Electronic medical billing requirements
Information for providers
If you are a provider and are interested in submitting medical bills electronically, please review the Clearinghouse and Payer ID in the sections below to ensure accurate routing of bills.
Workers’ compensation claims—all states
Medical and dental bills
Sentry Insurance Company, its affiliates, and subsidiaries (“Sentry Insurance”) currently accept electronic billing from medical providers on workers’ compensation claims. Medical and dental providers will need to include Sentry’s workers’ compensation payer ID (J1417) and the patient’s workers’ compensation claim number with their submission.
Clearinghouse information—medical and dental bills
Jopari
1850 Gateway Boulevard, Suite 950
Concord, CA 94520
Customer care: 800-630-3060
eBill enrollment: 866-269-0554
jopari.com/ebill-sign-up-form
Payer ID (workers’ compensation): J1417
Questions regarding medical and dental bills or reimbursements
Medical and dental providers may contact Sentry Insurance at 800-473-6879, option 1 for claims, then option 3 for validation of claim numbers.
Pharmacy bills
Sentry Insurance Company, its affiliates, and subsidiaries (“Sentry Insurance”) partner with Optum to process pharmacy invoices submitted electronically. For questions regarding pharmacy bills or reimbursements, please contact Optum.
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
Questions regarding pharmacy bills or reimbursements
Pharmacy providers may contact Optum, see contact information above.
Auto, property, and casualty claims—states of Minnesota and New Jersey only
Medical, dental, and pharmacy bills
Sentry Insurance Company, its affiliates, and subsidiaries (“Sentry Insurance”) partner with Jopari to process medical, dental, and pharmacy invoices submitted electronically.
Clearinghouse information—auto, property, and casualty claims
Jopari
1850 Gateway Boulevard, Suite 950
Concord, CA 94520
Customer care: 800-630-3060
eBill enrollment: 866-269-0554
jopari.com/ebill-sign-up-form
Payer ID (auto, property, and casualty): C1033
Questions regarding medical, dental, and pharmacy bills or reimbursements
Medical, dental, and pharmacy providers in Minnesota and New Jersey may contact Sentry Insurance at 800-473-6879, ext. 3469164.
Student accident and special risk accident-only claims—all states
Student accident and special risk accident-only claims
Sentry Insurance Company, its affiliates, and subsidiaries (“Sentry Insurance”) currently accept electronic billing on accident claims. Medical providers will need to include Sentry’s claims payer ID (39033) and the patient’s group numbers with their submission.
Clearinghouse information—student accident and special risk accident-only claims
Change Healthcare
3055 Lebanon Pike, Suite 1000
Nashville, TN 37214
877-363-3666
changehealthcare.com
Payer ID: 39033
Questions regarding medical bills or reimbursements
Providers may contact Sentry at 800-473-6879, ext. 1653150.
