It's easy to become a participating health care professional in Cignas broad national network. Its almost here! Patient Date of Birth Eligibility Eligibility & Claim Status Provider Name (Optional) Provider Tax ID Member ID Need help finding Member ID? Types of services that generally require precertification: *Any drugs, services, treatment or supplies that the managed care medical staff for PAI determines, with appropriate consultation, to be experimental, investigational or unproven are not covered services. IBA | Privacy Policy | Terms of Use | Site by Lightmatter. Session Expire. BAS Health is a result driven third party administrator providing custom health care plans and benefits to organizations, companies, and corporations. Group Universal Life (GUL) insurance plans are insured by CGLIC. Access eligibility and get claims information. Providers You have 24-hour access to verification of your patient's benefits, claim status or coverage information. Eligibility Only Provider Name (Optional) Member ID Need help finding Member ID? medical claim form Members have the right to receive healthcare services without discrimination. Box 6927 View your member ID card: Fax an updated W-9 to (803) 264-9089 P.O. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. Plan designs vary, but pay fixed dollar amounts for services such as inpatient hospital stays (per day), doctor office visits, surgeries, and outpatient procedures. He also urged Congress to make permanent the boosted premium subsidies under the Affordable . Dr. James Robinson, Director of Health Policy. PAI will not require that you repay the refund until PAI has concluded its review. All insurance policies and group benefit plans contain exclusions and limitations. I want IBA to pay what is owed to me. Don't just take our word for it, read what our customers are saying about IBA. National Provider Identifier The National Provider Identifier is required. Just visit this link. See why PLEXIS is the leading trusted software vendor in the global payer community. BAS Health is now fully aligned with . * These plans are not intended to be a replacement for major medical insurance and do not meet Minimum Essential Coverage as defined by the ACA. Let MBA Benefit Administrators give you control and cut your health plan costs. PLEXIS Healthcare Systems, Inc. IBA | Privacy Policy | Terms of Use | Site by Lightmatter. Contact the Customer Service number on the member ID card if you need assistance. Since 1972, International Benefits Administrators, llc. Choose "Click here if you do not have an account" for self-registration options. Benefit Type* Subscriber SSN or Card ID* Patient First Name Patient Gender* Male Female Patient Date of Birth* Provider TIN or SSN*(used in billing) Claim Start Date of Service* Claim End Date of Service* Provider. For assistance with portal registration or portal password assistance, please call 855-735-2583. This category only includes cookies that ensures basic functionalities and security features of the website. Easy To Understand. Emerging payer-provider collaborations and new benefit-plan models reflect the risks and opportunities of a rapidly evolving international healthcare environment where only PLEXIS innovative, best-of-class solutionsdeliver the competitive edge that youneed. ClientServices@ibsadmin.com. Everyone wins in the battle against run-away healthcare costs! No account registration or password required to retrieve selected non-PHI information. 2021 AFSLIC | WordPress Website Design & Development by NEWMEDIA. Provider Self-Service Portal Self-Service Site - INSURANCE BENEFIT ADMINISTRATORS Patient Benefits Verification - FCE Benefit Administrators Contact Us If you have questions, please call our Customer Service Specialists anytime between 8 a.m. and 4:30 p.m. (CST) Monday through Friday at 866-323-2985 . Contact PLEXIS here. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. I submitted, resubmitted, and re-resubmitted the Claim Forms. NOTIFICATION: You are being redirected to HealthComp.com. Provider Search Use one of our online directories (performs on mobile devices, tablets and desktop computers) to search for a participating hospital, doctor or other health care provider. In business since 1972, International Benefits Administrators (IBA) is a third party administrator that specializes in personalized health services and plan management. IBA works closely with each individual client to establish Stop-Loss plans and uncover billing errors. The International Foundation of Employee Benefit Plans is the premier educational organization dedicated to providing the diverse employee benefits community with objective, solution-oriented education, research and information to ensure the health and financial security of plan beneficiaries worldwide. BBB is here to help. Get hands on with our powerful platforms. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. FAX: 913-901-0534. The result? Your submission has been received! Unlike the large carriers, you are special to IBA and we will always appreciate your business. Reminder: GEHA members in the states listed below can currently and will be able to continue to access Aetna Signature Administrators nationally. GEHA is a national health association serving federal employees and their families, providing health benefits plans to members worldwide. P.O. Please check your ID card for the correct number to call. Insured Click here to access your self service portal. Attention: Refund Analyst While some groups require prior authorization for all of these services, others may require prior authorization for more or less than the procedures specified below. Your submission has been received! Responsible for eligibility, claims adjudication, payments & customer service. Providers. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. HSA & HRA Dental & Vision Pharmacy Solutions PAI's preferred pharmacy benefit manager is OptumRx, a pharmacy care services company that creates smarter health care connections to help more than 65 million Americans realize improved care, lower costs, and a better overall experience. On March 1, AIM Specialty Health will change its name to Carelon Medical Benefits Management. Call 1-800-810-BLUE from inside the U.S. Our goal is to enhance the quality of benefit plans, incorporating all necessary guidelines to ensure they are cost-effective and well received by all employees. Your submission has been received! President Joe Biden's 2023 State of the Union address leaned heavily on health care issues. Our Maternity Management program offers education, counseling, and support to help soon-to-be mothers protect against birth complications. University of California Berkeley. Phone: Check your ID Card for your plan's phone number. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Organizing and automating manual processes is a crucial strategy for creating essential administrative efficiency and cost-savings. Employers can choose from several national dental networks to maximize the plan dollars allowed. I paid $3287 for doctor ****** visits, bloodwork and mammogram that should have been covered by IBA. As a health care provider, you are an integral part of our team. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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