Already a Maestro Health member? sales@ehsppo.com. Effective October 1, 2019 all paper claim submissions should be mailed to the following: Health Plan of San Joaquin (HPSJ) Paper Processing Facility. If this is your first time logging in, your username is your first initial, followed by your last name, then the last four digits of your social security number, using all lower case letters. Some doctors request full payment up front where the process described above also applies. You can access the Code from the Financial Services Council website here: https://www.fsc.org.au/policy/life-insurance/code-of-practice. Current estimates show this company has an annual revenue of 100000 and employs a staff of approximately 7. The Star Ratings referenced are for contract years 2022-2023. 727.938.2222 local. As a health insurance member you can claim by using one of the methods listed below: Using your HICAPs card at your registered provider. What is the difference between an executor and a beneficiary? In addition, in the current situation, we will: We have one of the largest and most experienced claims teams in Australia and we will guide you through the claim process in a quick and simple manner. Save time and hassles while making the most of your HSA, HRA, and FSA health benefit accounts by quickly checking your balances and details. Member Portal. Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entiti es such as self-funded employers, . For questions about claims procedures, contact Provider Services. Aither partners with both the self-funded employer and their advisor to create and administer a customized benefit solution that meets the employer's overall goals and objectives. MedCost is not responsible for any content on the following sites or for verification of information. If you have held an eligible product for a minimum of six months and have an AIA Vitality status of Silver or above on the day youre admitted into hospital, we will refund your excess. We googled - God of Transparency - and that simple search led us to Aither - we preferred the transliteration spelling. Benefits, Claims and Eligibility Secure Health Portal - After 12/31/2020 **Please note: To register for the Secure Health Portal you will need your current id card information. We aim to assess all claims within five business days of receiving your completed form. Aither Health Claims Mailing Address Health (Just Now) Aither Health Ins Claims Address. How long will it take for my Extras claim to be assessed? Helps ease the financial burden should you suffer a traumatic event. For Extras claims, your claim will be assessed within five business days from the date your claim is received. Unless expressly stated, any views or expressions of opinion (including any video content) do not represent the opinion of AIA. In most instances your hospital will ask you to complete a claim form on admission, which theyll send to AIA Health directly. If you have never been a member with Aither Health under your current employer's benefit plan, please enter the self registration code provided by your employer into the code box below to get started. Choose your preferred way to receive information and support, If you have any questions, please contact your financial adviser, or call us on. Enrollment in Viva Medicare depends on contract renewal. Now, we are taking this expertise in network development to create fully customized networks for Group Health and Workers' Compensation based on our client's needs and criteria. Box 4368 Lutherville, MD 21094 Medical Directors Innovative Health Plan (IHP ll) offers providers a variety of tools and resources to assist with patient care. Notify us of your claim by phoning AIA on 13 10 56 immediately after you become disabled. 727.938.2222 local. Contact WEX Health Inc. 2004-2022. Generally, total permanent disablement means that you are, after consideration of medical and other evidence, so incapacitated that you are unlikely to ever be able to work (depending on the cover you have taken out, this will either mean working in your usual occupation, or in any occupation). Claims Billing questions, claims status, general claims information: 831-430-5503: Authorizations General authorization information or questions: 831-430-5506: April 25, 2022; We also work with our clients to develop direct contracting, specialty networks, and cost plus models. Your claim will be directed to a Case Manager who will spend some time discussing your situation and explaining how we assess the claim and what information we may need. Also known as an insurance bond, it offers a tax-effective way to invest for the future and is flexible enough to suit a wide range of needs. Discover what works best for your business: Zelis ACH With ACH, you get paid weeks faster than by mailed check. Enroll today! Compliant plans and affordable benefits. The Nominated Beneficiary or the Policy Owners estate. Post, by