Minnesota SB2193 requires Workers Compensation Carriers to provide the following information to Minnesota Workers Compensation Providers effective January 1, 2016.
Payer Information:
Sentry Insurance
1800 North Point Drive
PO Box 8032
Stevens Point, WI 54481
1-800-473-6879
www.Sentry.com
Medical Bill Clearinghouse Information:
Medical and Dental Bills:
Sentry Insurance a Mutual Company, its affiliates and subsidiaries (“Sentry Insurance”) partners with Jopari to process medical and dental invoices submitted electronically.
Payer ID:
Sentry Insurance Payer ID with Jopari is J1417.
The Payer Identification number is populated in the 5010 ASCX12 837 TRs as follows:
Loop 2010BB Payer Name
NM108-PI (qualifier)
NM109=Payer ID number.
Reference Source: 5010 ASCX12 837 TR3 Implementation Guide available at www.wpc-edi.com
Jopari’s Contact Information:
Address: Jopari
Suite 500, 1855 Gateway Boulevard
Concord, CA 94520
Phone: Customer Care - (800) 630-3060 option 2
Ebill Enrollment – (866) 269-0554
Website: www.jopari.com
Claim Identification:
Medical and Dental Providers may contact Sentry Insurance at 1-800-473-6879 Select option 1 - Claims and then select Option 3 – Existing Claim for validation of claim numbers.

Medical providers contracted with Jopari may utilize the Jopari Provider Portal @ www.jopari.com or contact Sentry Insurance at 1-800-473-6879 Select option 1 - Claims and then select Option 3 – Existing Claim for validation of claim numbers.
Medical and Dental Invoice Submission:
Claim Identification number is reported in the 5010 ASC X12 837 TRs as follows:
Loop 2010 CA Patient Name
REF Segments=Property and Casualty Claim Number
REF01=Y4 (qualifier)
REF02+Claim Number
Reference Source: 5010 ASCX12 837 TR3 Implementation Guide available at www.wpc-edi.com
Pharmacy Bills:
Sentry Insurance a Mutual Company, its affiliates and subsidiaries (“Sentry Insurance”) partners with HealtheSystems Pharmacy Benefits Management Program to process pharmacy invoices submitted electronically.
Payer ID:
Sentry Insurance’s Pharmacy Payer ID is HealtheSystems BIN (PBM) 012874.
HealtheSystem’s Contact information:
Address: HealtheSystems
5100 W. Lemon Street, Suite 311
Tampa, FL 33609
Phone: 1-800-758-5779
Claim Identification:
Pharmacy Providers may contact Sentry Insurance at 1-800-473-6879 Select option 1 – Claims and then select Option 3 – Existing Claim for validation of claim numbers.
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