Partner and Provider Resources
Expert Help at Your Fingertips
Your Benefits Portal
Your personal benefits portal serves as a comprehensive hub tailored to you. Select your portal to access specific resources:
Employers:
View claims, manage plan documents, and explore cost-saving options.
Brokers:
Access tools and support designed to enhance your service delivery.
Providers:
Easily verify claims, view benefit details, and navigate care options.
Concierge Blog
Industry insights for the self-funded community and beyond.
Compliance Updates for the Self-Funded Industry
Self-funded compliance updates from the experts at Concierge TPA.
Compliance: Cornerstone of Concierge
Through our collaboration with WLT and TALON, Concierge ensures strict adherence to critical regulations such as the No Surprises Act (NSA), Consolidated Appropriations Act (CAA), and the Transparency in Coverage (TiC) Rule. Our partners, providers, and members benefit from:
FAQs – The Answers You Need!
Providers
We understand that not being able to access the Provider Portal is frustrating. Our team is here to help set things up correctly for you. Give us a call at 888.820.5687.
There are several reasons a patient’s information might not appear in your provider portal. Contact our team at 888.820.5687, and we’ll be happy to assist.
Send electronic claims to our Payer ID - CAS01. Paper claims should be sent to P.O. Box 4070, Bartlesville, Oklahoma 74006.
Send electronically to our Payer ID - CAS01. Paper requests should be sent to P.O. Box 4070, Bartlesville, Oklahoma 74006.
You can check member eligibility easily via the Provider Portal. You can also reference your digital ID Card on the HealthWallet mobile App. Call our customer service team at 888.820.5687 to check eligibility.
We have ACH available for provider payments. Please contact our team at 888.820.5687, to receive the form required to set it up.
Send it to: P.O. Box 4070, Bartlesville, Oklahoma 74006.
Yes, the appeal must be made within 180 days of the adverse benefit determination. If after careful review, it is determined that an error has been made, an additional payment may be made.
Brokers
We’re happy to help design a plan that works for your group. No matter the size of the member population or the programs needed, we’ll work with you to deliver a plan that satisfies the needs of any client. Contact our sales team to learn more.
We’ve invested in industry-leading partnerships to ensure your clients’ compliance with all state and federal laws. Healthcare legislation is everchanging, but you can rest assured knowing your clients remain compliant with Concierge.
Just like our compliance partnerships, we’ve carefully selected our PBM partners. Each member will have access to the medication they need, and our partners will ensure you pay the lowest price possible. To learn more about our PBM partnerships, contact our sales team.
We’re happy to explain how we set up our partnerships with our brokers. Contact our sales team to learn more about our structure. In the meantime, be sure to check out the values we pride ourselves on here at Concierge.
All sizes! We have plans for any company in any industry, no matter how many employees they have. Contact our sales team to learn more.
Employers
A formulary is a list of drugs covered by your health plan. They vary by plan and are often referred to as a preferred drug list (PDL).
Please contact your dedicated account manager to discuss any necessary changes to your plan.
There are a few reasons why a claim can be denied, but each case is different. If you have a question about a specific claim, contact your dedicated account manager or give us a call at 888.820.5687.
PBM stands for pharmacy benefit manager. The role of PBMs is to provide employers with discounts on costly specialty and non-specialty drugs, or to recommend more affordable alternatives to medications.
Think of stop-loss coverage as a ‘protection plan’ for your group. It helps avoid catastrophic costs associated with one or multiple expensive group claims. With stop-loss coverage, employers don’t have to pay out medical expenses past a certain threshold.
We’ll Help You Deliver Real Results
Still not sure if Concierge is the TPA you’re looking for? Give us a call today and allow us to prove it to you.