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Minnesota electronic billing requirements

Information for medical providers

Minnesota SB2193 requires workers’ compensation carriers to provide the following information to Minnesota workers’ compensation providers effective Jan. 1, 2016.

Payer information

Sentry Insurance
1800 North Point Drive
P.O. Box 8032
Stevens Point, WI 54481
800-4SENTRY (800-473-6879)
sentry.com

Clearinghouse information

Medical and dental bills

Sentry Insurance a Mutual Company, its affiliates, and subsidiaries (“Sentry Insurance”), partner with Jopari to process medical and dental invoices submitted electronically.

Clearinghouse information—medical and dental bills
Jopari
Suite 500, 1855 Gateway Boulevard
Concord, CA 94520
Customer care: 800-630-3060
eBill enrollment: 866-269-0554
support@jopari.com
jopari.com

Payer ID: J1417
The payer ID 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 wpc-edi.com

Claim identification
Medical and dental providers may contact Sentry Insurance at 800-4SENTRY (800-473-6879), select option 1 (claims), and then option 3 (existing claim) for validation of claim numbers.

Medical providers contracted with Jopari may use the Jopari Provider Portal at jopari.com or contact Sentry Insurance at 800-4SENTRY (800-473-6879), select option 1 (claims), and then option 3 (existing claim) for validation of claim numbers.

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 wpc-edi.com

Pharmacy bills

Sentry Insurance a Mutual Company, its affiliates, and subsidiaries (“Sentry Insurance”) partner with Optum to process pharmacy invoices submitted electronically.

Clearinghouse information—pharmacy bills
Optum
11000 Optum Circle
Eden Prairie, MN 55344
877-470-9572
helpdesk3@optum.com
www.workcompauto.optum.com

Payer ID: Optum (PBM) BIN 004261

Optum (PBM) PCN CAL

Claim identification
Pharmacy providers may contact Sentry Insurance at 800-4SENTRY (800-473-6879), select option 1 (claims), and then option 3 (existing claim) for validation of claim numbers.

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Welcome to Sentry.com. By logging in here, you'll be able to access all of your Sentry accounts.

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800-473-6879

Choose an option:

1 for claims

3 for retirement

4 for business customer service

Quick pay

You can use Quick Pay for the following account types:

 

Individual life

Group life

Business insurance

Know your account number and zip code? You can use Quick pay to pay your bill without signing in.

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