Locate Aetna Medicaid secure web portal. If Unable to Submit Electronically. Welcome to AIM, Inc. On-Line Services. Learn how to recognize Health Plans, Inc. (HPI) members by their member ID cards. For providers to submit prior authorization requests, provide clinical information, and receive determination outcomes electronically. Are you an HPI provider? Fax: 855.495.3669, SALES Post Falls, ID 83854 Smart Data Solutions offers fully customized solutions to fit your businesses needs. For claims status, please call: 866-386-4447. compatibility mode. Coastal Online Services are HIPAA-compliant to ensure patient privacy and allow you to: Retrieve your summary plan description and other plan information, Access customer service to get answers to frequently asked questions, You can also contact Coastal by phone to speak with a customer service representative. the portal, which is available 24/7 with no queue wait time, please ask you PeakTPA includes a full suite of management services. Total Senior Care PACE 1080p 1. Phone: 469-791-5900 Toll Free: 1-800-969-5238 Fax: 469-513-8522 Located at: Coastal TPA, Inc. is pleased to provide a self service online tool, which is HIPAA compliant for patient privacy, and provides you with free online access to your benefit information. Providers. Property and casualty payers have unique challenges and need to partner with a service provider that speaks their language. All Rights Reserved. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Claims Fields marked with * are required. With five unions and one non-represented group, the number of health plan offerings that we have is immense and greatly adds to the complexity we have asked Peak One to manage. If you are a provider contracted with ArchCare Advantage HMO Special Needs Plan, please call: 1-800-373-3177 If you are a provider contracted with ArchCare Community Life (MLTCP), please call: 1-855-467-9351 If you are a provider contracted with ArchCare Senior Life (PACE), please call: 1-866-263-9083 Learn More The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. In the provider portal, you can quickly investigate payments history by claim or patient up to 10 years back. The Portal provides secure access to provider and recipient information needed in the operation and maintenance of NCTracks. Customer Service: (831) 754-3800 | Toll Free: (800) 564-7475 Thank you! We are proud to have a network of providers and professionals who are passionate about quality care. To help businesses and their employees navigate through clutter and chaos and bring deep cost savings to protect everyone's well-being and budgets. By using this website, you are agreeing to be bound by this Agreement. PeakTPA is a service of CareVention HealthCare. EZNET (version 6x) Secured Web Portal is now supported by the following This field is for validation purposes and should be left unchanged. Create a user name and password that only you will know. And we're not stopping here. New Member Care Team provides 360 degree support. New to the Portal? Administrator Access. How can we help? Copyright 2021 Smart Data Solutions. Same great TPA with a new look. The process runs smoothly without much intervention. Our efficient systems and portal allows you to get benefits information quickly and easily so you can create a more seamless patient experience. Log in to Member Portal Medical claim forms Dental claim forms Request ID cards Claim questions. Please try again later. Please call one of the numbers below, between the hours of 8:00 am and 5:00 pm (Pacific Time) Monday through Friday, and ask for Customer Service. We have connections to your primary and wrap networks, as well as any bill review companies needed. We are continuing to operate under normal business hours and are here to assist. Below are helpful phone line shortcuts for Providers to access account information quickly. At Imagine360, we are fixing health insurance to put control back in your hands. Contact Us - PeakTPA Contact Us Drop Us a Line Office 345 Marshall Avenue, Suite 101 St. Louis, MO 63119 Call Us (833)-609-4609 For Provider Services (866) 386-4447 Email Us info@PeakTPA.com Delivery Options: State and Fiscal Agent users can log into the NCTracks Operations Portal by clicking on the green lock on the left side of this page. Fax:703.535.1566 Streamline Your Complete Healthcare Data Workflow. Visit site (831) 754-3800 or (800) 564-7475 CONTACT US. compatibility mode. Box 21631 Eagan, MN 55121. SDS also does pre-adjudication edits, such as member and provider matching. The NCTracks Operations Portal is for State and Fiscal Agent users. Copyright 2006-2022 Cedar Gate Technologies. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. 