Webthe claim form, but do provide us with either a completed claim form or an itemized bill that contains the following: A. The date(s) of service B. The procedure code(s) or a description of each C. The diagnosis code or a description D. Proof of payment (canceled check front and back, credit card receipt or stamped receipt from the WebJun 25, 2024 · BeniComp Health Solutions, an InsureTech company in Tampa, is radically transforming healthcare by saving employers millions of dollars while providing smart solutions that improve the health of populations.
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WebBeniComp IncentiCare - Provider ACH Payment and ERA Authorization Please complete this form with your organization's banking information to authorize BeniComp to disperse your … cancer chemicals in making plates
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WebFeb 10, 2024 · Tampa, Florida-based Benicomp embraces change while keeping its mission front of mind: Save businesses big bucks on health insurance claims. WebBilling Provider Address * Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country Billing Provider Preferred Address (PO Box for payments for example) Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country Routing Number * Must be 9 digits. Currently Entered: 0 digits. Account Number * 8:00am - 8:00pm EST Claim Submission To submit eligible member claims please use the following: Payer Name: IncentiCare Payer ID: 18151 Address: 8310 Clinton Park Drive Fort Wayne, IN 46825 Additional Clearinghouse Information IncentiCare has extended its relationship with Smart Data Solutions. See more Click the button below to instantly access patient eligibility information. Check Patient Eligibility See more To submit eligible member claims please use the following: Payer Name: IncentiCare Payer ID: 18151 Address: 8310 Clinton … See more Prior Authorization is required for: 1. Inpatient admissions 2. Inpatient/Outpatient surgeries 3. Partial Hospitalization and … See more cancer chemoprevention by carotenoids