Two municipal employers in California switched third-party administrators (TPAs). Both the City of South San Francisco and the County of Marin transferred claims from TriStar Insurance to Athens Administrators.
The change is effective July 1, 2019, and affects claims for all dates of service. Claim numbers will not change.
Providers treating employees of both South San Francisco and Marin County must submit original bills for all dates of service to Athens. Providers must also submit all Second Review appeals to Athens, even if TriStar received the original bill.
Athens will adopt the claims numbers assigned by TrisStar; no need to contact Athens for new claim numbers.
For electronic billing, providers should send bills to WorkCompEDI using the following payer IDs:
For non-electronic billing, providers may send bills to:
As always, DaisyBill’s Billing Software is updated to reflect the latest changes, including TPA changes. To help your office stay on top of the ever-shifting workers’ comp billing and payment landscape, schedule a free demonstration of our Billing Software by clicking the button below.
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