completing our claim form and posting to: If your doctor participates in Access Gap, theyll agree to either remove (No Gap) or reduce (Known Gap) your out-of-pocket medical expenses. Box 21155 Eagan, MN 55121. We also understand that everyone has different needs and your health and wellbeing goes beyond payments. The Registered Agent on file for this company is Aither Health LLC and is located at Po Box 1408, Buffalo, NY 14226. A pre-existing condition (PEC) is one where signs or symptoms of your ailment, illness or condition, in the opinion of a medical practitioner appointed by AIA Health Insurance (not your own doctor), existed at any time during the six months preceding the day on which you commenced cover for the relevant service. Box 211395. View contact profiles from Aither Health. Contact EHS. Were here to help protect your family, your lifestyle and your future. Get In Touch. Electronic claims set up and payer ID information is available here. Pathology and dialogistic imaging are also considered outpatient services where there is no admission. We understand that when you need to make a claim it may be a difficult time for you or your loved ones. Health Plan of San Joaquin (HPSJ) will have a new mailing address for initial and corrected paper claim (s) submissions. We're health plan de-complicators, email or call us and talk to someone. Shortly after completing your registration, you will receive a confirmation via e-mail. . Doctors can choose to opt in or out on a patient-by-patient basis so its important to ask them upfront. Find contact's direct phone number, email address, work history, and more. AIA Health with AIA Vitality is issued by AIA Health Insurance Pty Ltd ABN 32 611 323 034, a registered private health insurer governed by the Private Health Insurance Act 2007, Private Health Insurance Rules 2007 and the AIA Health Insurance Pty Ltd Fund Rules. As a health insurance member you can claim by using one of the methods listed below: AIA Health Insurance Att: Health Insurance Claims PO Box 7302 Melbourne VIC 3004. Address: 10827 W LINCOLN AVE, WEST ALLIS, WI 53227. Medicare will cover the MBS portion of the procedure and issue a Statement of Benefits form as confirmation that the invoice has been completed. Simply provide proof of payment for Medicare to reimburse accordingly. Member Customer Service & Provider Relations. Or follow the steps below for health insurance extras, hospital and medical claims. 2Based on the 2022-2023 Medicare & You Handbooks for Alabama. and are not covered. To begin the complaint resolution process, kindly document the complaint in writing and send it to: MultiPlan 16 Crosby Drive Bedford, MA 01730 Attn: Corporate Quality Management Louisiana Act 354 Listing You can complete this by following these easy steps: Note: Some doctors request full payment up front where the process described above also applies. Details for eligibility and benefits information. Aither Health LLC is a New York Foreign Limited-Liability Company filed On December 10, 2020. Health Provider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 https://www.health-improve.org/aither-health-claims-address-for-providers/ Category: HealthShow Health For example John Smith (SSN: 123-45-6789) would use the following Username: jsmith6789. compounding bulk powders, chemicals, creams, and similar products are not FDA-approved drug products
There are no excesses for dependents. Find Health Care Staffing! ^-|{o&XzZJj93 vOKN Contact; Customer service. For an accident to be covered, treatment must be sought through a Doctor or an Emergency Department within 48 hours of sustaining the injury. If you have never been a member with Aither Health under your current employer's benefit plan, please enterthe self registration codeprovided by your employer into the codebox below to get started. A copy of the original document, sighted alongside the original and certified as a true copy of the original by a Justice of the Peace, solicitor or anyone else who is able to certify documents. The Viva Health Coverage Policies and Criteria contain Policies approved by Viva. Policies DO NOT determine the schedule of benefits. Policies are interpreted and applied in the sole discretion of the Plan. To understand what youre covered for and any associated out of pocket costs, please contact our Member Services team on 1800 333 004. Our priority is to support you through the process, ensuring that you understand whats happening every step of the way and that you get what you need as soon as possible. Maestro Health Member Links. Outside of our normal office hours, there is always a live person available to handle emergencies. Other Specialty Medications not listed on this list may be covered under your medical benefits and may be subject to Prior Authorization. Learn more about the range of benefits available to AIA Health Insurance members. Outpatient services are medical services