Billing Address:PO Box 2831,Clinton, IA 52733-2831 Telephone:800-889-6764 Ext. Contact your HR Partner or Leave and Accommodations Coordinator for assistance with determining restricted work options. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. Submit medical bills and accompanying medical reports to our TPA, Gallagher Bassett, to one of the two addresses below: Accidents happen. endobj Select "All" V. Select "OK" VI. No materials from this website may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way. We will update readers if and when we get clarification on how the September 21 to October 1 transition gap affects timely payment deadlines, and if providers are entitled to. SUBMIT ALL MEDICAL BILL RECONSIDERATIONS TO: Key Risk PO Box 14817 Lexington, KY 40512 The employer name is GALLAGHER BASSETT. Your Workers Compensation benefits will be suspended if you refuse to sign and return the above-mentioned documents to Gallagher Bassett. PO Box 2934 Clinton, IA 52733-2934 Fax 847-621-7101. Currently, providers submit e-bills to AIG via Carisk using Payer ID E4655. If the employee is unable to make this call, the supervisor may place the call. Those e-bills are not processed until Gallagher Bassett takes over on October 1. Cancelling and rescheduling physician and physical therapy appointments will result in suspension of your workers compensation benefits. Please DO NOT add attachments that contain your or other peoples personal information, if you dont want it to be visible to the public. BITCO claims representatives are accessible to you day and night -- especially in emergency situations. 2502 0 obj <> endobj Copyright: 2023 University of Miami. hX[o8+~jw;v Currently, providers submit e-bills to AIG via Carisk using Payer ID E4655. i. Having dedicated locations near your business means we expedite contact with you and claimants, were there to assist with communication during the life of your claim, and we can accelerate your claim resolution. Please refer to your BITCO Construction Group Welcome Kit for phone and fax claim reporting information. While the employee is making the call, the supervisor needs to inform the Workers Compensation Coordinator (WCC) of an incident resulting in a claim. Your Workers' Compensation benefits will be suspended if you refuse to sign and return the above-mentioned documents to Gallagher Bassett. ^pmTDpxi$P"-ar"C&J!Q0Qpf PD,R5H!Fzj HT)`*i9h Phone: (916) 403-1600 Fax: (916) 403-1619. When an employee is off work due to the work injury or illness, you must immediately advise your HR Partner and your Leave and Accommodations Coordinator. 1234 . 41 0 obj <>/Filter/FlateDecode/ID[]/Index[10 62]/Info 9 0 R/Length 135/Prev 177456/Root 11 0 R/Size 72/Type/XRef/W[1 3 1]>>stream AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA. [!_;OpRak,K If the forms are incomplete or incorrectly filled out, the Workers Compensation Coordinator will return the forms along with a memorandum outlining what needs to be completed or corrected. DaisyBill provides content as an insightful service to its readers and clients. Harness the power of daisyBill software, data, and expertise for faster, better workers comp billing. If your time off work extends beyond two weeks, and you are enrolled in the Universitys Short-Term Disability (STD) plan contact your Leave and Accommodations Coordinator to determine if you can/should initiate STD. Phone DOCTOR'S SIGNATURE Date . Claims are processed and sent to The Work Comp Insurance Carrier for review by a claims examiner, who will determine if the claim is compensable or non-compensable. a) There are urgent care clinics on the Approved Medical Provider List that are open 7 days a week. Include your Client VDN and Subcontractor ID (if applicable) when reporting a claim via Fax or Email. Clinton, IA 52733-2831. If doctors submit e-bills during the transition interim from September 21 to September 30. All customer reviews are handled by the BBB where the company is Headquartered or a central customer review processing location. 'P9E!i7.ltIqU>\^"! hb```c`` @1 h^r! From prompt reporting of claims to efficient methods for guiding your claim through the resolution process, youll see their personal touch positively impact the outcome of your claim. Please note that this decision is NOT made at Eastern Illinois University by the Workers Compensation Coordinator. the Illinois Board of Higher Education. @|p~VF6C.GBa\-r":dZZA,,+*@&I_^P C!HCdu#pOV%o>1cz@4v4vE> This is the treatment provider that EIU prefers to use. As you can see, I have been trying to and have worked hard at it but no one at Gallagher Bassett really tried to help me or return calls. We believe good claims service begins with prompt reporting of potential claims. Employee Notice of Injury/Illness - this form is a fillable form online, which the supervisor and the employee can complete together electronically. We believe good claims service begins with prompt reporting of potential claims. BBB serving Greater Iowa, Quad Cities, and Siouxland Region. Jopari representatives report to daisyBIll that during the September 21 to September 30 interim, providers may submit e-bills for AIG via Jopari Payer ID 19402; Jopari will subsequently transfer those e-bills to Gallagher Bassett as soon as possible whenever that may be. