Healthcare providers seeking a streamlined claims and eligibility verification process will find Planstin Administration’s provider resources designed to simplify administrative workflows. This comprehensive portal offers essential tools for medical professionals to manage patient interactions, verify coverage, and submit claims efficiently.

Official Links

• Main Website: https://www.planstin.com/
• Provider Resources: https://www.planstin.com/for-providers

What Providers Can Do

Planstin Administration’s provider portal offers multiple critical functions:

Eligibility Verification

• Call Member Services at 888-920-7526
• Verify patient coverage
• Check service exclusions
• Confirm covered services
• Operating hours: Monday – Friday, 7am-5pm Mountain Time

Claims Submission

Electronic Claims

• Payer ID: 65241

Mailing Address for First Class Claims

Planstin (SDS)
PO Box 21747
Eagan, MN 55121

Network and Care Coordination

Network Details

• Most health plans are open network
• Limited plans may use MultiPlan/PHCS Specific Services network
• Verify network specifics by calling 888-920-7526

Care Coordination

• Dedicated Care Coordination team available at 435-275-4492
• Willing to work with any healthcare provider

Claims and Appeals Process

Filing Deadlines

• Timely filing deadline: 90 days
• No current prior authorization requirements

Appeals Process

• 180-day window for Standard Internal Appeals
• Written appeals can be submitted to:
  Planstin Administration
  ATTN: Claims/Appeals
  1506 S. Silicon Way, Suite 2B
  St. George, UT 84770

Required Appeal Documentation

• Member Name & Date of Birth
• Member ID & Group Number
• Claim Number
• Date of Service
• Provider Name
• Reason for Appeal

Expedited Appeals

• Available for urgent medical situations
• Response within 72 hours
• Contact Member Services at 888-920-7526

Independent External Review

• Available after exhausting internal appeal processes
• Must be filed within 4 months of adverse determination

Privacy and Security

While specific portal security details are not explicitly outlined, Planstin Administration demonstrates commitment to professional handling of medical information through structured appeals and verification processes.

Customer Support

Contact Information

• Phone: 888-920-7526
• Email: [email protected]
• Hours: Monday – Friday, 7am-5pm Mountain Time

Unprovided Information

The following details were not explicitly available in the source documents:

• Specific login credentials process
• Mobile app availability
• Detailed security protocol descriptions
• Comprehensive list of all covered services

Planstin Administration provides a functional provider portal designed to simplify healthcare administration, offering clear communication channels and straightforward claims management for medical professionals.

Disclaimer: Information is current as of August 2025 and subject to potential updates. Always verify most recent details directly with Planstin Administration.