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Claims

Take the paperwork out of submitting claims!

To improve service to our providers, the Benefit Fund is partnering with MD On-Line to introduce a suite of services that will allow you to submit your professional claims electronically. Our payor number is 13162. Click here to find out how.

We also accept all claims submissions electronically through Emdeon, Capario and Relay Health. To log on, click here. Our payor number is 13162.

To submit paper claims:

  • Send UB04 claims to: P.O. Box 933, New York, NY 10108
  • Send CMS 1500 claims to: P.O. Box 1007, New York, NY 10108
  • Send ADA claims to: P.O. Box 1144, New York, NY 10108-1144

In addition to ClaimCheck®, the comprehensive code auditing software currently in use by the 1199SEIU Benefit Funds, beginning July 1, 2011, we will also employ the National Correct Coding Initiative (NCCI), developed by CMS.  For additional information on NCCI, please go to: http://www.cms.gov/NationalCorrectCodInitEd/.

Questions? Email us at Providers@1199Funds.org. or call our Provider Services Representatives at (646) 473-7160.

 

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