The Pivot Health short term medical claims reimbursement system is set up to guarantee that no member will be responsible for a balance bill due to the discount taken for charges above the Medicare Reference Pricing amount, subject to the terms outlined in the certificate of insurance. This insurance plan…
1. Your patient will provide you an ID card for their short term medical plan. Pivot Health plans are underwritten by insurance carrier Companion Life Insurance Company. 2. This fully-insured insurance plan has no PPO network restrictions or requirements. All licensed healthcare providers are accepted. 3. Payment is up to…
Insurance Benefit Administrators (IBA), the billing administrator, does not mail year-end statements of premium paid. If you would like copies, please give them a call 844-630-7500, ext. 2 .
The welcome letter that is emailed to you immediately after enrolling in a Pivot Health plan includes your plan type and your monthly premium amount. This is your receipt of purchase.
Call Insurance Benefit Administrators at 844-630-7500 or email clientservices@insurancebenefitadministrators.com.
Call Insurance Benefit Administrators at 844-630-7500 or email clientservices@insurancebenefitadministrators.com.
Yes. The prescription drug vendor is Cerpass Rx. Every health plan includes prescription discounts for qualified medications. To find a pharmacy near you and learn if you can receive a discount, call the Cerpass Rx prescription drug help desk at 844-636-7506. Please note that it takes approximately five business days…
If your provider bills you for the remaining balance after receiving payment, the member may refer that bill to Insurance Benefit Administrators (IBA) who will initiate the negotiation process. Send a copy of the bill to IBA to validate that the provider is billing for the remaining balance. The member…
Here are benefit verification instructions for providers: 1.Tell your provider Pivot Health plans are underwritten by insurance carrier Companion Life Insurance Company. 2. This fully-insured insurance plan has no PPO network restrictions or requirements. All licensed healthcare providers are accepted. 3. Payment is up to 25% more than what Medicare…
Your provider can submit a claim to the address on the back of your ID card. Claims can be sent to: Insurance Benefit Administrators c/o Zelis Box 247 Alpharetta, GA 30009-0247 The claim must include the EDI Payor ID: 07689