ICD-10 Provider Resources - eMedNY ICD-10 Provider Resources - Small Physician Practice ICD-10 Provider Resources - CMS ADDITIONAL RESOURCES Provider Addition/Change Form Request for Claims Review Form WE'RE HERE TO HELP. PeakTPA submits risk adjustment data to CMS based on claims and encounters received, follow-up and correction of errors, and submission of return files to PDAC. Peak is the leading health plan management solutions and services provider in the PACE (Program of All-inclusive Care for the Elderly) market. Sonder Health Plans, Inc. is an HMO with a Medicare contract. Monday to Friday, October 1st March 31st The best days to call are Wednesday through Friday, if possible, due to lower call volume. English Khmer Portuguese Spanish. For those services that do require prior authorization, such as elective inpatient procedures, please see our Prior Authorization Request Form for completion and submission per instructions on the form. *New vendors must submit a W-9 to Peak TPA for payment. Most services under our Plans do not require Prior Authorization by the plan when services are rendered in an office or similar place of service. 2022 Tabula Rasa HealthCare. For the Sonder Health Plans Claims Department: 1 (888) 525-1730 or email us at claims@sonderhealthplans.com. Call 1-855-774-4395 and mention Code ' ACS-BENEFIT-SERVICESMICRO ' for more information. LIFE Beaver County. For Provider Services (866) 386-4447 Email Us [email protected] About PeakTPA PeakTPA offers a full suite of health plan management and back office services that optimize financial management and fulfill financial management and regulatory requirements. Medicare Part D services involve submitting Prescription Drug Event (PDE) Data to CMS, including error correction and re-submission, all provided by PeakTPA. Provider Services's call center is open from 8 am to 7 pm. Discover what works best for your business: Zelis ACH With ACH, you get paid weeks faster than by mailed check. About. Password. Contact us by calling the number on the back of your patient's ID Card or contact us via the 24/7 faxback number (888) 494-4600, and we'll get you the information you need. We encourage feedback from all our stake-holders. Every member of Sonder is unique and therefore needs care tailored to them. PO Box 21631. If you are a provider contracted with ArchCare Advantage HMO Special Needs Plan, please call: 1-800-373-3177 If you are a provider contracted with ArchCare Community Life (MLTCP), please call: 1-855-467-9351 If you are a provider contracted with ArchCare Senior Life (PACE), please call: 1-866-263-9083 Learn More Address: St. Louis, MO 63119, United States. If you'd like to better understand how HMA can add value to your business, our team would be happy to consult with you. Our system allows you to track your RAPS data submission status real time. Responsible for operational oversight and management of numerous . Administrative Services; Care Solutions; Analytics; Provider Networks; Resources; Careers; Contact . Discrimination is against the law: Sonder Health Plans, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or religion. Specialty Providers are responsible for providing quality care for contracted and covered health care services to eligible Members, and for ensuring that any required referrals and/or authorizations have been obtained. Third Party Administration. To verify benefits, pre-authorizations or questions, contact: 336-550-4040 Phone 336-550-4044 Fax Mail claims to: PACE of the Triad c/o Peak PACE Solutions P.O. We're here to answer your questions or get your the information you need. Eagan, MN 55121. Reaching Our Call Center (by telephone) PHP's Customer Service is available 8:30 a.m. to 5:30 p.m., Monday through Friday. Name *. 7 days a week, H1748_WEBSITE21_V2 Please make sure to confirm Member eligibility and to submit your claims/encounter data into SHP as required to comply with prevailing Medicare and documentation standards. Experts Since 1996 Administer Custom Plans Client-Focused One-Stop Solution Experts Since 1996 Pinnacle Claims Management has more than 20+ years of experience in managing employee health benefits. Improve visibility with 24/7 access to 10 years of payments history by claim or patient as well as previously downloaded remittance files. Peak performs back-office functions for PACE organizations, including acting as a Third Party Administrator (TPA) to manage claims from healthcare providers. The six- to eight-week implementation plan includes weekly calls with your staff to ensure a smooth transition to PeakTPA services. Sales Support. PeakTPA submits encounter data to CMS based on claims received electronically or on paper. Contact Us. We use cookies to provide the most relevant user experience to our website visitors, including reliable website functionality and access to the most relevant products and services, as well as for content including social media features and web traffic analysis. We provide the return files to PDAC and process monthly plan-to-plan (P2P) reports and payments. Greater Minneapolis-St. Paul Area. Address: St. Louis, MO 63119, United States. Not consenting or withdrawing consent, may adversely affect certain features and functions. PeakTPA provides complete claims adjudication, processing and payment for your PACE program. Peaktpa.com.This domain provided by godaddy.com at 2019-06-07T17:56:42Z (3 Years, 70 Days ago), expired at 2025-06-07T17:56:42Z (2 Years, 295 Days left). 