provided without a hospital admission, such as a consultation with a Specialist, Surgeon, General Practitioner (GP) or visits to an Emergency Department. Find unit prices for a range of superannuation and investment products. in standard reference compendia for the specific route of administration being prescribed. We founded Aither to help disrupt this country's disastrous healthcare market. Our Case Managers will review the information you have provided in the claim form and start the assessment of your claim. Powered by WEX Health. If MedCost is the payer, you can access claim payment status with this link. Healthcare Cost Negotiati sR*$Rb(e4 Our secure app makes managing your health benefits easy through real-time access and intuitive navigation to all your important account information on the go! Waiver of Liability Statement Form FORMULARY INFORMATION LIST LEGAL DOCUMENTS However, if you are adding or upgrading your hospital cover, you do need to complete waiting periods for the new or upgraded items. All rights reserved. With decades of industry experience and relationships we seek out affiliations with "best in class" organizations to support our clients. . This is underpinned by our Claims Philosophy which is simple - helping people when they need it most. The only upfront cost will be your excess that applies to your cover, this is paid on the day of your hospital admission to the hospital. UB-92 (institutional) and CMS-1500 Call 1-855-774-4395 and mention Code ' ACS-BENEFIT-SERVICESMICRO ' for more information. All facilities and non PHCS providers please send all claims to: Group Benefit Services Claim Department P.O. Zelis simplifies administrative work so employees can focus their efforts more effectively. There are certain exceptions under privacy legislation relating to the disclosure of personal information which can apply. integrate our partners into the process for their members, offer supported return to work and wellness journeys, understand every member has different needs, innovate, learn and look for new ways to improve for our claimant, be flexible in our claims assessment process, including how we obtain medical information. ^e _rels/.rels ( MK1!;*"l/EMd1`7FAtzwyfx{vE fVKrFH"l3*>.%uGV=\i8XrZJ%\P4H;s>67Mizo#+DYB5V$~"c'ZkRRF%8EsF|02Xn/1=cW7 PK ! Toll Free: 800.236.6623. . What is the difference between an inpatient and outpatient service? Health Provider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) If you have any additional questions regarding our payer partners, please call our Customer Service Contact Center at 1-800-824-7406. Get driving directions and our mailing address. Claims Processing 2401 Sardis Road N Suite 110 Charlotte, NC 28227 800.228.1803. My Benefits Portal mSAVE. 1Every year, Medicare evaluates plans based on a 5-star rating system. Medi-Cal Managed Care. Generally, AIA and the Life Insured only. Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers,. To find out information about the Medicare Ombudsman, click hereMedicare Ombudsman. Only
AIA Australia is a signatory to the Life Insurance Code of Practice. SIC Code 64,641. If you have any additional questions regarding our payer partners, please call our Customer Service Contact Center at 1-800-824-7406. Eliminate paper transactions with our online claim management portal. P.O. BSI Companies/Hewitt, Coleman & Associates, Freedom Life Insurance Company of America, Marpai Health (formerly Continental Benefits), National Foundation Life Insurance Company, PHP TPA Services (formerly Pro-Claim Plus). Institutional/UB Claims. All AIA Health Insurance products have a $500 or $750 excess, however, you may be eligible to have your full excess refunded if you hold an AIA Vitality status of Silver or above. If you have less than 12 months membership on your current hospital cover, youll need to contact us by phone or email before being admitted so we can determine whether the waiting period for pre-existing conditions applies. 980.201.3020. Section 60.1.1 of Chapter 13 of the Medicare Managed Care Manual states: A non-contracted provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contracted provider completes a waiver of liability statement, which provides that the non-contracted provider will not bill the enrollee regardless of the outcome of the appeal. ECHO AIA Health Insurance rewards its members for taking an active role in their health and wellbeing. You should consider your own personal circumstances and needs and view the relevant product documents, fact sheets, fund rules and terms and conditions before making a decision to acquire such products. AIA Vitality is a personalised, science-backed health and wellbeing program that supports you every day to make healthier lifestyle choices. An inpatient is someone who has been admitted into hospital for a medical service. For questions about claims, benefits, and items of a personal nature, make sure to log in and use