PROVIDERS
Centrix knows that your patients are your priority. We also know that it is important to provide comprehensive health plan information 24/7. Providing you with timely and accurate information will allow you to get back to doing what you do best – providing excellent care to our patients.
With our growing provider base, members have better access to the best care available. We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times. Centrix providers have access to a variety of services, including real-time, online access to useful patient information.
OUR COMMITMENT TO YOU, OUR PROVIDERS:
We understand the impact a third-party administrator can have on your business and with more than four decades of self-funded healthcare experience, we are committed to providing you with the outstanding service you need and deserve.
WE SUPPORT YOU BY OFFERING THE MOST EFFICIENT:
- Online access to eligibility, benefits, historical claims data and new claims status.
- Range of health networks that enable participants to access your services with greater ease.
- Claims processing methodologies and cost containment methods to reduce administrative costs.
- Ability to accept claims electronically through an exclusive connection.
Centrix Benefit Administrators Payor ID: 57117
Provider FAQs
You can request an application by either contacting our Customer Service Department at (800) 585-5965
Yes. Please contact our Customer Service Department at (800) 585-5965
Mail claims to the address listed on the Member ID Card.
Contact the payer to verify the claim was paid in accordance with plan benefits. If upon contacting the payer, you still believe the claim was processed in error, please contact our Customer Service Department at (800) 585-5965 for instructions on how to appeal the claim.
We make every effort to identify participating PPO members. Most members have a Member ID card that contains the PPO’s name. If there isn’t a member ID card available, please contact the Customer Service Department at (800) 585-5965 for further assistance.
Please contact Centrix Customer Service Department at (800) 585-5965 for benefit information which is also listed on the Member ID card.
Please verify with our Customer Service Department at (800) 585-5965 to verify what labs are participating in the network.
This can be found by visiting our online provider directory.
No. Upon acceptance as a participating provider in the network, you will receive a welcome letter and information stating your effective date within the network.
Please contact our Customer Service Department at (800) 585-5965 to request a provider application packet.
Please contact our Customer Service Department at (800) 585-5965 to request a copy of your network contract.
Learn more about our Provider Services through the Customer Service Department. You can also learn more about our solutions in the How We Help section. For additional information, contact our Customer Service Department at (800) 585-5965
Please contact our Customer Service Department at (800) 585-5965 to obtain information on your product participation.