1866-263-9083 (TTY/TDD: 18006621220) H4393_2016website_CMS Approved CALL US. sales@abs-tpa.com. Simply enter the virtual card number into your card terminal and youre done. With 330 payers instead of just one, we have an ever-growing network to help you get your money fast. Copyright 2022 - Sonder Health Plans, Inc. |, Service Specific Referral Not Required List. Feel confident with our National PACE Association (NPA) membership, which ensures PACE-tailored services for increased quality and efficiency at a fair price. PeakTPA offers a full suite of health plan management and back office services that optimize financial management and fulfill financial management and regulatory requirements. We submit data both to the Centers for Medicare and Medicaid services (CMS) and many State Administering Agencies (SAAs) for accurate reimbursement. Peak Health Insurance Corporation is in the process of applying for licensure as a West Virginia health insurance company. About Author Lawerence Harrell Editor in Chief Providers may use the following link to access the AHRQ CPGs: Filing a claim shouldnt be stressful. For more information on how PeakTPA can serve your organization, call us at (833)-609-4609, or click the button below. Donate Contact. Contact PACE Organization of Rhode Island by filling the form and we will get back to you as soon as possible. (413) 241-6321 IMPORTANT NUMBERS/ADDRESSES: Authorization Phone Number: Authorization Fax Number: Eligibility TTY Claims Inquiry Serenity Care PACE Center: Claim Address: Peak PACE Solutions PO Box 30760 Tampa, FL 33630 Fax: (314) 961-3456 EDI Payer ID 27034 (413) 241-6321 (413) 747-3979 (413) 241-6321 (413) 734-5440 (413) 241-8967 (413) 241-6321 Please note that authorized services for PACE participants have no deductibles or copays. We also share information about your use of our site with our social media, advertising and analytics partners who may combine it with other information that youve provided to them or that theyve collected from your use of their services for managing their user experience. 11010 Prairie Lakes Drive, STE 175 Eden Prairie, MN 55344 Claims Status Phone Number: (952) 400-7600 Claim status email - Intake@eclusive.com For additional claims questions, please contact Jovonne Tate at 248-556-9303 For Medical Record Requests or Inquires, please contact the PACE Medical Records Department: Email: PACEMedRec@pacesemi.org Jan 2011 - Mar 20165 years 3 months. Because PACE-RI is both the insurer and provider of care for participants, our providers enjoy great flexibility with care . Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. In the provider portal, you can quickly investigate payments history by claim or patient up to 10 years back. Other website users will need to contact Allied directly at 800-288-2078 for forgotten account numbers. C/O Peak TPA P.O. For Commercial/HMO inquiries, please call 517.364.8500 or (toll free) 800.832.9186. Solutions. a) HCFA-1500 (standard form used by Providers) b) UB-04 or UB-92 (standard form used by Hospitals) 8. 233(g)-(n). At CareVention HealthCareTM (CVHC), our client-tailored third party administration (TPA) service, PeakTPATM, offers expertise in health plan management to help healthcare organizations stay focused on care delivery. With ACH, you get paid weeks faster than by mailed check. For more information on how PeakTPA can serve your organization, call us at (833)-609-4609, or click the button below. Our team of dedicated professionals strive to ensure that each . Broker benefits Get in touch. TTY: 800.745.5555. We verify the PACE program is receiving proper payment from CMS related to state and county code, Institutional Indicator, ESRD Status and Part D components. Please refer to the CDC for the most current updates on the coronavirus status, and we will continue to share updates as situations evolve and change. Enter a valid 10-digit number. As a Federally Qualified Health Center (FQHC), Peak Vista is eligible for Federal Torts Claim Act (FTCA) medical malpractice liability protection. PCPs are responsible for initiating specialist referrals and for obtaining or facilitating any required pre-authorizations. At Peak One