If the WCC is not immediately available, the supervisor should call SBLHS Occupational health to schedule an appointment for the employee. Protect your practice. As soon as you sustain a work related injury or illness tell your manager. Pat Graffman 15) Gallagher Bassett's Mailing Address, Telephone, and Fax Number. All Rights Reserved. 1234 . Important update for providers: Third-Party Administrator (TPA) AIG Claims, Inc. will no longer administerworkers comp claims. hX[o8+~jw;v 2911 or800-889-6764 Ext. The University's Workers' Compensation Administrator Gallagher Bassett will have your claim number within 24 to 48 hours after your injury or illness has been reported in Workday. Fill in every field and select the appropriate dropdown VII. The complaint has been investigated and resolved to the customers satisfaction. Please refer to your BITCO Construction Group Welcome Kit for phone and fax claim reporting information. 2925. Box 2831 Clinton, IA 52733-2831 hbbd```b``z "@$fD A$K:LQ"]M&`dX6?DH`6X ,$Ra M/00?l& 30)>0 4 0 obj All reasonable and appropriate medical expenses for treatment of your work related injury will be paid. AIG forwards all non-electronic bills mailed to AIG from 9/21 - 9/30 to Gallagher Bassett. Contact BITCO today. Leave Management: Leave ManagementThe Leave Management Team can be contacted via email: umloa@miami.edu. Please contact the EIU Worker's Compensation Coordinator at (217) 581-5825 with any questions. Once printed, please remember the signatures at the bottom of the last page. Explorerecent, a one-stop destination for complete information on all trending Tourist places and destinations. <> [protected] fax and phone. I have spoken with Mae, and she said the 11 claims were denied because of the Drs NPI umber not being valid, but when she put it in the system it pulled right up The Orthopaedic Center, so she sent them back to reprocess. c) DO NOT PROVIDE ANY MEDICAL FACILITY OR PHYSICIAN WITH YOUR PERSONAL HEALTH CARE INSURANCE INFORMATION. endobj Gallagher Bassett Services PO Box 2831 Clinton, IA 52733-2831 (Effective: 4/01/2017) Medical Benefits You may select a medical provider of your choicefor your initial treatment. The hospital emergency department or any medical provider may ask you for a claim number at the time of treatment. To submit a corrected claim or reconsideration, the bill must be labeled "RECONSIDERATION" with a copy of the original Explanation of Review (EOR) and any supporting documentation. 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. 8 working days of the 15-working-day timeframe for timely payment will have already elapsed leaving Gallagher Bassett only 7 days to process and pay the e-bills. AIGs (confusing, error-laden)letter, shown below, instructs providers that any paper bills mailed to AIG from September 21 to September 30 will be held by AIG until October 1, and subsequently forwarded to Gallagher Bassett. Gallagher Bassett Locations : Gallagher Bassett Global Reach Across town or across the globe, the people of Gallagher Bassett are ready to GUIDE. %%EOF b) Know the date and time of all follow up physician and physical therapy appointments. gallagher bassett services inc. po box 2934 . Registration Number: 2953248 : Full Name . Please include your Client VDN and Subcontractor ID (if applicable) when reporting a claim via Fax or Email. 2023, International Association of Better Business Bureaus, Inc., separately incorporated Better Business Bureau organizations in the US, Canada and Mexico and BBB Institute for Marketplace Trust, Inc. All rights reserved. BBB Business Profiles generally cover a three-year reporting period. 2. Attorney Information. This is the treatment provider that EIU prefers to use. Work related injuries must be reported in Workday within 24 hours of your injury or illness. When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints. AIG's pre-injury consultants help clients create a workplace that accommodates and encourages employees' safe return to work Provides efficient and cost-effective medical management programs to support and educate clients and employees before, during, and after injury Superior Claims Service 2925. BITCO's Managed Care Initiatives work to control loss costs through our: Looking for claims services that work hard for you and your business? Include your Client VDN and Subcontractor ID (if applicable) when reporting a claim via Fax or Email. 