Font Size
  • a
  • a
  • a

For Providers

The 1199SEIU Benefit Funds are some of the largest self-administered labor-management Taft-Hartley funds in the nation, providing health coverage for more than 300,000 union members, retirees and their families. Our members work in more than 540 institutions in the greater New York metropolitan area, Hudson Valley, Long Island and upstate New York.

We are a Preferred Provider Organization, not an HMO or insurance company. Our priority is ensuring quality care for 1199SEIU members and their families. We are always looking for new, skilled providers. Please join us as a participating physician.

If you have questions about our benefit plan or policies, please click here for the 1199SEIU Provider Quick Reference Guide, or click here for the Provider Manual. You can also check the Provider Services section.

Please help us ensure that all your information – including provider name, specialty, type of practice, address and telephone number – is up to date by reviewing the information about your practice by clicking on the “Find a Provider” tab. If anything needs updating, please complete and return a Provider Demographic Information Change Request Form.  Please be sure to review the Provider Demographic Information Change Request Form Guide, which will assist you in completing the form.

Now You Can Check Your Patients’ Claims Automatically

Checking the claims status for your 1199SEIU patients just got easier. With our automated system, you can check an unlimited number of claims 24 hours a day, 7 days a week.

Just call (888) 819-1199 and have your tax ID number, the member’s ID number, and member’s date of birth on hand. It’s just another way that the Benefit Fund is improving our service to you.

Questions? Email Providers@1199Funds.org.

Check claims status and member eligibility online here.

Receive Payments Electronically through Emdeon

Effective February 10, 2014, you can have your 1199SEIU Benefit Funds’ claims for medical and hospital services paid electronically rather than receive payments by mail.  The Fund has selected Emdeon as our electronic payment partner.  Registering for electronic payment is simple – and the program is free – so we encourage you to take advantage of this program.

For information on the program and the enrollment process, click here. ‪‪

Provider Resource Center