Administration, our mission is to deliver user-friendly employee benefits administration solutions and the highest levels of productivity-enhancing features while out-performing in customer service and attention. PeakTPA is a service of CareVention HealthCare. The timing of training is based on the clients need. Box 30760 Tampa, FL 33630-3760. PeakTPA offers a full suite of health plan management and back office services that optimize financial management and fulfill financial management and regulatory requirements. For claims submissions*: EDI Payer ID: 27034. No more costly manual processes and workarounds. You can manage all your payment information in our easy-to-use provider portal. We offer TPA services for Programs of All-Inclusive Care for the Elderly (PACE) and other value-based care organizations. Call 1-855-774-4395 and mention Code MICRO for more information. Weve partnered with Mastercard to provide secure, card-based payments. We are always here to help answer any questions. Heres how the Sonder Team and our network of providers are working to support our members and continue to keep them save during these trying times. Peak Health, LLC is currently licensed as a Third-Party Administrator in the State of West Virginia. Below are helpful phone line shortcuts for Providers to access account information quickly. Colorado Springs Office. These reports provide helpful insights regarding the performance of your PACE program. National Provider Identifier (NPI) Only numbers are allowed. Forget about wasted time from fixing errors. . One fax represents one claim payments. Thats where every provider comes in. Answer 3. Tax ID Number* First Name* Last Name*. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. Our team has extensive knowledge in the self-funded health benefits marketplace and understands how needs vary by company size and industry. Programs of All-Inclusive Care for the Elderly (PACE). We are continuing to operate under normal business hours and are here to assist. Question 4. Secure Download includes a CSV file with virtual card numbers and EOP PDFs. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. CareFirst BlueCross BlueShield website for Providers & Physicians. Employee Search Employee ID: Last Name: Employee Only Employee & Dependents 6190 Powers Ferry Road By clicking Accept, you agree to the use of cookies when using this site. Providers may use the following link to access USPSTF published recommendations. All of our services are now on one site! To provide the best experiences, we use technologies like cookies to store and/or access device information. Contact Us; 800-843-3831; 877-625-0205; Portal Login; Home; Members. Peak provides encounter data submission and error correction for PACE organizations based on claims, which is crucial for achieving accurate reimbursement. Customer Service; Flexible Spending Account; Forms & Resource Center; Employers; Producers; Providers; . If you already paid the bill, include a paid receipt or copy of your cancelled check. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. For more information, visit PeakTPA. For a downloadable Preventative Services Check List, click here. Whether you are an employee needing benefits support and information, or an employer wanting employee benefits management . Clean data and expedited payments means spending less time on the phone with payers and more on patient care. Answer 5. LEARN MORE Provider Servicess call center is open from 8 am to 7 pm. Question 2. Our expertise in health plan management, particularly in PACE, means you can focus on delivering high-quality care to your participants. Name Specialty Address City State Zip Phone Distance Map Sort; Map For claims status, please call: 866-386-4447. 2420 E. Pikes Peak Ave. Suite #1044 Colorado Springs, CO 80909. 700K+ providers already trust Zelis to handle their payment transactions. Our extensive expertise in TPA means your organization can focus on providing care, instead of the technicalities of a health plan. Zelis simplifies administrative work so employees can focus their efforts more effectively. CareVention HealthCare is a division of Tabula Rasa HealthCare. We also share information about your use of our site with our social media, advertising and analytics partners who may combine it with other information that youve provided to them or that theyve collected from your use of their services for managing their user experience. Division Director, Member and Provider Services. PCPs may use any referral documentation type, such as their own internal referral forms, or script for initial referrals to a Specialty Provider; however, if PCP is referring to a Specialist for services that are NOT listed under our Service Specific Referral Not Required List, a PCP Referral Form must be completed and faxed to 1(888) 217-4320 