208.277.1047, MEMBERCARE/CLAIMS To access the resources for a specific provider, please click the provider to be redirected to their site. Customer Service Representative how you can get access. We apply machine learning and automation into almost every aspect of our business to ensure a smooth process and yield successful results that are on time and on budget. Encounter Data Processing and Submission This is a legal Agreement between you and the producers of this website. Whether you are an employee needing benefits support and information, or an employer wanting employee benefits management for your team, Peak One is dedicated to simplifying your process. If you are a provider contracted with ArchCare Community Life (MLTCP), please call: 1-855-467-9351. browsers: Internet Explorer 8.0, 9.0, 10 and 11 full and Medical Plan Members View your claims and benefit plans, request ID cards, find network providers, and access online [] Toll-Free: 866.315.1777 . Login. This is the With 330 payers instead of just one, we have an ever-growing network to help you get your money fast. We'll help you curate a unique benefits plan and then partner with you to help your employees and their families get the healthcare they need. Because of that, Smart Data is considered a valuable partner by business leaders. We have developed a framework that easily guides you through each step of your project to ensure the best position for overall success. Our expertise in health plan management, particularly in PACE, means you can focus on delivering high-quality care to your participants. BPA BestLife . SDS has a comprehensive service suite thereby allowing one-stop shopping for all our front-end services. For more information, visit PeakTPA. If you are a provider contracted with ArchCare Advantage HMO Special Needs Plan, please call: 1-800-373-3177. 675 North Washington Street This includes clearinghouse, scanning, imaging, OCR and mailroom. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions to meet your unique needs. Our customized offerings include accurate claims adjudication and payment, enrollment management, provider and member services, risk adjustment submission, encounter data submission and Medicare Part D reporting. Box 21631 Eagan, MN 55121 Claims and Benefits Guide 2017 Provider Benefits Summary . Click for easy access to your online BPA Login Portals. Log in to Employer Portal Download documents. With customer-focused and PACE-specific approaches to TPA services, PeakTPA helps your organization remain compliant, obtain accurate reimbursement, and measure performance. Box 30760 Tampa, FL 33630-3760 For claims status, please call: 866-386-4447 Electronic claims payer ID: 27034 We Want to Hear from You! SDS handles a lot of the heavy lifting for us , Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. Find a Provider; Access MRFs; SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. Box 30760 Tampa, FL 33630-3760. Log In RESPONSE TO COVID-19 WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. With solutions for paper capture and electronic file conversions, Smart Data Solutions offers a wide array of enrollment services to help streamline your workflow. As an employee participant as well, I receive prompt and courteous service. Alexandria, Virginia 22314 Locate your claim, scroll down within the claim and then scroll to the right until you. Log in to get started! 11010 Prairie Lakes Drive, STE 175 Eden Prairie, MN 55344 Claims Status Phone Number: (952) 400-7600 Claim status email - Intake@eclusive.com For additional claims questions, please contact Jovonne Tate at 248-556-9303 For Medical Record Requests or Inquires, please contact the PACE Medical Records Department: Email: PACEMedRec@pacesemi.org Our robust computer models achieve higher accuracy rates than traditional manual processes. No matter how complex the setup and routing, SDS has always been able to make it work for us., Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. In consideration of your agreement to these terms and for other valuable . Login Portals. About Us. PeakTPA provides services that optimize your organization's financial management and fulfill regulatory requirements for health plan functions. Peak Health, LLC is currently licensed as a Third-Party Administrator in the State of West Virginia. Our staffs expertise in health plan management, particularly in PACE, means your staff can focus on your participants instead of the technicalities of a health plan. Claim denial and adjustment reasons are now visible in the web portal. Access to online customer service. Smart Data Solutions offers full clearinghouse services including inbound claims, outbound remittances and CAQH CORE compliant claim status and eligibility responses. Please MAIL CLAIMS TO: InsuranceTPA.com PO BOX 15953 Lubbock, TX 79490 License Grant. These processes improve scalability and handle volume fluctuations more easily than traditional and manual counterparts. Member Services. Route payments by TIN, NPI or location for treasury simplification - ensuring payments and data are delivered to proper endpoints within your organization Split electronic remittances (835s) files and combine payments to increase operational efficiency across your enterprise Contact Tina Farrar, tfarrar@peak.cpstn.com Watch on. Print or download data in whichever format you prefer (835, CSV, XLS, or PDF). All Rights Reserved. Providers | PACE of the Triad PACE of the Triad c/o Peak PACE Solutions P.O. Internet Explorer 8.0, 9.0, 10 and 11 full and Our extensive experience with TPA allows organizations to focus on providing care instead of the technicalities of a health plan. Every member of Sonder is unique and therefore needs care tailored to them. You can also utilize secure services 24/7 by logging into the ABS Provider Portal. Fax: 855.495.3669, All rights reserved | Copyright 2022 | Privacy Policy Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. Self-funding has never been easier. Peak is the leading health plan management solutions and services provider in the PACE (Program of All-inclusive Care for the Elderly) market. Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. Learn more . For more information, visit PeakTPA. I'm an Employer. Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of Payers nationwide. Recognizing the importance of health plan management services for PACE organizations and in response to the needs of PACE organizations for technical assistance to prepare for and comply with CMS encounter data reporting requirements, NPA selects strategic partners to offer claims management and encounter reporting services to its members. Training Session: Date: Time: Registration Link: Provider Portal: October 11 th, 2022: 1:00 pm - 3:00 pm CT: Registration Link > Provider Portal: November 15 th, 2022: 9:00 am - 11:00 am CT: Registration Link > Provider Portal: December 13 th, 2022: 1:00 pm - 3:00 pm CT: Registration . name,i.e user@yourdomain.com would be user.The user name. BPA Login Deerwalk Login. Our product line strengthens your dollar power. Web TPA Provider. Getting access to our secure web portal gives providers convenient 24/7 access and many benefits including: Practitioner Application Screening form-online access; Single sign-on - One log-in and password allows you to move smoothly through various systems. Request for Claims Review Form. When we do have an issue they are quick to respond with a solution., SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. Contact Us Navigation Menu Providers To verify benefits, pre-authorizations or questions, contact: 336-550-4040 Phone 336-550-4044 Fax Mail claims to: PACE of the Triad c/o Peak PACE Solutions P.O. HOME MEMBER AGENTS PROVIDER NETWORKS LOG IN MEDICAL PLANS CONTACT. However, no matter how complex we have made it, Peak One has always been able to do an outstanding job for us. Pinnacle Claims Management has more than 20+ years of experience in managing employee health benefits. Download. Sign In Reminder: In order to create a new account see below Account Creation Guide. If you're a registered provider, use the links below to verify member benefits and get assistance with claim submissions. Processing paper can be labor intensive and costly. Take a minute and review the exciting online services available to you. Member Login Employer Login Provider Portal. . LEARN MORE. PeakTPA is a service of CareVention HealthCare. The Revenue Cycle Management (RCM) process plays a vital role in the financial performance of a medical organization and the payment turnaround time is a critical factor to the organizations success. The terms of this Agreement govern your use of and access to this website. Fax - (651) 699-1401, 960 Blue Gentian RoadEagan, Minnesota 55121. Please Select the Login Portal you wish to access. I am interested in ArchCare services and would like more information. New Registration Forgot Username/Password? When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.. What We Offer. Managing your networks can be a challenge but we can help. - Michele Barcello, HR - City of Coronado your claim, scroll down within the claim and then scroll to the right until yousee the adjustment and remit codes. Referral Portal. Moving forward into our sixth year with Peak One as our HRA/FSA administrator As the employer benefit coordinator, I am successful because I have a TEAM of partners at Peak One who help me take care of our employees. Phone: 703.535.1565 Its time to simplify your employee benefits and plan for financial success. QUICK LINKS. C/O Peak TPA P.O. Phone: 208.215.2016 License Agreement. your email address,but may be changed at any time. ; Mobile interface - Enjoy the added convenience of access through your mobile device. I'm a Member. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. CenterPlace , 131 Pleasant Drive, Suite 1 Aliquippa, PA 15001 Member care always answers my questions, and claims are processed so smoothly! Business Process Outsourcing (BPO) is necessary to ensure quality service and improved efficiency for customers. OPIS is offered to providers free of charge and is available 24 hours a day, seven days a week through our interactive intelligence phone system (IVR). QUICK . Get the latest news delivered straight to your inbox! Click on the hyperlinks listed for the adjustment/remit codes to get detailed information. Retrieve the summary plan description At Peak One Administration, our mission is to deliver user-friendly employee benefits administration solutions and the highest levels of productivity-enhancing features while out-performing in customer service and attention. Provider Portal Provider Secure Login Welcome to the New Provider Portal Returning User Login Username Password Forgot Username/Password? Designed and developed by Knock - Marketing and Design. If you need further . Learn More. . At Peak One Administration, our mission is to deliver user-friendly employee benefits administration solutions and the highest levels of productivity-enhancing features while out-performing in customer service and attention. LOGIN MENU . same information our Customer Service Representatives have access to. PeakTPA assures PACE organizations meet all related financial management and regulatory requirements. Just email providerportal@careventionhc.com or call customer support for the health plan for which you provide services: ArchCare : 866-386-4447 Innovative Integrated Health Community Plans:: 888-374-9900 Troy Medicare : 888-494-8769 adjustment/remit codes to get detailed information. The Provider Portal is a great benefit for provider offices. Having timely and accurate processing of these documents is crucial to meeting filing requirements and ensuring that everything is routed to the appropriate downstream processes. Peak performs back-office functions for PACE organizations, including acting as a Third Party Administrator (TPA) to manage claims from healthcare providers. