*May not result in near real-time decisions for all prior authorization types and reasons. Allied provides you with service and support via phone or online access through our provider self-service site. We take the burden out of administration with our dedicated account professionals, innovative technology and superior customer service. Related Documents Indiana Prior Authorization Form [PDF] What you need to know about the coronavirus, COVID-19. Improves patient and physician satisfaction Provides rapid prior authorization approvals while patients are in the office, allowing more time for meaningful patient engagement and eliminating surprises at the pharmacy. Benefit Administrative Systems, LLC (BAS) Founded in 1983, BAS is a results-driven third party administrator with a track record of delivering cost savings and customer satisfaction. Delta Health Systems supports brokers in their ability to help clients control costs and manage their self-funded health plan. Enter the required information below to view patient eligibility status or claim status. About Us. UMR is a third-party administrator (TPA), hired by your employer, to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being. Thank you for accessing our prior authorization form. The information you enter must match the information that appears on the patient's ID card and the submitted claim form. Medicaid Helpline 1–800–541–2831; Medicaid Managed Care If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request. Medicaid Fraud Hotline 1–877–87 FRAUD; Consumer. Member. Allied has long partnered with American Health for medical management services to complement our strong position within the health care market payer space. If you have any trouble accessing the form or have questions about the authorization process, please reach out to the Member Services Team at 800.334.8134 or customercare@rxbenefits.com. Producer. en Español - Opens in a new window. Medical claims can be sent to: Insurance Benefit Administrators, c/o Zelis, Box 247, Alpharetta, GA, 30009-0247; EDI Payor ID: 07689 You will be contacted by Insurance Benefit Administrators regarding final pricing for the claims submitted in the weeks following submission. Verification of Benefits Gain fast and secure online access to your patient's benefit and account status information using the Provider Self-Service Site. Contact us. ... Allied Benefit Systems, Inc. Chicago, IL. Partner. Provider. Contact us by calling the number on the back of your patient’s ID Card or contact us via the 24/7 faxback number (888) 494-4600, and we’ll get you the information you need. Contact the pre-notification line at 866-317-5273. Saves users valuable time by eliminating the forms, faxes and phone calls associated with manual prior authorization. We view American Health as an industry leader, innovator and good strategic partner. Medicaid Program Important Phone Numbers Fraud. Employer. Hello How can we help you? We utilize our services, tools, and partners to create a robust partially self-funded plan as unique as each client. WPS-Military and Veterans Health 1-866-773-0404 (TDD 1-866-773-0405) www.tricare4u.com