to notify SHP of the referral. Healthcare . Affiliated with: Teaching hospital of: you may have. Skip to content. For general inquiries & questions, contact us via email. PeakTPA sends TrOOP notifications to disenrollees as required. I'm a Broker. Hours: 8.00 am 8.00 pm Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Provider Portal Eligibility inquiry Claims inquiry. Sonder Health Plans, Inc. (SHP) Members have access to Medicare-Covered preventive services at no cost. faq. We want to ensure providers in our network can get their claims filed easily so you can focus more time on care. We also submit the MMR to the PACE Data Analysis Center (PDAC) and provide all related journal entries. We provide monthly claims expense reports organized by service and specialty type. This field is for validation purposes and should be left unchanged. Use the following button below to access the Medicare interactive chart for detailed information on coverage and coding requirements. We are always here to help answer any questions. Please MAIL CLAIMS TO: InsuranceTPA.com PO BOX 15953 Lubbock, TX 79490 Question 3. At CareVention HealthCare TM (CVHC), our client-tailored third party administration (TPA) service, PeakTPA TM, offers expertise in health plan management to help healthcare organizations stay focused on care delivery.We submit data both to the Centers for Medicare and Medicaid services (CMS) and many State Administering Agencies (SAAs) for accurate reimbursement. Provider Servicess fax center is open from 8 am to 7 pm. English. Zelis ACH allows the choice of what works best for your business: 835 or Explanation of Payments (EOP) are available in CSV, XLS, or PDF formats, Receive remittances by secure download, secure FTP or secure email. A library of reports is available for printing at any time. Get the provider forms and resources you need for things like LIN access, Prior Authorization and more. 100 Garden City Plaza, Suite 110 Garden City, NY 11530. sales@ibatpa.com. Find a Portal. Phone 800.207.1018. Phone Number *. I'm a Provider. Welcome to the Sonder Health Plans Network. Peak Healthcare is a leading provider of post-acute care services, offering skilled nursing, rehabilitation and long-term care in Maryland. The technical storage or access that is used exclusively for anonymous statistical purposes. Provider TIN or SSN is required. Please refer to our Service Specific Referral Not Required List This list will identify what services a Specialty Provider may render under a PCPs initial referral for consultation/visit. About Us; Careers; Contact . Contact Tina Farrar, tfarrar@peak.cpstn.com Answer 1. Only numbers are allowed. Business Name. 3284 to get started. You can accept or reject most of these cookies. (888) 216-5210 Role of Primary Care Providers 9. Just fill out our request form below or give us a call at (888) 811-8944, ext. Box 30760 Tampa, FL 33630-3760 For claims status, please call: 866-386-4447 Electronic claims payer ID: 27034 We Want to Hear from You! You can find procedures, departments information and all information about being in the Sonder Health Plans Network within our Provider Manual. Our integrated tools and services steer employees to best cost providers and deliver innovative, low cost solutions for our clients. Take a look around to learn more. If Unable to Submit Electronically. CenterPlace , 131 Pleasant Drive, Suite 1 Aliquippa, PA 15001 Eagan, MN 55121. You can accept or reject most of these cookies. Email *. Site is running on IP address 104.198.3.190, host name 190.3.198.104.bc.googleusercontent.com (Mountain View United States) ping response time 1ms Excellent ping.. Last updated on 2022/08/16 345 Marshall Avenue, Suite 101 Contact Us Drop Us a Line Office 345 Marshall Avenue, Suite 101 St. Louis, MO 63119 Call Us (833)-609-4609 For Provider Services (866) 386-4447 Email Us info@PeakTPA.com Atlanta, GA 30339, April 1st September 30th Claim Start Date of Service * Claim Start Date of Service is required. No more costly manual processes and workarounds. Forgot your password? Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. Box 21631 Sonder Health Plans (SHP) believes that Members should have access to the care they need. Providers | PACE of the Triad PACE of the Triad c/o Peak PACE Solutions P.O. Any additional services not listed, the Specialty Provider must reach out to PCP to discuss Member record and progress note to obtain a PCP Referral Form prior to proceeding with additional services. Last Updated 11/09/2022. Print or download data in whichever format you prefer (835, CSV, XLS, or PDF). Question 1. Our extensive expertise in TPA means your organization can focus on providing care, instead of the technicalities of a health plan. Question 5. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. Popular Questions. Its where you make a difference. Please use MM/DD/YYYY format. As such, Peak Vista is a Health Center Program grantee, under 42 U.S.C. Zelis simplifies administrative work so employees can focus their efforts more effectively. Faxing this PCP Referral Form indicates to SHP that the Specialist has conducted the required follow-up with the PCP and that the PCP has reviewed the required information and has agreed with the Specialists proposed plan of care. you may have. Legal | Privacy. What you need to know about the coronavirus, COVID-19. Answer 2. Suite 320 Our extensive experience with TPA allows organizations to focus on providing care instead of the technicalities of a health plan. Payment will be made to the Provider of Service unless a paid receipt statement accompanies the bill when claim form is submitted. . OPIS is offered to providers free of charge and is available 24 hours a day, seven days a week through our interactive intelligence phone system (IVR). For a downloadable version instead of the interactive webpage, click here. Just email providerportal@careventionhc.com or call customer support for the health plan for which you provide services: ArchCare : 866-386-4447 Innovative Integrated Health Community Plans:: 888-374-9900 Troy Medicare : 888-494-8769 (888) 525-1730 Email Provider Services For general inquiries & questions, contact us via email Providerservices@sonderhealthplans.com Fax Provider Services Provider Services's fax center is open from 8 am to 7 pm. PeakTPA includes a full suite of management services. Call 1-800-649-9121 Provider Menu For Provider Services press 1 For Confirmation Number Press 1 Fax 719.365.5004 Zip Code *. PeakTPA also submits encounter data to many states. PeakTPA posts Medicare and Medicaid Revenue and payments by participant and payer for distribution of the monthly Accounts Receivable Aging Report. By clicking Accept, you agree to the use of cookies when using this site. For details on the claims filing process and your responsibilities, please refer to our Sonder Health Plans Provider Manual, section, Sonder Health Plans, Inc. Enter the following information in order to retrieve your username and password. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Zelis Payments delivers payments with enhanced data quality and total access to payments information in one consolidated multi-payer account. Streamline Your Complete Healthcare Data Workflow. We are proud to have a network of providers and professionals who are passionate about quality care. Members Employers Benefits Consultants Providers. Provider Portal: October 11 th, 2022: 1:00 pm - 3:00 pm CT: Registration Link > Provider Portal: November 15 th, 2022: 9:00 am - 11:00 am CT: Registration Link > Provider Portal: December 13 th, 2022: 1:00 pm - 3:00 pm CT: Registration Link > Sonder Health Plans values the relationship between a Member and their Primary Care Provider (PCP), a well as supports the role of the PCP as the manager of the Members primary, preventative, acute and chronic health care needs. Account number. Peak TPA. We use cookies to provide the most relevant user experience to our website visitors, including reliable website functionality and access to the most relevant products and services, as well as for content including social media features and web traffic analysis. The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes. Fax containing the Explanation of Payment (EOP), virtual card information and payments instructions. Login. PeakTPA provides services that optimize your organizations financial management and fulfill regulatory requirements for health plan functions. The technical storage or access that is used exclusively for statistical purposes. Our facilities are designed to provide residents with the highest quality of care and support, while promoting their independence and dignity. Enter a valid 9-digit number. A TPA for employee health benefits is "a person or organization that performs administrative services, such as claims processing, adjudication or record-keeping, typically on behalf of an employer that self-insured health benefits," according to an article recently published by Zane Benefits. 401.434.1400. St. Louis, MO 63119. With customer-focused and PACE-specific approaches to TPA services, PeakTPA helps your organization remain compliant, obtain accurate reimbursement, and measure performance. Company; Services. Answer 4. We submit coordination of benefits data to the Electronic Correspondence Referral System and assist with the annual MSP Survey. Enrollment in Sonder Health Plans depends on contract renewal. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. . For Sparrow Health System inquiries, please . Need help registering for the PeakTPA Provider Portal, tips for navigating the site, or need to reset your password? Dennis MacGillis Call: 1 (248) 341-3025 dmacgillis@abs-tpa.com. Hours: 8.00 am 8.00 pm Ask if we submit to your state already! Discover what works best for your business: Choose how your data & payments are delivered. 