Home - Pinnacle Claims Management Web TPA Provider. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.. However, no matter how complex we have made it, Peak One has always been able to do an outstanding job for us. To help businesses and their employees navigate through clutter and chaos and bring deep cost savings to protect everyone's well-being and budgets. Our team has extensive knowledge in the self-funded health benefits marketplace and understands how needs vary by company size and industry. Support - (855) 297-4436 PeakTPA provides services that optimize your organization's financial management and fulfill regulatory requirements for health plan functions. This is the same information our Customer Service Representatives have access to. Southwest Service Administrators, Inc. compatibility mode. 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 3903 E Primrose Lane, Suite 102 Our product line strengthens your dollar power. Providers - Pinnacle Claims Management Learn how our BeneQuick can avoid paper and help streamline the enrollment process. Customer Service Representative how you can get access. New to the Portal? Create a user name and password that only you will know. And we're not stopping here. Please Select the Login Portal you wish to access. 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. Phone: 208.215.2016 Get the latest news delivered straight to your inbox! EZNET (version 6x) Secured Web Portal is now supported by the following Learn More. The Portal provides secure access to provider and recipient information needed in the operation and maintenance of NCTracks. 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. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. If you need further . Internet Explorer 8.0, 9.0, 10 and 11 full and Claims and Benefits Billing Address: ArchCare Advantage c/o Peak TPA P.O. 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 | ArchCare LIFE Beaver County - Heritage Valley Health System SDS also does pre-adjudication edits, such as member and provider matching. We are continuing to operate under normal business hours and are here to assist. Peak Pace Solutions Provider Portal - Peak Pace Solutions Provider Peak Pace Solutions Provider Login - Peak Pace Solutions Provider Login Sign In Reminder: In order to create a new account see below Account Creation Guide. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. Click for easy access to your online BPA Login Portals. MultiPlan Provider Portal Training Schedule for Groups. Provider Portal I am interested in ArchCare services and would like more information. 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. Total Senior Care - Program of All-Inclusive Care for the Elderly 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. Visit site Providers - Sonder Health Plans, Inc. I'm a Provider. For providers to submit prior authorization requests, provide clinical information, and receive determination outcomes electronically. Same great TPA with a new look. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions to meet your unique needs. Click on the hyperlinks listed for the This is a legal Agreement between you and the producers of this website. Please note the Provider Portal site is best viewed using Google Chrome or Microsoft Edge. 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. Print or download data in whichever format you prefer (835, CSV, XLS, or PDF). Fax: 855.495.3669, All rights reserved | Copyright 2022 | Privacy Policy Learn more . Pinnacle Claims Management has more than 20+ years of experience in managing employee health benefits. Managing your networks can be a challenge but we can help. Toll-Free: 877.404.9443 Fax: 855.495.3669, ACCOUNTING browsers: Internet Explorer 8.0, 9.0, 10 and 11 full and Our efficient systems and portal allows you to get benefits information quickly and easily so you can create a more seamless patient experience. About Us. We have connections to your primary and wrap networks, as well as any bill review companies needed. As an employee participant as well, I receive prompt and courteous service. Provider Portal Hospitals and physicians offices, click here to log in or register. Fax: 855.495.3669, SALES SDS has a comprehensive service suite thereby allowing one-stop shopping for all our front-end services. LIFE Beaver County. I'm an Employer. If you are a provider contracted with ArchCare Advantage HMO Special Needs Plan, please call: 1-800-373-3177. LEARN MORE. Provider portal - Aetna Peak is the leading health plan management solutions and services provider in the PACE (Program of All-inclusive Care for the Elderly) market. 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. 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. New Member Care Team provides 360 degree support. 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 Total Senior Care PACE 1080p 1. Third Party Administration - CareVention HealthCare EZ-NET Login - Cognify We recommend using your email address with out the domain. 208.277.1047, MEMBERCARE/CLAIMS The process runs smoothly without much intervention. Provider Forms - Automated Benefit Services We are proud to have a network of providers and professionals who are passionate about quality care. What We Offer. 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. . By using this website, you are agreeing to be bound by this Agreement. License Grant. 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. Administrator Access. Box 21631 Eagan, MN 55121 Claims and Benefits Guide 2017 Provider Benefits Summary . adjustment/remit codes to get detailed information. 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. field will automatically be populated with the first part of. the portal, which is available 24/7 with no queue wait time, please ask you Are you an HPI provider? SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. At Imagine360, we are fixing health insurance to put control back in your hands. 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. LOGIN MENU . 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. Coastal Online Services Submit referrals for BMC or BMC Healthnet members. Need help registering for the PeakTPA Provider Portal, tips for navigating the site, or need to reset your password? For more information, visit PeakTPA. BPA Login Deerwalk Login. In consideration of your agreement to these terms and for other valuable . We have developed a framework that easily guides you through each step of your project to ensure the best position for overall success. Copyright 2021 Smart Data Solutions. For claims status, please call: 866-386-4447. Smart Data Solutions offers fully customized solutions to fit your businesses needs. Provider Prior Authorization Form. QUICK LINKS. info@npaonline.org, Contact Us | Privacy Notice | Terms of Use, NPA Council on Diversity, Equity and Inclusion, Interactive Map of Potential PACE-Eligible Populations. I'm a Member. HPI | Provider Resources - Health Plans Inc. Provider Portal - 90 Degree Benefits HOME MEMBER AGENTS PROVIDER NETWORKS LOG IN MEDICAL PLANS CONTACT. To access the resources for a specific provider, please click the provider to be redirected to their site. Providers - Total Plan Services, Inc. Phone: 208.277.1047 PeakTPA includes a full suite of management services. Suite 300 Home - Peak One PeakTPA is a service of CareVention HealthCare. Fax:703.535.1566 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. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. Services - PeakTPA Contact Tina Farrar, tfarrar@peak.cpstn.com 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 Phone: 703.535.1565 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. Providers | PACE of the Triad Toll-Free: 877.404.9443 The terms of this Agreement govern your use of and access to this website. Below are helpful phone line shortcuts for Providers to access account information quickly. Log in to Member Portal Medical claim forms Dental claim forms Request ID cards Claim questions. Processing paper can be labor intensive and costly. Encounter data processing and submission: Encounter data submitted to CMS based on claims received electronically or on paper It's way more than a health plan. 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. Watch on. Referral Portal. The NCTracks Operations Portal is for State and Fiscal Agent users. - Michele Barcello, HR - City of Coronado If you don't have access to Aetna Medicaid secure web portal. CenterPlace , 131 Pleasant Drive, Suite 1 Aliquippa, PA 15001 Take a minute and review the exciting online services available to you. Call 1-800-649-9121 Provider Menu For Provider Services press 1 For Confirmation Number Press 1 Presentations Fax - (651) 699-1401, 960 Blue Gentian RoadEagan, Minnesota 55121. CONTACT US. 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. Member care always answers my questions, and claims are processed so smoothly! The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. WebTPA ; Mobile interface - Enjoy the added convenience of access through your mobile device. How can we help? Application is currently unavailable while we perform server maintenance. Partnering with us offers unparalleled employee benefits customer service. Claims and Benefits | ArchCare Locate your claim, scroll down within the claim and then scroll to the right until you. If you're a registered provider, use the links below to verify member benefits and get assistance with claim submissions. Contact Sonder. All Rights Reserved. Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of Payers nationwide. 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