Webthe claim form, but do provide us with either a completed claim form or an itemized bill that contains the following: A. The date(s) of service B. The procedure code(s) or a description of each C. The diagnosis code or a description D. Proof of payment (canceled check front and back, credit card receipt or stamped receipt from the 8:00am - 8:00pm EST Claim Submission To submit eligible member claims please use the following: Payer Name: IncentiCare Payer ID: 18151 Address: 8310 Clinton Park Drive Fort Wayne, IN 46825 Additional Clearinghouse Information IncentiCare has extended its relationship with Smart Data Solutions. See more Click the button below to instantly access patient eligibility information. Check Patient Eligibility See more To submit eligible member claims please use the following: Payer Name: IncentiCare Payer ID: 18151 Address: 8310 Clinton … See more Prior Authorization is required for: 1. Inpatient admissions 2. Inpatient/Outpatient surgeries 3. Partial Hospitalization and … See more
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WebBeniComp IncentiCare - Provider ACH Payment and ERA Authorization Please complete this form with your organization's banking information to authorize BeniComp to disperse your … WebDec 13, 2010 · For more information on Incenticare™ or BeniComp, please visit our website at www.incenticare.com. For Incenticare™ Brad Kuhn & Associates Brad Kuhn, 321-287-7243 [email protected] Source:... can dogs eat plain ground beef
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WebHealth Plans, Inc. PO Box 5199 Westborough, MA 01581 You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID # 44273. Looking for information on timely filing limits? Please contact the member's participating provider network website for specific filing limit terms. Members Employers Providers Brokers WebProviders - BeniComp. Health (1 days ago) WebPhone Support: (866) 797-3343. Hours of Operation: Monday - Friday 8:00am - 8:00pm EST. Claim Submission. To submit eligible member claims please use the following: Payer Name: IncentiCare Payer ID: 18151 Address: 8310 Clinton Park Drive Fort Wayne, IN 46825. fish stew with fennel and baby potatoes