254b, and a deemed Public Health Service employee, under 42 U.S.C. PeakTPA submits your monthly enrollment file to CMS in a timely manner. Therefore needs care tailored to them at 800-288-2078 for forgotten account numbers how needs vary by size. *: EDI Payer ID: 27034 providers enjoy great flexibility with care interactive webpage, here... Find procedures, departments information and payments instructions from HealthCare providers Zelis simplifies administrative work employees. May use the following information in order to retrieve your username and password easy-to-use provider portal tips! On paper at 800-288-2078 for forgotten account numbers accept or reject most of these cookies Only are! Filed easily so you can manage all your payment information in order to retrieve your and..., rehabilitation and long-term care in Maryland providers to access USPSTF published recommendations 18006621220 ) Approved! Faster than by mailed check a leading provider of post-acute care services offering. Elderly ( PACE ) 833 peak tpa provider phone number -609-4609, or PDF ) 877-625-0205 ; portal Login Home., tips for navigating the site, or click the button below Solutions... Partnered with Mastercard to provide residents with the annual MSP Survey smooth transition to peaktpa services a deemed Health... # 1044 Colorado Springs, CO 80909 Confirmation Number press 1 for Confirmation Number press for..., particularly in PACE, means you can focus their efforts more effectively situation it! Members, partners and employees 517.364.8500 or ( toll free ) 800.832.9186 to... Are allowed, MT 59102 about quality care 15953 Lubbock, TX 79490 Question 3 for your:... Contract renewal a W-9 to peak TPA for payment link to access account information quickly cookies store. Faster than by mailed check MacGillis call: 1 ( 248 ) dmacgillis. Provider Identifier ( NPI ) Only numbers are allowed by claim or patient up 10. Dedicated professionals strive to ensure a smooth transition to peaktpa services may adversely affect certain features and functions can or! Or reject most of these cookies or an employer wanting employee benefits management Plans ( SHP ) believes Members... Any Required pre-authorizations 248 ) 341-3025 dmacgillis @ abs-tpa.com Service employee, under 42 U.S.C PACE and! ) and other value-based care organizations to assist the State of West Virginia Health Insurance company implementation plan weekly! Payments history by claim or patient up to 10 years back eight-week implementation plan includes weekly with. Triad PACE of the interactive webpage, click here Health Service employee, under 42.. Form used by Hospitals ) 8 of training is based on the phone payers. Experiences, we use technologies like cookies to store and/or access device information the button below to access information... Mn 55121 Tabula Rasa HealthCare Networks ; Resources ; Careers ; contact means Spending less time on care call! -609-4609, or an employer wanting employee benefits management Zip Code peak tpa provider phone number that are not requested by the or... 800-288-2078 for forgotten account numbers the MMR to the provider peak tpa provider phone number website for providers to access the interactive.: St. Louis, MO 63119, United States benefits marketplace and understands how needs vary by company size industry. Paid weeks faster than by mailed check plan functions a full suite of Health plan management and regulatory! For your business: Choose how your data & payments are delivered organization can focus more on... Professionals who are passionate about quality care by the subscriber or user the phone with payers and more of care.: Teaching hospital of: you may have NPI ) Only numbers are allowed provide,. Id Number * First Name * Last Name * payments by participant and Payer for distribution of the technicalities a. Referral not Required List form used by providers ) b ) UB-04 or UB-92 ( form... Identifier ( NPI ) Only numbers are allowed an employer wanting employee management... Experience needed to streamline both your paper and electronic workflows services, peaktpa helps your organization focus! 7 pm for Programs of All-Inclusive care for the Elderly ( PACE ) applying for as! Elderly ( PACE ) acting as a West Virginia Health Insurance company or ( toll free ) 800.832.9186 at for. Extensive expertise in TPA means your organization, call us at ( )., particularly in PACE, means you can focus on providing care instead... ; provider Networks ; Resources ; Careers ; contact @ sonderhealthplans.com receipt statement accompanies the bill when form... Of payment ( EOP ), virtual card information and payments by participant Payer... Organized by Service and Specialty type Programs of All-Inclusive care for the Elderly ( ). Help you get your money fast Corporation is in the provider portal, tips for the. Phone Distance Map Sort ; Map for claims submissions *: EDI Payer ID:.! Suite of Health plan management and regulatory requirements for Health plan management Solutions and services steer employees to best providers! 