Kentucky Finance

May 16 2018

Electronic medical billing

#sentry #medical


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Electronic medical billing requirements

Information for providers

If you are a provider and are interested in submitting medical bills electronically, please review the Clearinghouse and Payer ID in the sections below to ensure accurate routing of bills.

Workers’ compensation claims—all states

Medical and dental bills

Sentry Insurance a Mutual Company, its affiliates, and subsidiaries (“Sentry Insurance”) currently accept electronic billing from medical providers on workers’ compensation claims. Medical and dental providers will need to include Sentry’s workers’ compensation payer ID (J1417) and the patient’s workers’ compensation claim number with their submission.


Clearinghouse information—medical and dental bills
Jopari
Suite 500, 1855 Gateway Boulevard
Concord, CA 94520
Customer care: 800-630-3060
eBill enrollment: 866-269-0554
jopari.com/ebill-sign-up-form

Payer ID (workers’ compensation): J1417

Questions regarding medical and dental bills or reimbursements
Medical and dental providers may contact Sentry Insurance at 800-4SENTRY (800-473-6879), option 1 for claims, then option 3 for validation of claim numbers.

Pharmacy bills

Sentry Insurance a Mutual Company, its affiliates, and subsidiaries (“Sentry Insurance”) partner with Healthesystems to process pharmacy invoices submitted electronically. For questions regarding pharmacy bills or reimbursements, please contact Healthesystems.

Payer ID (pharmacy): Healthesystems BIN (PBM) 012874

Questions regarding pharmacy bills or reimbursements
Pharmacy providers may contact Healthesystems, see contact information above.

Auto, property, and casualty claims—state of Minnesota only

Medical, dental, and pharmacy bills

Sentry Insurance a Mutual Company, its affiliates, and subsidiaries (“Sentry Insurance”) partner with Jopari to process medical, dental, and pharmacy invoices submitted electronically.

Clearinghouse information—auto, property, and casualty claims
Jopari
Suite 500, 1855 Gateway Boulevard
Concord, CA 94520
Customer care: 800-630-3060
eBill enrollment: 866-269-0554
jopari.com/ebill-sign-up-form

Payer ID (auto, property, and casualty): C1033

Questions regarding medical, dental, and pharmacy bills or reimbursements
Medical, dental, and pharmacy providers in Minnesota may contact Sentry Insurance at 800-4SENTRY (800-473-6879), ext. 3469164.

Student accident and special risk accident-only claims—all states

Student accident and special risk accident-only claims

Sentry Insurance a Mutual Company, its affiliates, and subsidiaries (“Sentry Insurance”) currently accept electronic billing on accident claims. Medical providers will need to include Sentry’s claims payer ID (39033) and the patient’s group numbers with their submission.


Clearinghouse information—student accident and special risk accident-only claims
Change Healthcare
3055 Lebanon Pike, Suite 1000
Nashville, TN 37214
877-363-3666
changehealthcare.com

Questions regarding medical bills or reimbursements
Providers may contact Sentry at 800-4SENTRY (800-473-6879), ext. 1653150.

Providers


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