TPA Alert: LA County Switches Claims Administrators
Effective July 1, 2019, the County of Los Angeles is no longer utilizing third-party claims administrator (TPA) TriStar Risk Management.
Claims are transferred to either York Risk Services or Sedgwick Claims Management, depending on the specific claim number. The change affects all dates of service. Claim numbers do not change, and bill review services remain the same for all claim numbers. Providers should submit all second review appeals to the appropriate new TPA, even when the original bill was submitted to TriStar.
Read on for details.
New TPAs, by the Numbers
Refer to the table below to determine which TPA now administers LA County claims that were formerly administered by TriStar. The table also lists the mailing address, clearinghouse, and electronic billing Payer ID for LA County which applies for each clearinghouse, as well as the (unchanged) bill review service:
Claim Numbers |
Previous TPA |
TPA Effective 7/1/19 |
TPA Mailing Address |
Electronic Billing Clearinghouse |
Electronic Billing Payer ID |
Bill Review Service |
Claim numbers starting with ‘2000’ or ending with ‘B’ |
TriStar |
York |
York Risk Services PO Box 11028 Orange, CA 92856 |
WorkComp EDI |
CB280 |
Allied Managed Care |
Claim numbers starting with ‘3000’ or ending with ‘C’ |
TriStar |
Sedgwick |
Sedgwick Claims Management PO Box 51465 Ontario, CA 91761 |
CorVel |
E4708 |
CorVel |
Again, these changes apply to all dates of service, and providers must submit second review appeals to either York or Sedgwick, depending on the claim number. As always, we’ll keep readers updated of claims administrator changes for California employers here on our blog.
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