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. BITCOs 24/7 claims management allows us to bring the benefit of timeliness to policyholders and claimants alike. PO BOX 2934. Obtain this information before leaving the physician or therapist office. Let a Gallagher Bassett expert guide you 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. Currently, providers submit e-bills to AIG via Carisk using Payer ID E4655. Workers' Compensation Medical Report (Employee takes to Medical Provider). Gallagher Bassett Services - Rude & Unprofessional!!! Because your claims representatives work in local offices close to you, they can provide prompt, professional service personally. Click here to download the information above as a PDF. Their staff is knowledgeable and skilled in workmans compensation. d. When medical documentation is received from the employee, email this documentation to your HR Partner and Leave and Accommodations Coordinator. 0 %PDF-1.7 If the employee is incapacitated, hospitalized, or otherwise unable to complete the Work Injury/Illness Report in Workday, you must report the incident to Universitys Workers Compensation Administrator Gallagher Bassett. The next step is to complete the appropriate workers compensation forms: 1. c. The Resolution Manager can answer any questions you have regarding workers compensation. It is a benefit to the employees overall wellbeing when accommodations can be made for an employee to return to work in a limited capacity, even if it is for 4 hours a day. Box 2831. CLINTON, IA 52733-2934. Request a demo below. Looking for more information? b) If you are eligible to utilize accrued sick or vacation time it is your responsibility to provide your HR Partner with a copy of the check you receive from Gallagher Bassett. After completing your Work Injury/Illness Report in Workday and clicking on Submit, your injury information is transmitted electronically to the Universitys Workers Compensation Administrator Gallagher Bassett. !wW}64*Wjx]+DD8.njN#Ddj*S|shz4*^gL7 /T=HvSdPN;s,An.uUH The WCC may need to schedule a followup appointment at SBLHS to establish return to work status. When they do, BITCO is there to provide you with personal, local claims service. Name * Email * Phone * Organisation * Your message. Include accompanying medical reports with the medical bill. Lodge an Enquiry. Clinton, IA 52733-2934. PO Box 2831 Gallagher Bassett 02/08/2022. Title: Microsoft Word - 00049575.DOCX Author: nicholechurch Created Date: 12/4/2019 10:19:14 AM . Robbery. Remind employee of this. Return all completed forms to the Workers Compensation Coordinator via email at workcomp@eiu.edu . PO Box 2934 Clinton, IA 52733-2934 Fax 847-621-7101. The business address is Po Box 2971, Clinton, IA 52733-2971. Providers submit e-bills for AIG via Jopari using Payer ID 19402. If the employee is requiring medical treatment immediately, and it cannot wait until the next business day for Occupational Health, you may send the employee to the emergency room. Submitting Medical Bills and/or Reports for BITCO Construction Group (BCG) Claims. PO Box 2831, Clinton, IA 52733-2831 Telephone: 800-889-6764 Ext. 2911 or 800-889-6764 Ext. *U8Dk&xzW =FW$HT$iY;maPW,sG`_9x"J1Er=\PPI5\7[.A.>\0dcWeMu/74w 4\Zhe$q#eGJFiC]mLEG. Please contact the EIU Workers Compensation Coordinator at (217) 581-5825 with any questions. The University provides administrative leave to cover an employees absence due to a work-related injury suffered by the employee that same day. Location of This Business PO Box 2934, Clinton, IA 52733. Read below for further details on bill submission for soon-to-be-former AIG claims. 307 N. Michigan Avenue, Suite 600, Chicago, IL 60601. DIm@tDXAJ?BWpl1~5Kip_(! tCh(TbEEYEYE/:|Q7h_voMNq>n(~"{)8X0"YLZ1tzhE@7G4_P",v)FOx3-A0E^'9a@QGkj7ggc6@ 029qh>yr%'.%?GXq-qyuPa!NE4wUi,yL:L. Referrals for diagnostic testing, therapy or Medical Specialists MUST BE PREAUTHORIZED by contacting the MUSIC R.N. Fax: 866-509-8358 16 . 2911 or 800-889-6764 Ext. Note that co-pays should NOT be paid for a work-related incident: Authorization to Use or Disclose Information Form. Headquarters . New claim numbers apply to all subsequent e-bills. 6) Additional Information Regarding Medical Treatment. b) It is your responsibility to provide your manager, HR Partner, and Leave and Accommodations Coordinator with a copy of your DWC25 form, within 24 hours after every medical appointment. The employer name is GALLAGHER BASSETT. ms. cathy lara 06 025 manager gallagher bassett services inc. po box 2934 . 13317652 9 c/o GALLAGHER BASSETT SERVICES. endstream endobj startxref BITCO provides you with multiple ways to report claims to ensure that your claim is given the personal attention it deserves. Human Resources Contact Information PO Box 2831. The emergency room is to be used only if necessary; a true emergency, life-threatening injuries. A key goal for risk managers is to achieve zero lost time claims and increased closure rates within workers' compensation program. DOI: 01/05/2017. 9) The Work Injury/Illness Request is Submitted. PO Box 2831 Clinton, IA 52733-2831 Failure to inform the medical provider that the injury/illness is work-related will result in the employee, or his/her insurance plan, being billed directly for the services. 