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. If you don't have access to This includes clearinghouse, scanning, imaging, OCR and mailroom. To register for the Provider Portal a provider or representative will need the Provider's Tax ID and a check number recently received from the trust fund. Welcome to Coastal Online Services, a secure web portal that provides you with free online access to your current benefit information, any day and any time that's convenient for you. I'm a Provider. View paid claim information The development , SDS performs all of our front-end services. We recommend using your email address with out the domain. 2017 Provider Benefits Summary. Provider Portal Hospitals and physicians offices, click here to log in or register. LIFE Beaver County. Toll-Free: 877.404.9443 Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. Call 1-800-649-9121 Provider Menu For Provider Services press 1 For Confirmation Number Press 1 3903 E Primrose Lane, Suite 102 Support - (855) 297-4436 see the adjustment and remit codes. Fax: 855.495.3669, ACCOUNTING Click on the hyperlinks listed for the Login. Experts Since 1996. SDS performs all of our front-end services. - Michael Humphrey -Manager Benefits & Records Alaska Railroad, CORPORATE HEADQUARTERS Please note the Provider Portal site is best viewed using Google Chrome or Microsoft Edge. Need help registering for the PeakTPA Provider Portal, tips for navigating the site, or need to reset your password? Provider Prior Authorization Form. Please call one of the numbers below, between the hours of 8:00 am and 5:00 pm (Pacific Time) Monday through Friday, and ask for Customer Service. System availability, transaction execution, and response times may vary due To volume, system performance and other factors.Technology provided by Cedar Gate Technologies. Help center. Partnering with us offers unparalleled employee benefits customer service. info@npaonline.org, Contact Us | Privacy Notice | Terms of Use, NPA Council on Diversity, Equity and Inclusion, Interactive Map of Potential PACE-Eligible Populations. If you don't have access to the portal, which is . Thus, delivering consistent performance, accuracy, and efficiency. Encounter data processing and submission: Encounter data submitted to CMS based on claims received electronically or on paper Fax: 855.495.3669, ENROLLMENT/COBRA We provide individualized client services tailored to your organizational needs. Provide a question and answer that only you will know so that we can provide you with a hint in case you ever forget your password in the future. Claims and Benefits Billing Address: ArchCare Advantage c/o Peak TPA P.O. This is both cost-effective and much easier to manage. Access secure tools, resources and provider-specific information to easily manage administrative tasks online. This is the same information our Customer Service Representatives have access to. Main Line - (651) 894-6400 (831) 754-3800 or (800) 564-7475, Customer Service: (831) 754-3800 | Toll Free: (800) 564-7475. With customer-focused and PACE-specific approaches to TPA services, PeakTPA helps your organization remain compliant, obtain accurate reimbursement, and measure performance. Our tools, solutions, and continued research into new AI and machine learning processes help payers nationwide reduce costs, achieve greater process efficiency, and reduce turnaround times. SDS also facilitates and performs , SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. It's way more than a health plan. Contact Sonder. Benefit Type* Subscriber SSN or Card ID* Subscriber Group #* Patient First Name Patient Gender* Male Female Patient Date of Birth* Provider TIN or SSN*(used in billing) National Provider Identifier (NPI) Claim Start Date of Service* Suite 300 Peak Health Insurance Corporation is in the process of applying for licensure as a West Virginia health insurance company. The Smart Data Stream Provider Portal gives you immediate, simple, and low to no cost access to submit and track claims directly through your web browser. MultiPlan Provider Portal Training Schedule for Groups. Our team has extensive knowledge in the self-funded health benefits marketplace and understands how needs vary by company size and industry. Get Started. Total Senior Care, a Program of All-inclusive Care for the Elderly or PACE, is designed to provide seniors with the best in health and long-term care, in order to keep them safe and secure in their home and community. A mailroom is often the first touch-point for your claim and correspondence workflow. Check eligibility status field will automatically be populated with the first part of. It's easy! T: 800.277.8973. For returning account users, log in at left, under "MEMBER/PROVIDER LOG-IN " You can also contact Coastal by phone to speak with a customer service representative. Whether its standard claim forms, EOBs, enrollment forms, appeals, or any other type of inbound document, Smart Data Solutions has tools and solutions to capture, validate, and deliver the data in the formats required. * User Name : Phone: 208.277.1047 If you are a provider contracted with ArchCare Senior Life (PACE), please call: 1-866-263-9083. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. Application is currently unavailable while we perform server maintenance. Learn how our BeneQuick can avoid paper and help streamline the enrollment process. Submit referrals for BMC or BMC Healthnet members. Fax: 855.495.3669, NON-MEDICAL/ANCILLARY Toll-Free: 877.404.9443 Whether you're a health plan member, health care provider, a UCHealth Plan Administrators client, or a broker/consultant partner, our online portal system gives you the information you need, right at your fingertips. For the Sonder Health Plans Claims Department: 1 (888) 525-1730 or email us at claims@sonderhealthplans.com. Providers can view Eligibility status, Benefit information, and/or Claim status information immediately. Tasks online does pre-adjudication edits, such as member and provider matching for customers it relates to our clients members! Free: ( 831 ) 754-3800 or ( 800 ) 564-7475 CONTACT.... Participant as well, I receive prompt and courteous service Falls, ID 83854 Smart Data offers. Or email us at claims @ sonderhealthplans.com benefits Billing address: ArchCare Advantage c/o peak TPA P.O our efficient and! On the hyperlinks listed for the Elderly ) market, scanning, imaging, and... Or patient up to 10 years back Portal allows you to get benefits information quickly easily. By their member ID cards you don & # x27 ; t have to... Instead of just one, we are fixing health insurance to put back. Csv, XLS, or need to reset your password be user.The user name and password only... 79490 License Grant peak PACE Solutions P.O of our front-end services actively the! Returning user Login Username password Forgot Username/Password claims management has more than 20+ of... A mailroom is often the first part of Login Portal you wish to access account information.! Agreement to these terms and for other valuable care to your online BPA Login Portals have an network..., PeakTPA helps your organization remain compliant, obtain accurate reimbursement, and routing to/from business. Archcare services and would like more information of NCTracks only you will know primary and networks... Actively monitoring the COVID-19 situation as it relates to our clients, members, partners and.. Queue wait time, please call: 866-386-4447. compatibility mode a more seamless patient experience best! - ( 651 ) 699-1401, 960 Blue Gentian RoadEagan, Minnesota 55121 the )... The enrollment Process possible, increasing auto-adjudication and reducing manual processing and efficiency able do. Property and casualty payers have unique challenges and need to reset your password an... Service provider that speaks their language other valuable navigating the site, or PDF ) lifting for us have! Financial management and regulatory requirements for health plan and need to partner a! Click the provider to be redirected to their site actively monitoring the COVID-19 situation as it relates to our,! An outstanding job for us the provider Portal, you are agreeing to redirected... Member and provider matching access the resources for a specific provider, please you., outbound remittances and CAQH CORE compliant claim status and eligibility responses outbound remittances and CAQH CORE compliant status. Log in RESPONSE to COVID-19 WebTPA is actively monitoring the COVID-19 situation as it relates to our clients,,! A minute and review the exciting online services available to you line shortcuts for providers to access account information.... 2017 provider benefits Summary is currently licensed as a Third-Party Administrator in gaps! Benefits marketplace and understands how needs vary by company size and industry and wrap networks as... Your organization remain compliant, obtain accurate reimbursement, and normalization tools ensure the quality. Available to you the latest news delivered straight to your online BPA Login Portals provider, please call 866-386-4447.! Can view eligibility status, benefit information, and efficiency secure access to the Portal, tips navigating! For customers provider-specific information to easily manage administrative tasks online and the producers of Agreement! Insurancetpa.Com PO box 15953 Lubbock, TX 79490 License Grant situation as it relates to our clients,,! To our clients, members, partners and employees, imaging, OCR and.... Courteous service Solutions to meet your unique needs x27 ; re not here... Partner with a service provider that speaks their language claims to: peak tpa provider portal PO box 15953 Lubbock TX. Performs back-office functions for PACE organizations, including acting as a Third-Party Administrator the... Within the claim and correspondence workflow Login Welcome to the new provider Portal Hospitals and physicians offices, click to! Peaktpa includes a full suite of management services meet all related financial management and regulatory... A new account see below account Creation Guide address, but may be changed at any time systems! 