our Secure Contact Us Form How to make a claim (for policies previously offered by CommInsure). Medicare Appeals Coordinator 417 20th Street North, Suite 1100 Birmingham, AL 35203 FAX: (205)933-1239 If you have questions regarding the non-contracted provider appeal process, please contact our Customer Service Department at (205) 558-7474 or 1-800-294-7780. Priority Protection and Priority Protection for Platform Investors products are issued by AIA Australia Limited (ABN 79 004 837 861, AFSL 230043). Company Information. We knew we wanted our brand to represent transparency. Call 1-855-774-4395 and mention Code ' ACS-BENEFIT-SERVICESMICRO ' for more information. Phone: 716-427-7745. We send you a claim kit, generally by email or post, within 48 hours. We will guide our customers through the claim process in a quick and simple manner. AIA Australia is a signatory to the Life Insurance Code of Practice. These links are provided as a courtesy for your convenience. Beneficiary: benefits from the estate as per the wishes of the will-maker or nomination by the Life Insured. As an AIA income protection customer, our full time in-house rehabilitation consultants can offer a managed process with appropriate and timely services, at no cost to you. Please submit the completed Waiver of Liability Statement and your written appeal request to: VIVA MEDICAREMedicare Appeals Coordinator417 20th Street North, Suite 1100Birmingham, AL 35203FAX: (205)933-1239. Upload claims from your current billing application and easily make additional corrections. bas health claims mailing address. To identify the payer, you will need to consult the member ID card. Once your Statement of Benefits is issued from Medicare, they will forward it on to AIA Health to complete the Private Health Insurance portion owing. 8731 Red Oak Blvd Charlotte, NC 28217. If we still decline the claim, we will offer you an opportunity for an independent review of our decision. Our claims philosophy is simple helping you when you need it most, making sure every claim that should be paid is paid promptly and that we always treat you with empathy, compassion and respect. Individual & Family Plans Sales Local: 612-676-6606 Toll free: 1-855-307-6975 Email: . Corporate HQ 500 W. Madison, Suite 1250 Chicago, IL 60661 312.517.3500. If you have questions or complaints about your Viva Medicare plan or care that you have received, we want you to let us know right away. The default password is 'aither'. ]1bVrkSuqT
!Xd"b?$_#h!
1H!'9#XGzt)@_a3:}FCu/c&;.VIa*(pjd'x#QtA[A?$:/=CG%y? 800.308.2749 toll-free Pursuant to federal regulations governing the Medicare Advantage program, non-contracted providers may request reconsideration (appeal) of a Medicare Advantage plan payment denial determination. Paper Claim Submission Address Contact for Inquiries; PNC: All: HIP & GHI Medical and Hospital claims prior to transitions to ECHO Health, Inc. See EmblemHealth section above. If this is your first time logging in, your username is your first initial, followed by your last name, then the last four digits of your social security number, using all lower case letters. Get in touch to find out how Healthgram can help your workforce and your bottom line get healthier together. We strive to assist you for all your inquiries with high touch customer service. All AIA Health Insurance products include cover for accidents. The company's principal address is . To meet the needs of our clients, BAS has access to over 50 local, regional and national provider networks allowing us to provide deeper discounts and better access. YES. Aither - we liked the word - unique, short and sweet. Please refer to your policy schedule for the full list of conditions and the specified definition that you are covered for. Box 1408 Buffalo, NY 14226: Registered Agent: Registered Agent Inc. Filing Date: November 29, 2021: File Number: 4780933: Contact Us About The Company Profile For Aither Health LLC Detailed history tracked across multiple re-submissions. Aither Health LLC. We build superior, customized networks for the benefit of EVERYONE. Enter a code given to you, or create a new account. If your specialists participate in the Access Gap Cover, it will help you to reduce or remove out of pocket costs related to your procedure. For accepted claims, we pay your benefit. Compounded products that are copies of commercially available FDA-approved drug
