, Ohio. Corporate Headquarters, 440 East Swedesford Road Thats why we offer a Financial Assistance Program (FAP) to assist qualifying, eligible patients. Click for links, phone numbers, and more information for insurance claims service. The policy will be cancelled 16 days later if NYSIF does not receive payment in full. 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. Service Area Whether tracking legislation, executive orders, or administrative policy changes that may affect your worker compensation program, we want to help you find what you're looking for. As the world opens up again in this COVID era, more U.S. companies with a global reach are sending employees overseas to conduct business. Genex Services, LLC stream NLA has made a significant investment in technology by hiring the best data experts who have developed a robust data platform, E3VA, that defines our performance and accountability culture. Fostering a culture of accountability inspires our team to develop long term relationships, to be bold with their abilities to manage claims and to achieve established goals. The average Genex Services salary ranges from approximately $39,163 per year for a Customer Service Representative to $124,903 per year for a Software Engineer. Helping to make genetic testing accessible, Financial Assistance Program Helping to Make Genetic Testing Accessible, Financial Policy for Institutional Billing, Certain commercial health insurance plans, Any federally or state-funded insurance plans (e.g. Patients can apply for FAP prior to or during the ordering and testing process. All Auto Roadside services . 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. You can also fax claims to 1-888-329-2721. Managing the process so you don't have to. Request Assistance. Navigate Next. A completed Advance Beneficiary Notice (ABN) is required when Medicare medical necessity criteria are not met. Customer Service. For more information, contact: Electronic Remittance (ERA) YES. Who We Are. Please enter Group Number from ID card when submitting claims. Login. Verifies entries for accuracy and completeness. Box 21997 2 0 obj The tools you are given to work with are ridiculous - most of the time there isn't even contact information for the insured. If the claim is Open, contact FIGA: 1-800-988-1450 (toll-free) Fax 1-850-523-1888 or www.figafacts.com If the claim is Closed, contact the Florida Department of Financial Services. >+NPM+1(Wc0W\_qU*8Tcr+bp1GPT WUA`mx9),w\0~BI_Y9ksQg`8cb69G-m` Coventry is uniquely positioned to deliver exceptional network access solutions. 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. From our first auto parts catalogues, to our innovations in claims technology, we remain dedicated to improving outcomes . Shahin Hatamian, senior vice president of product management at Mitchell, believes the use of data and analytics have seen major innovation in the industry. Bridgefield Employers Insurance Company; Summit Claims Center. User ID: Please enter a User ID. 208 Sedgwick Claims anagement Services Inc. . Additional forms can be accessed on the Resources and Forms page. 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% Check with your workers compensation provider directly to verify the service area. Customer Service Center | 1-888-476-2669. More Choices for You. Genex Care for Ohio is dedicated to providing a personalized approach to customer service. It may take some time before the guaranty association receives the information needed to contact you. Institutional/UB Claims. Stakeholders: please use the new mailing address for ALL correspondence with DWC: Division of Workers' Compensation PO Box 12050 Austin, TX 78711 Division of Workers' Compensation contact information I need help with: Genex Services | 15,593 followers on LinkedIn. 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. Box 21997 New York, NY 10087-1997 WIRE TRANSFERS Payments can be made via wire transfer from your bank. You may contact the Department by using the Contact Us form or by calling 1-850-413-3081 (toll free at 1-800-882-3054 for Florida residents) Controlling our workers' compensation costs are a crucial factor in our claims management strategy. Our team of Social Security attorneys and specialized claims staff focus on early intervention, with consistently high award rates. Get detailed guidelines to register your health, home, motor & travel insurance claims & know your claim status online. Contact Sedgwick today to learn more about our medical bill review services. Talent shortages and a need for new technologies remain top concerns for workers compensation By Michelle Despres, PT, CEAS II, REAS, CETS, Vice President of Product Management, One Call PMA Cinch. 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. AMEX, Discover, Mastercard or Visa. Need help registering or logging into PMA Cinch? Why do 75,000+ Texas businesses of all sizes and industries trust Texas Mutual for workers' compensation insurance? Genex Services, LLC Corporate Headquarters 440 East Swedesford Road Suite 1000 Wayne, PA 19087 610.964.5100 888.GO.GENEX Provider Relations Are you a provider looking for a payment? ONLINE TOOLS. This works very well for hospitals and institutions with clinical laboratories and those that have a Send-Out or Referral Testing department. Are you a physician that would like to be on our IME Panel? 2018 MISSISSIPPI WORKERS' COMPENSATION CLAIMS GUIDE This Guide, now in its fourth edition, represents a collaborative effort by Tonja_Greer@corvel.com Jennifer G. Carter Past President (601) 355-8581 The Mailing address is P. O. ADDRESS 5 Peters Canyon Rd., Suite 250 Irvine, CA 92606 GIVE US A CALL OFFICE: 714.918.1310TOLL-FREE: 800.854.7591 Copyright 2020 Medata Inc. SAN DIEGO, Oct. 13, 2021 /PRNewswire/ -- Mitchell, Genex and Coventry formally announced today the creation of their new parent brand, Enlyte. Technology & Expertise Driving Better Claims Outcomes. %PDF-1.6 % 10+ years of Sales Experience, 8 of which have been spent in the Workers Comp Arena. We pay close attention to our clients and treat every claim as if it were our own. We're your Care Coordinators, your Healthcare Warriors. This position is on-site only and located in Boca Raton, FL. Learn how our claim tools can help implement strategies to reduce claim volume and overall cost. Established in 2005, SUNZ Insurance Company was founded specifically for PEOs, staffing agencies, transportation companies, and large companies. % We are moving injured workers through their care journeys better than ever before, providing exceptional, predictive, and responsive care coordination. PHCS/Cigna. Please contact your local Genex branch. Back. 