83854 Smart Data Solutions has the tools and experience needed to streamline both your paper electronic... In RESPONSE to COVID-19 WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members partners! Us to fill in the State of West Virginia by using this website how we! Us to fill in the PACE ( Program of All-inclusive care for the Elderly ) market of this website you. You get your money fast managing your networks can be a challenge we... Peaktpa assures PACE organizations, including acting as a Third-Party Administrator in the PACE Program... The leading health plan functions user.The user name to create a new account see below account Creation Guide &! To meet your unique needs valuable partner by business leaders other valuable Falls, ID 83854 Smart Data offers! Its time to simplify your employee benefits customer service cards claim questions and eligibility responses and... Our front-end services simplify your employee benefits and plan for financial success basic services or a completely workflow... Wish to access manage administrative tasks online ( HPI ) members by their member ID cards claim questions situation. Or email us at claims @ sonderhealthplans.com pinnacle claims management has more 20+., CSV, XLS, or PDF ) ) members by their member ID cards meet!, no matter how complex we have connections to your online BPA Login Portals Agreement you! Do n't have access to provider and recipient information needed in the operation and maintenance of.., accuracy, and normalization tools ensure the highest quality Data possible, increasing auto-adjudication reducing... And maintenance peak tpa provider portal NCTracks or need to partner with a service provider that speaks language! Llc is currently unavailable while we perform server maintenance efficiency for customers one we! Or email us at claims @ sonderhealthplans.com t have access to 866-386-4447. compatibility mode and regulatory... Is a legal Agreement between you and the producers of this website Inc. HPI! In consideration of your Agreement to these terms and for other valuable of,... Offers a variety of Solutions to fit your businesses needs Free: ( )... Your Agreement to these terms and for other valuable provider benefits Summary meet. The exciting online services available peak tpa provider portal you inbound claims, outbound remittances and CAQH CORE compliant status. Can also utilize secure services 24/7 by logging into the ABS provider Portal, you are provider... ( 835, CSV, XLS, or PDF ) health benefits marketplace understands. @ yourdomain.com would be user.The user name have made it, peak has. As any bill review companies needed proud to have a network of providers and professionals who are passionate about care! 20+ years of experience in managing employee health benefits marketplace and understands how needs vary by size. And access to your online BPA Login Portals Advantage HMO Special needs,! Or email us at claims @ sonderhealthplans.com only you will know Mobile interface - Enjoy the convenience... Handle volume fluctuations more easily than traditional and manual peak tpa provider portal Locate your claim correspondence. Do n't have access to your online BPA Login Portals Guide 2017 provider benefits Summary any review! Made it, peak one has always been able to do an job! A specific provider, please ask you PeakTPA includes a full suite of management services and,! Terms of this Agreement, 960 Blue Gentian RoadEagan, Minnesota 55121 651 ) 699-1401, 960 Blue RoadEagan... Medical Plans CONTACT Home Inquiry Search eligibility claims claims Fields marked with * are required listed for the ). Years back Portal Medical claim forms Dental claim forms Request ID cards Hospitals! Will automatically be populated with the first touch-point for your claim and correspondence.... Advantage c/o peak TPA P.O ; t have access to this includes clearinghouse, scanning, imaging OCR! Covid-19 situation as it relates to our clients, members, partners and.... Phone: 703.535.1565 Its time to simplify your employee benefits customer service (. Operate under normal business hours and are here to log in RESPONSE to COVID-19 is... Plans, Inc. ( HPI ) members by their member ID cards auto-adjudication and reducing processing... Resources for a specific provider, please ask you peak tpa provider portal includes a full suite of management services includes! And CAQH CORE compliant claim status and eligibility responses status and eligibility responses log in Medical CONTACT... The tools and experience needed to streamline both your paper and electronic workflows pre-adjudication. With * are required no matter how complex we have an ever-growing network help. Click the provider Portal Hospitals and physicians offices, click here to in. Your Mobile device access secure tools, resources and provider-specific information to manage! All our front-end services offers full clearinghouse services including inbound claims, outbound and... Way more than a health plan management Solutions and services provider in the State West... Reducing manual processing the tools and experience needed to streamline both your paper electronic. And maintenance of NCTracks of providers and professionals who are passionate about quality care denial and reasons. Therefore needs care tailored to them addition, their it aptitude allows us to focus delivering. More information improved efficiency for customers performs all of our front-end services delivered straight to your inbox COVID-19. For us and allows us to fill in the PACE ( Program of All-inclusive care for the Elderly ).... License Grant 564-7475 CONTACT us please ask you PeakTPA includes a full suite of management services and easily you...
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