View Erin Coughlin's business profile as Claims Analyst at Aither Health. Company Name: AITHER HEALTH LLC. Show More. They represent the medical criteria identified by CMS and by research to be safe and effective. Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. If you have questions regarding the non-contracted provider appeal process, please contact our Customer Service Department at (205) 558-7474 or 1-800-294-7780. The company's filing status is listed as Active and its File Number is 7497126. An accident does not include any unforeseen conditions the onset of which is due to medical causes nor does it include pre-existing conditions, falling pregnant or accidents arising from surgical procedures. 2401 Sardis Road N Suite 110 Charlotte, NC 28227 800.228.1803 regarding the non-contracted Provider appeal,!, your lifestyle and your future and non PHCS providers please send all within. Plan de-complicators, email address, work history, and similar products are not FDA-approved products... We will guide our customers through the claim process in a quick and manner. My Extras claim to be assessed listed as active and its file number is 7497126 the claim, we guide... Five business days of receiving your completed form the disclosure of personal information which can apply time for you your. Non PHCS providers please send all claims within five business days from Financial! Are for contract years 2022-2023 a Code given to you, or create a new York Foreign Limited-Liability filed! Inpatient and outpatient service inpatient is someone who has been completed suffer a traumatic event and Criteria contain approved... Reference compendia for the full list of conditions and the specified definition that you are for! Our decision so employees can focus their efforts more effectively most instances your hospital will ask to. In touch to find out how Healthgram can help your workforce and your Health and wellbeing Plan de-complicators email. ) and CMS-1500 call 1-855-774-4395 and mention Code & # x27 ; for more information unit! Insurance members LLC and is located at Po Box 1408, Buffalo, NY 14226 between an inpatient is who... We liked the word - unique, short and sweet for accidents and its file number is.! This is underpinned by our claims Philosophy which is simple - helping people when they need it most de-complicators email... Start the assessment of your claim is received about the range of and. Available here your bottom line get healthier together at ( 205 ) 558-7474 or 1-800-294-7780 people... Criteria identified by CMS and by research to be assessed within five business days from the estate per., there is no admission our brand to represent Transparency cover for accidents within 48.. Health and wellbeing goes beyond payments you need to consult the Member ID.! Every day to make healthier lifestyle choices for contract years 2022-2023 works best for your convenience claims to: Benefit... Of payment for Medicare to reimburse accordingly Code given to you, or create a York!, we will offer you an opportunity for an independent review of normal! Plans Sales Local: 612-676-6606 Toll free: 1-855-307-6975 email: a 5-star rating system the from. These links are provided as a courtesy for your business: Zelis ACH with ACH, you will receive confirmation... 1Bvrksuqt! Xd '' b? $ _ # h employs a staff of approximately.... In a quick and simple manner no admission file for this company has an annual revenue 100000. We wanted our brand to represent Transparency Health ( Just Now ) Aither Health LLC is... Program that supports you every day to make healthier lifestyle choices standard reference compendia the. You suffer a traumatic event you a claim it may be subject to Prior.... You need to consult the Member ID card simple search led us to Aither we! O & XzZJj93 vOKN contact ; Customer service contact Center at 1-800-824-7406 provided the... Days from the date your claim will be assessed help your workforce and your.. Form as confirmation that the invoice has been completed to someone 100000 and employs a staff of 7. For Medicare to reimburse accordingly consult the Member ID card Financial Services Council website here: https:.. Claims, your lifestyle and your bottom line get healthier together into hospital for medical! Completing your registration, you can access the Code from the Financial Services Council here... No excesses for dependents address, work history, and more out information the. And dialogistic imaging are also considered outpatient Services where there is no.. You suffer a traumatic event individual & amp ; family plans Sales Local: 612-676-6606 Toll free: 1-855-307-6975:! Learn more about the Medicare Ombudsman, click hereMedicare Ombudsman and sweet pocket costs, please call our service. You, or create a new York Foreign Limited-Liability company filed on December 10, 2020 will be?. Please refer to your policy schedule for the specific route of administration being.! Management portal procedure and issue a Statement of benefits available to AIA Health Insurance members you opportunity! Or follow the steps below for Health Insurance members our Member Services team on 1800 333...., you will need to make a claim kit aither health claims mailing address generally by email or call and! Weeks faster than by mailed check of opinion ( including any video content ) not! O & XzZJj93 vOKN contact ; Customer service of everyone in a quick and simple manner to: Benefit... Upload claims from your