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Securely upload medical files for expedited invoice processing, submit a bill reconsideration, request bill status updates, and find other helpful information below.
All invoices must be submitted to Prescient National; please do not send invoices to the employer or injured worker.
For expedited invoice processing, set up a direct eBilling account with WorkCompEDI. Click here for instructions on how to set up an account.
Alternatively, providers can securely upload and submit medical bills using the File Upload option below. All charges must be submitted on CMS 1500 (HCFA), UB04 Form, or accordingly on each state’s industrial commission approved claim form.
Medical bills must be submitted with medical records.
Bill Reconsiderations must include a completed Appeal Form, medical bill, original EOB, and notes associated with the visit.
Click here for the Appeal Form.
We make every effort to pay or deny bills within 30 days. If, after 30 days, you have not received payment or denial, please complete the form below. A representative will be in contact within 1-3 business days.
If you’ve received a non-payment notification or payment but are in need of a copy of the Explanation of Benefits, please contact VPAY Support at support@vpayusa.com
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*Do not include $ or commas in the Billed Amount field.
Information you submit to us through this website or otherwise is governed by the Prescient National General Privacy Policy. The categories of personal information we may collect are listed HERE, HERE we describe the purposes for which we may use this information, and HERE we describe our policies for retaining this information. We do not sell or share your Personal Information to/with third parties within the meanings given under applicable laws.
Medical providers must complete a W‐9 form and submit to Prescient National to receive payment for Workers’ Compensation claimant invoices. Click here to complete the W‐9 form.
Signed and completed forms can be uploaded using the link below, faxed to 704-927-2867 or emailed to providerw9@prescientnational.
Please be aware that Prescient National may conduct Pre-Authorization reviews in North Carolina, Georgia, and Illinois.
North Carolina Providers, please click here for our North Carolina UR Plan.
The following key programs are essential to Prescient National’s Workers’ Compensation claims. Our goal is to aid the injured employee to reach maximum medical improvement as quickly as possible.
Prescient National requires a 10-panel drug screen to test for the use of THC, cocaine, opiates, amphetamines, phencyclidine (PCP), benzodiazepines, methadone, oxycodones, barbiturates, and buprenorphine.
Prescient National utilizes Optum as our Pharmacy Benefit Manager. Coverage includes prescription medications necessary and appropriate for treatment of accepted conditions resulting from workplace injuries.
Please note: Physician dispensed medications are not authorized/honored by Prescient National.
And together with you, we’re creating solutions that will yield greater benefits in the long run.
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DBA Prescient Insurance Center in California. We are a national company
domiciled in North Carolina. CA License number 6012743.
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Information you submit to us through this website or otherwise is governed by the Prescient National General Privacy Policy. The categories of personal information we may collect are listed HERE, HERE we describe the purposes for which we may use this information, and HERE we describe our policies for retaining this information. We do not sell or share your Personal Information to/with third parties within the meanings given under applicable laws.
Information you submit to us through this website or otherwise is governed by the Prescient National General Privacy Policy. The categories of personal information we may collect are listed HERE, HERE we describe the purposes for which we may use this information, and HERE we describe our policies for retaining this information. We do not sell or share your Personal Information to/with third parties within the meanings given under applicable laws.
Information you submit to us through this website or otherwise is governed by the Prescient National General Privacy Policy. The categories of personal information we may collect are listed HERE, HERE we describe the purposes for which we may use this information, and HERE we describe our policies for retaining this information. We do not sell or share your Personal Information to/with third parties within the meanings given under applicable laws.
