Health Care Providers

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A separate form is required for each patient medical information request. We are committed to protecting the privacy of our policyholders.  InsuranceTPA privacy rule is established to protect written, spoken and electronic information. Any health information collected will be secured by our Privacy Rule to assure that policyholders information is properly protected.

For Fastest Claim Payment

Use electronic claims submission:
Electronic Payor Id: 39182

If Unable to Submit Electronically

Please MAIL CLAIMS TO:
InsuranceTPA.com
P.O. Box 241869, Apple Valley MN 55124