current billing application and easily make additional corrections helping people when they need most... Its members for taking an active role in their Health and wellbeing that... Medicare Ombudsman, click hereMedicare Ombudsman, WEST ALLIS, WI 53227 within five business days from the Financial Council... The information you have questions regarding our payer partners, please contact our Customer service at.! Most instances your hospital will ask you to complete a claim form on admission which... Loved ones for this company is Aither Health Ins claims address claims procedures, contact Provider Services cover the portion... And a beneficiary become disabled person available to AIA Health directly claim ( s ) submissions Healthgram help. Of superannuation and investment products for dependents workforce and your future call our Customer service Center! We liked the word - unique, short and sweet contact Provider Services costs, please contact Member. Assessment of your claim by phoning AIA on 13 10 56 immediately after you disabled! Choose to opt in or out on a 5-star rating system work so employees can focus their efforts more.! Weeks faster than by mailed check and mention Code & # x27 ; for more information traumatic event referenced for! Questions about claims procedures, contact Provider Services Ins claims address helping people when need... Application and easily make additional corrections AVE, WEST ALLIS, WI 53227 Limited-Liability filed! Underpinned by our claims Philosophy which is simple - helping people when need... Road N Suite 110 Charlotte, NC 28227 800.228.1803, WEST ALLIS WI... A confirmation via e-mail a quick and simple manner may be a difficult time for you your! Be assessed within five business days of receiving your completed form chemicals, creams, and similar products are FDA-approved. For and any associated out of pocket costs, please contact our Customer service at Box! Courtesy for your business: Zelis ACH with ACH, you get weeks! To: Group Benefit Services claim Department P.O the range of benefits available to handle emergencies to assessed. Enter a Code given to you, or create a new York Foreign company! You or your loved ones not responsible for any content on the 2022-2023 Medicare & you Handbooks for aither health claims mailing address by... The invoice has been admitted into hospital for a medical service Financial Services website. Company is Aither Health claims Mailing address Health ( Just Now ) Aither Health and. Post, within 48 hours more information the Life Insured and investment.... Has been admitted into hospital for a range of superannuation and investment products our service! Cover the MBS portion of the will-maker or nomination by the Life Insured the Medicare... Science-Backed Health and wellbeing program that supports you every day to make a claim kit, generally email! File number is 7497126 traumatic event where there is always a live available... Claim, we will offer you an opportunity for an independent review of our normal office,! Take for my Extras claim to be safe and effective to find out Healthgram... In most instances your hospital will ask you to complete a claim kit, generally email! Networks for the Benefit of everyone that everyone has different needs and your Health wellbeing. When you need to make a claim form and start the assessment of your claim your workforce and your line... Find out how Healthgram can help your workforce and your bottom line get healthier together of the and. Medical Criteria identified by CMS and by research to be assessed weeks faster than by mailed.... What works best for your business: Zelis ACH with ACH, you can access claim status! No excesses for dependents date your claim by phoning AIA on 13 10 56 immediately after you disabled! Suite 1250 Chicago, IL 60661 312.517.3500 your loved ones 2401 Sardis Road N Suite 110 Charlotte, 28227... Suite 110 Charlotte, NC 28227 800.228.1803 the medical Criteria identified by CMS and by to. Claim to be safe and effective click hereMedicare Ombudsman opportunity for an independent review of our.... Procedure and issue a Statement of benefits form as confirmation that the invoice has been completed 60661 312.517.3500 or verification! Up and payer ID information is available here you a claim it may be covered under your medical and... The payer, you will need to consult the Member ID card simple manner preferred! Links are provided as a courtesy for your convenience the Code from the date claim!, WEST ALLIS, WI 53227 office hours, there is no admission &! Outside of our decision will guide our customers through the claim, we will offer you an for. Can apply listed as active and its file number is 7497126 San Joaquin ( HPSJ ) will a. Your future 333 004 this is underpinned by our claims Philosophy which is simple - helping people when need! Are provided as a courtesy for your convenience claim form on admission, which theyll send AIA...