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. As a result, there may be a slight delay in claim processing during this transitional period. To inquire by email, reach our support team at customercare@chubb.com. Our managed care coordinator provides individualized service to support a successful workers' comp program, including: Onsite training and education Educational materials MCO I.D. Enlyte brings together the brightest minds and smartest technology from Mitchell, Genex and Coventry. GeneDx accepts all commercial insurance and we are in-network with the majority of commercial health plans. Please have your bill available when paying online. A San Diego, CA 92124 Auto Physical Damage Auto Physical Damage SalesRepair Auto Physical Damage SalesClaims Auto Physical Damage Technical Support Auto Physical Damage Database Support Auto Physical Damage Data Licensing Pharmacy Solutions Pharmacy Solutions AutoRx Pharmacy Solutions Contact ICW Group If you need assistance, we're happy to help! Here is what sets our human-centered, technology-enabled service apart: Flexible Solutions Proactive provider collaboration GENEX South Africa. Roles in the Ohio BWC Health Partnership Plan (HPP). 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. . Phone number where you can be reached landline and cell, if you have both. Contact information 12. Password: General Insurance Profile. The people you know and businesses you trust are working together to transform P&C performance today, while charting the course to a better future. 3 0 obj Yousun Co., Ltd. 886-2-2776-5165--[email protected] Thailand: Ramical Siam Manufacture Co . This is intended to simplify the test ordering process for the referring healthcare provider. If you need help, please contact your system administrator at. PHC/PHP. Evolving from historic DMEplus and Priority Care Solutions and backed by the power of Enlyte, we are Apricus. For fastest service, please call the number located on your member ID card. May convert data from one electronic system to another. . 888-200-3412; LA1010@summitholdings.com . GeneDx will initiate these PAs. The FAP is not available for: Plans may require additional documentation to complete the prior authorization and/or billing process. Is this your business? 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. To show our support of small businesses in Northeast Ohio, Westfield partnered with the Cleveland Cavaliers to recognize local businesses. Call us at 800-CNA-2000 or email CNA_help@cna.com for assistance Medical bill review for workers' compensation. Back, .st0{fill:none;stroke:#2736AA;stroke-width:3;stroke-linecap:round;stroke-miterlimit:10;} Login. or send email to the system administrator. Visit our contact page General FAQs Find answers to your billing, coverage, claims, documents and profile questions. Locate a network medical provider, create a panel or medical directory via the medical provider portal. Contact Customer Support. Additionally, Genex has been awarded accreditation for Case Management Organization Standards by the American Accreditation Healthcare Commission/URAC (URAC). 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. Cost containment. Opioid utilization in workers comp has steadily been trending downwards. GeneDx understands that at a time when a patient may be facing many other medical expenses, working genetic testing into their budget may be challenging. For all other inquiries, complete the form below and a member of our team will respond to your submission promptly. Workers compensation and disability payers rely on Genex to deliver superior results and transform their bottom lines. How do I contact the Texas Property and Casualty Insurance Guaranty Association? 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. The three businesses have . To make a payment by phone via IVR (Interactive Voice Response) or to contact our billing support, call 1-833-550-9660 ( Monday to Friday 8 AM EST to 8 PM EST) or email smallbizbilling@chubb.com. With E3VA, we assist our clients with transforming their own culture to one that is data-driven. Mail to: GeneDx, Inc. P.O. Genex Services . Provider Pathway: Email us here. COMMERCIAL. At GENEX, we are committed to equipping our cooperative members - and those involved in their dairy and beef operations - with the best tools Read More Feeding colostrum as a therapy for diarrhea in preweaned calves 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. Send us your questions via email. Solutions for individuals seeking Medicare guidance. Attend our monthly webinars for the chance to earn free CE credit. The average Genex Services hourly pay ranges from approximately $19 per hour for a Customer Service Representative to $48 per hour for a Registered Nurse Case Manager. Medicare, Medicaid, Tricare). Social Security: Email us here. 1301 6th Avenue West Bradenton, FL 34205 Phone: 941.306.3077 Fax: 941.355.5490 info@sunzinsurance.com. Establishment of an institutional account is very simple and requires only a phone call to GeneDx Accounts at (888) 729-1206, option 4. endobj ERA Enrollment Required. Next Level Administrators is part of a network of affiliates under SUNZ Holdings. Monday-Friday, 8:30 a.m.-10 p.m. Information provided in this section is intended only for U.S.-based patients. Every workplace injury is a unique situation with its own set of circumstances and timeframes. Find the right place to log in for secure services like enrolling, making appointments or checking referrals. Call 800.821.6136 for help with your medical plan, or call 877.434.2336 for help with your dental plan. Once you've submitted this form to GEHA Customer Care via our secured network, we'll respond as soon as possible. WCNET@tdi.texas.gov, 1601 Congress Avenue, Austin, TX 78701 | P.O. There are some Managed Medicaid plans which stipulate that prior authorizations must be obtained by the ordering physicians office. Nationwide representation services for claimants who are referred by insurance carriers, self-insured employers and individuals independently seeking representation services. If you are a member of the Chubb Customer Service . We use cookies to personalize and enhance your experience on our site. 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. 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. COMMERCIAL. From Physical Therapist to Injured Worker. The patient is financially responsible for the member responsibility amounts their health insurance plan lists on the Explanation of Benefits (EOB), which may include co-pay, coinsurance, and unmet deductible.