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. Box 2831. BBB Business Profiles are subject to change at any time. BITCO's Managed Care Initiatives work to control loss costs through our: Looking for claims services that work hard for you and your business? Submit medical bills and accompanying medical reports to our TPA, Gallagher Bassett, to one of the two addresses below: Claims Services That Work for You Accidents happen. Clinton IA 52733, Find contact information for Gallagher Bassett Services. a) Failure to return to work after receiving clearance from your Leave and Accommodations Coordinator, HR Partner, or supervisor, may be considered a violation of University policy and result in disciplinary action. Access the headquarters listing for Gallagher Contact Information PO Box 2934 Clinton, IA 52733. If a claim were to occur, our claims representatives assist you by filing all required Workers Compensation reports with state agencies. If the WCC is not immediately available, the supervisor should call SBLHS Occupational health to schedule an appointment for the employee. This rating reflects BBB's opinion about the entire organization's interactions with its customers, including interactions with local locations. 2911 or 800-889-6764 Ext. 1) Employee has a Work Related Injury or Illness. endstream endobj 2503 0 obj <>/Metadata 153 0 R/Names 2516 0 R/Outlines 241 0 R/Pages 2498 0 R/StructTreeRoot 419 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2504 0 obj <>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2505 0 obj <>stream Gallagher Bassett assists over 3,500 clients worldwide through more than 110 branches and over 4,700 skilled professionals by providing: Claims management Risk management and information management systems Medical Cost Containment Consultative Services (environmental health and safety) By signing the mandatory fraud statement, you are confirming your understanding of this important information. Eastern Illinois University is authorized to operate as a postsecondary educational institution by Learn more about our services and how we can help you. 10 0 obj <> endobj PO Box 2934 Clinton, IA 52733-2934 Fax 847-621-7101 Mail To: . Fill in every field and select the appropriate dropdown VII. clinton,ia 52733-2934 phone: (866) 855-0230 fax: (951) 279-6632 . Explore our global capabilities. Providers submit e-bills to Gallagher Bassett via Jopari using Payer ID TP057. CLINTON, IA 52733-2934. Thereafter, the University provides administrative leave for the first seven (7) calendar days immediately following the occurrence of a work-related injury, provided the employees absence from work is supported in writing by a health care provider. Bear in mind that in addition to offering no actual instructions for e-billing during the transition gap, the letter also lists the wrong Jopari Payer ID for AIG. Good Shepherd Urgent Care Hermiston Oregon. PO Box 2831, Clinton, IA 52733-2831 Telephone: 800-889-6764 Ext. 2925 Fax: 866-509-8358 If you receive a medical bill for authorized medical treatment relative to your work injury, it is your responsibility to email or fax the bill to your assigned Gallagher Bassett Resolution Manager. CLINTON,IA 52733-2934. information necessary for e-billing. Please submit medical bills and accompanying medical reports to our TPA, Gallagher Bassett, to one of the two addresses below: Gallagher Bassett Services, Inc. PO Box 2840Clinton, IA 52733-2840, Gallagher Bassett Services, Inc. PO Box 2831Clinton, IA 52733-2831. An employee may be released to return to work with restrictions or limitations. For example: We will update readers if and when we get clarification on how the September 21 to October 1 transition gap affects timely payment deadlines, and if providers are entitled to penalty and interest paymentsfor untimely reimbursement. . We also realize that reducing the cost of Workers Compensation claims involves helping employees return to productive employment as soon as possible. For example, in California claims administrators must pay e-bills within 15 working days of receipt. a) Go to every scheduled physician and physical therapy appointment. And as always, well report any developments or relevant changes to the situation in this space. Leave Management: Leave ManagementThe Leave Management Team can be contacted via email: umloa@miami.edu. Gallagher Bassett Services Inc. PO Box 2831 Clinton, IA 52733-2831 AIG to Gallagher Bassett Transition Timeline: e-Bills The table below includes clearinghouse and Payer ID information necessary for e-billing. gallagher bassett services inc: po box 2831 clinton ia 52733-2831: 866 324 5585: gallagher bassett services inc: po box 23812 tucson az 85734: 410 992 0275: gallagher benefit admin: