Agile Help CenterCoreShield
Sometimes a provider will not submit the claim on your behalf. If this occurs, you can submit the claim yourself by followingthese steps:
- Obtain a paid-in-full receipt from the provider that displays CPT/diagnosis code(s), date-of-service(s), amount chargedper code, and total amount paid.
- Write a letter stating that you (the insured) should be the one reimbursed for the services provided.
- Send a copy of your receipt and a copy of your letter to
PO Box 99906
Grapevine, TX 76099
EDI Payor ID: 75261
For claims and questions about your benefits, please call WEB-TPA at: 1-855-457-8178
For policies purchased on or before July 1st 2018:
- Administrative Concepts Inc.
- 994 Old Eagle School Rd., Ste. 1005
- Wayne, PA 19087
- EDI Payor ID: 22384
For claims and questions about your benefits, please call Administrative Concepts Inc. at: 1-877-301-5421
Preferred Provider (PPO) Network Access
First Health Network