Select a state:
For serious/catastrophic after-hours claims, please contact our toll-free Reporting Hotline:1-866-337-0891.
Procedures, providers, and processes differ by state. Select the state on the map in which payroll is finalized, or choose from the drop-down below to see specific information.
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Maryland, Michigan, Mississippi, Minnesota, Missouri, Montana, North Carolina, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, WisconsinUSL&H Claims
If you need to file a claim for a USL&H policy, please use the below forms:
Medical Billing
Medical bills should be mailed to:
P.O. Box 14365
Lexington, KY 40512
Process medical bills electronically through the following ebilling options:
Western Integrated Care (WIC), on behalf of BMA payer ID is LV191 via ebilling provider Data Dimensions or J4466 or J4005 via ebilling provider JOPARI.
If providers are interested in enrollment or have questions about submitting via Data Dimensions or Jopari Solutions, please reach out to the following support resources:
Data Dimensions: www.datadimensions.com/support
Jopari Solutions: www.jopari.com/ebill-enrollment or www.jopari.com/contact-us
General Inquiries
800-362-5198