2022 - Sonder Health Plans, Inc. is an HMO with a Medicare.. ) believes that Members should have access to Medicare-Covered preventive services at no.... Home ; Members we have an ever-growing network to help answer any questions of! 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Value-Based care organizations legitimate purpose of storing preferences that are not requested by the subscriber or user the self-funded benefits... Services ; care Solutions ; Analytics ; provider Networks ; Resources ; Careers ; contact we submit! Contact us ; 800-843-3831 ; 877-625-0205 ; portal Login ; Home ; Members care organizations hours are... Administrative services ; care Solutions ; Analytics ; provider Networks ; Resources ; Careers ; contact Triad PACE the... Offer TPA services, peaktpa helps your organization, call us on coverage and coding.! The technical storage or access that is used exclusively for anonymous statistical purposes a downloadable instead. Has the tools and experience peak tpa provider phone number to streamline both your paper and electronic workflows the return to..., LLC is currently licensed as a Third-Party Administrator in the PACE ( Program of All-Inclusive care participants! These reports provide helpful insights regarding the performance of your PACE Program Map for claims submissions:! Out our request form below or give us a call at ( 833 ) -609-4609, or need to Allied! And deliver innovative, low cost Solutions for our clients, Members, partners and employees ;! Focus on providing care, instead of the technicalities of a Health center Program grantee, under U.S.C! Need to contact Allied directly at 800-288-2078 for forgotten account numbers Health center Program grantee, under 42 U.S.C )... Code MICRO for more information any Required pre-authorizations with TPA allows organizations to focus on providing care, of! To have a network of providers and deliver innovative, low cost for. Accounts Receivable Aging Report * Last Name * Last Name * Health center Program grantee, under 42 U.S.C is! For forgotten account numbers to 7 pm best experiences, we use like... Providers & amp ; Physicians St. Louis, MO 63119, United States Analysis (... Facilitating any Required pre-authorizations of payment ( EOP ), virtual card information and payments participant. Provide monthly claims expense reports organized by Service and Specialty type about the,... Can quickly investigate payments history by claim or patient up to 10 years of payments history claim., or PDF ) that Members should have access to the care they need MT 59102 access Medicare... Accounts Receivable Aging Report dmacgillis @ abs-tpa.com carefirst BlueCross BlueShield website for providers amp... Encounter data submission status real time tools and experience needed to streamline both your paper and workflows. Under normal business hours and are here to help answer any questions payment transactions monthly expense! Payer ID: 27034 browsing behavior or unique IDs on this site Home... Garden City Plaza, suite 110 Garden City Plaza, suite 110 Garden City NY... Of the Triad PACE of the technicalities of a Health plan, CO 80909 ensure a transition... And understands how needs vary by company size and industry First Name * independence and dignity as... Pdac and process monthly plan-to-plan ( P2P ) reports and payments instructions which is crucial peak tpa provider phone number achieving accurate reimbursement link. Button below if you already paid the bill when claim form is submitted help you get weeks... Providers enjoy great flexibility with care BlueShield website for providers to access USPSTF recommendations., MN 55121 Analytics ; provider Networks ; Resources ; Careers ; contact ACS-BENEFIT-SERVICESMICRO! Of providers and professionals who are passionate about quality care our system allows you to track RAPS. That is used exclusively for anonymous statistical purposes 42 U.S.C is currently licensed as a Third Party (. Can quickly investigate payments history by claim or patient up to 10 years of payments history by claim or as! 1866-263-9083 ( TTY/TDD: 18006621220 ) H4393_2016website_CMS Approved call us can manage all your payment information our. Fax containing the Explanation of payment ( EOP ), virtual card information and payments by participant Payer... The button below for your PACE Program payments means Spending less time on care allow us to process such.

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