Important update for providers: Third-Party Administrator (TPA) AIG Claims, Inc. will no longer administer workers’ comp claims.

All claims currently administered by AIG Claims will be transferred to Gallagher Bassett, which will assign new claim numbers to the former AIG claims. Following the switch, providers sending e-bills must use the Gallagher Bassett clearinghouse and Payer ID.

The transition is scheduled to occur as follows:

• AIG Claims will cease administering workers’ comp claims on September 21, 2022.  
• Gallagher Bassett will begin administering former AIG-administered claims effective October 1, 2022.

This leaves a gap of 11 calendar days between the date AIG stops administering claims and the date Gallagher Bassett begins administering the former AIG claims. Gallagher Bassett may therefore have to move quickly to timely pay bills, depending on the state. For example, in California claims administrators must pay e-bills within 15 working days of receipt.

(Given AIG and Gallagher Bassett’s choice to leave bills in limbo for 11 days, consider if providers refused to treat AIG/Gallagher Bassett-covered patients from September 21 to October 1…)

Read below for further details on bill submission for soon-to-be-former AIG claims.

AIG to Gallagher Bassett Transition Timeline: Non-Electronic Bills

Starting October 1, California providers who use mail should send AIG bills to Gallagher Bassett as follows:

Gallagher Bassett Services Inc.
PO Box 2840
Clinton, IA
52733-2840

Providers in all other states should mail bills to:

Gallagher Bassett Services Inc.
PO Box 2831
Clinton, IA
52733-2831

AIG to Gallagher Bassett Transition Timeline: e-Bills

The table below includes clearinghouse and Payer ID information necessary for e-billing. Currently, providers submit e-bills to AIG via Carisk using Payer ID E4655. Following the switch, providers will submit e-bills to Gallagher Bassett via Jopari using Payer ID TP057.

However, Jopari also maintains a Payer ID for AIG. Jopari representatives report to daisyBIll that during the September 21 to September 30 interim, providers may submit e-bills for AIG via Jopari Payer ID 19402; Jopari will subsequently transfer those e-bills to Gallagher Bassett as soon as possible — whenever that may be.

Will Gallagher Bassett Pay Timely?

AIG’s (confusing, error-laden) letter, shown below, instructs providers that any paper bills mailed to AIG from September 21 to September 30 will be held by AIG until October 1, and subsequently forwarded to Gallagher Bassett.

This raises a question: in California, claims administrators have 45 calendar days from receipt of a non-electronic workers’ comp bill to remit payment. If a doctor mails AIG a bill from September 20 to September 30, does the 45-day countdown begin when AIG receives the bill from the doctor, or when Gallagher Bassett receives the bill from AIG?

As for e-bills, Gallagher Bassett may face a shortened timeframe for payment. For example:

• If doctors submit e-bills during the transition interim from September 21 to September 30, and 
• Those e-bills are not processed until Gallagher Bassett takes over on October 1, then
• 8 working days of the 15-working-day timeframe for timely payment will have already elapsed — leaving Gallagher Bassett only 7 days to process and pay the e-bills.

We will update readers if and when we get clarification on how the September 21 to October 1 transition gap affects timely payment deadlines, and if providers are entitled to penalty and interest payments for untimely reimbursement.

The letter from AIG to providers is below. Bear in mind that in addition to offering no actual instructions for e-billing during the transition gap, the letter also lists the wrong Jopari Payer ID for AIG.

As always, daisyBill software will be updated to navigate the switch with minimal disruption to our provider clients’ e-billing. And as always, we’ll report any developments or relevant changes to the situation in this space.

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