Healthcare providers need efficient, reliable systems to verify patient benefits, track claims, and manage administrative tasks. The Insurance Benefit Administrators (IBA) Provider Portal offers a comprehensive digital solution designed to streamline healthcare provider operations with secure, 24-hour access to critical information.
Official Links
- Providers Page: https://www.insurancebenefitadministrators.com/providers.html
- Self-Service Site: https://www.insurancebenefitadministrators.com/self-service-site.html
What Providers Can Do
The IBA Provider Portal enables healthcare professionals to:
- Verify patient insurance benefits
- Check claim status
- Access coverage information
- Submit medical claims electronically
Access and Authentication
Accessing the Portal
Providers can access the self-service site 24 hours a day. To verify patient information, providers will need:
- Patient’s insurance ID card
- Specific patient identification details
Contact for Access
For portal access or verification, providers can contact:
- Customer Service: 866-323-2985
- Hours: 8 a.m. to 4:30 p.m. (CST), Monday through Friday
Key Features
Claim Submission Process
- Collect patient insurance ID card
- Verify benefits via verification line (866-323-2985)
- Collect applicable copays
- Check pre-notification requirements
- Submit claims to:
- Mailing Address: Insurance Benefit Administrators, c/o Zelis, Box 247, Alpharetta, GA, 30009-0247
- EDI Payor ID: 07689
Payment Details
- Up to 25% more than Medicare rates for doctor office visits
- Up to 50% more for facility services
Pre-Notification Requirements
Certain services require pre-notification, including:
- Hospitalizations
- Inpatient care
- Surgical procedures
- Outpatient IV infusion therapy
- Radiation therapy
- Cardiac surgery
Pre-notification line: 866-317-5273
Privacy and Security
While specific portal security details are not explicitly provided, providers should:
- Protect patient ID card information
- Use secure communication channels
- Verify patient eligibility through official channels
Customer Support
Primary Support Line: 866-323-2985
- Available: 8 a.m. to 4:30 p.m. (CST)
- Monday through Friday
Unprovided Information
The following details were not specified in the source documents:
- Specific login credentials process
- Detailed security protocols
- Mobile app availability
- Comprehensive feature list beyond claim and benefit verification
The Insurance Benefit Administrators Provider Portal offers healthcare providers a streamlined, efficient system for managing patient insurance information, claims, and benefit verification.
Disclaimer
Information based on documents dated 2021. Providers should confirm current procedures and contact details directly with Insurance Benefit Administrators.
Keywords: insurance benefit administrators provider portal, healthcare provider access, claims verification system
FAQ
What is the phone number for insurance benefit administrators provider portal?We are available between 7 a.m. and 4:30 p.m. (CST) Monday through Friday at 844-630-7500.
What kind of insurance are benefit plan administrators?BPA is a third party administrator of self-insured healthcare plans and part of the Point C network. BPA has local expertise and knowledge of specific regions and industries to best serve the needs of small to medium sized employers.
Is Key Benefit Administrators a TPA?As one of the largest independently owned TPAs in the U.S., we focus solely on our clients’ needs, free from Wall Street pressures, giving you value-driven, customized solutions.
Where do I mail my IBA claims?
https://www.insurancebenefitadministrators.com/providers.html
We are here to answer your questions and verify your patient’s benefits and account status, as well as to provide claim status updates.
https://www.insurancebenefitadministrators.com/self-service-site.html
Your Pivot Health Member Portal provides you with easy access to information about your insurance plan, such as your benefits information, policy status, ID