3!L29vR SHG PO BOX 2934. 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. a) The DWC25 Form provides information regarding your injury, restrictions, and your next appointment. If a doctor mails AIG a bill from September 20 to September 30, does the 45-day countdown begin when AIG receives the bill from the doctor, or when Gallagher Bassett receives the bill from AIG? hb```c`` @1 h^r! This includes (but not limited to) the medical records release form and the Mandatory Fraud Statement. RE: Terry Baccus As always, daisyBill software will be updated to navigate the switch with minimal disruption to our provider clients e-billing. b. 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 You may utilize your accrued sick or vacation time for hours missed from work for medical or physical therapy appointments. Submit a complaint and get your issue resolved. Gallagher Bassett Services, Inc. PO Box 2831 Clinton, IA 52733-2831 Need Additional Claim Reporting Information? Currently, providers submit e-bills to AIG via Carisk using Payer ID E4655. % Within 24 to 48 hours, a Gallagher Bassett Resolution Manager will be assigned to your claim. When they do, BITCO is there to provide you with personal, local claims service. You will receive a Managers Notification in Workday advising of the employees work injury or illness. The University's Workers' Compensation Administrator is Gallagher Bassett. 2 0 obj When released to return to work by the treating physician you must notify your supervisor, HR Partner, and Leave and Accommodations Coordinator immediately because written clearance to return to work may be required. Please DO NOT add attachments that contain your or other peoples personal information, if you dont want it to be visible to the public. This review was chosen algorithmically as the most valued customer feedback. 2023 Old Republic General Insurance Group. You must complete and return the forms to your Resolution Manager. [protected]@toctulsa.com This raises a question: in California, claims administrators have 45 calendar days from receipt of a non-electronic workers comp bill to remit payment. Cigna's contact telephone number is: 1-800-362-4462. Burglary. }YLRcEi!'rzU65+i\_jd6K6E(HQ_ZI3?>6c\dCLpp'+kBHb\n zduGqo}]Ck|`Sn) [W-4UVmV{1}.rE'4}s CX,NRYXlE]XO|:KwP_# >up$MuQMlc`mOQ7" 5Dd/[CuBxm)5Pq+EdNOU}H,_hfZlny 8{TP{7U9G}7Rm@GjBSnSiWDHX#I@fE"`Z{pknDj"x*+//l?P[`!}IdHgF7)\*lR?|u6Uf@ 1ZU7Hf;`lw_Z^o#K*^X+^52 M5%h/j%mOQy \Uqqz2*U WYF)~M>h~I=HDaZz%k}9dqhTms{f149$8|^n*15~.>fR[rjEF^2)7Q~UY?xvnW2dLq_q* TIu( fr>j4JY Tuub;OFl8q>R j*8T*l:QN%*B/;~jhA&.4*& !%\v)P\ ,[f4xw(57#Y%r(uM jQd?9-;2cT+`vR\$f2sjPeUg/N}";)g8)D4nAQ&LQ6l3P+c.S{~g>69`hP:oVq6%AOh3q0JVa")6j)nDM QQ4@1b3R@y9QFp*{eS(. All claims currently administered by AIG Claims will be transferred to Gallagher Bassett, which will assign new claim numbers to the former AIG claims. Theft. GALLAGHER BASSETT SERVICES INC. PO BOX 2934. Learn more about our services and how we can help you. To Whom this May Concern: My name is Pat Graffman and I work in the AR for Worker's Compensation, and I have been trying to get 11 claims paid for our patient stated above. clinton,ia . Submit medical bills and accompanying medical reports to our TPA, Gallagher Bassett, to one of the two addresses below: Accidents happen. Read case study. AIG ceases workers comp claims administration. Copyright: 2023 University of Miami. 8;P" Currently, providers submit e-bills to AIG via Carisk using Payer ID E4655. whos eligible, how to enter it in Workday, etc.. If your claim is deemed compensable by Gallagher Bassett, and the authorized physician has indicated that you cannot work (or your manager cannot accommodate your work restrictions), Gallagher Bassett will pay you a Lost Wage benefit which is less than your net salary. Access the headquarters listing for Gallagher, Commercial Insurance, Benefits & HR Consulting. The letter from AIG to providers is below. Failure to inform the medical provider that the injury/illness is work-related will result in the employee, or his/her insurance plan, being billed directly for the services. endobj Approved Medical Providers List a. All Rights Reserved. An employee may be released to return to work with restrictions or limitations. DOI: 01/05/2017 2911or 800-889-6764 Ext. As a matter of policy, BBB does not endorse any product, service or business. If the injury is after hours of 8a-5p, but the local walk-in clinic is open, (7a-7p as well as open on weekends) you may send the employee to the closest walk-in clinic for initial treatment. BITCO assists you in educating your employees about Workers Compensation before a work-related injury occurs. $kz'd8H $kAF A6tA6}7=HfHv=_HvdF(.