| Version 1.8 |
| Employer |
Network |
Third Party Administrator |
Eligibility 1
Per certification
2
Claims 3 |
Send Claims to: |
Office Co-pay |
|
Affinity Health
Group |
Phoebe/SGHA |
TPA -
Paradigm
PAYOR
- Affinity |
(1)
800.841.7735
(2)
800.588.8033
(3) 800.841.7735 |
Paradigm
Administrators
P. O. Box 1268
Tifton, GA 31793 |
No
Co-pay |
|
American
Freightways, Inc. |
Phoebe/SGHA |
TPA
- American Freightways
PAYOR
- American Freightways |
(1)
800.648.7563
(2)
800.546.1900
(3)
800.648.7563 |
Secure Health
P.O. Box 4088
Macon, GA 31208-4088 |
$10
Co-pay |
|
Boy�s & Girl�s
Club of Albany |
Phoebe/SGHA |
TPA -
CTI Administrators
PAYOR -Boys
& Girls Club |
(1)
800.245.8813
(2)
800.245.8813
(3)
800.245.8813 |
Secure Health
P.O. Box 13477
Macon, GA 31208 |
$10
Co-pay |
|
Cana, Inc |
SGHA |
TPA
- Med Benefit Systems
PAYOR
- CANA, Inc. |
(1) 800.411.3650/159
(2)
800.356.1126
(3) 800.411.3650/350 |
North America
Administrators
P.O. Box 1984
Nashville, TN 37202 |
$10
Co-pay
|
|
Cello-Foil
Products, Inc. |
Phoebe/SGHA |
TPA-Secure
Health
PAYOR-Cello-Foil |
(1)517.349.7010/1192
(2)800.748.0003/1573
(3)912.312.8061 |
Secure Health
P.O. Box 4088
Macon, GA 31208-3447 |
$10
Co-pay |
|
CE Minerals |
SGHA |
TPA - Coresource
PAYOR -
CE Minerals |
(1) 800.223.3943
(2) 800.225.5548
(3) 800.223.3943 |
Coresource
P. O. Box 83301
Lancaster, PA
17608-3301 |
$15
Co-pay
|
|
Flint River
Services |
Phoebe/SGHA |
TPA - Paragon
PAYOR -
Flint River
|
(1)
800.277.9218
(2)
877.417.3363
(3)
800.277.9218 |
Paragon
Benefits, Inc.
P.O.
Box 12288
Columbus,
GA 31917
|
$25
Co-pay |
|
Genuine Parts
Company |
Phoebe/SGHA |
TPA
- Secure Health Plans
PAYOR
- Genuine Parts Company |
(1)
800.648.7563
(2)
888.633.5339
(3)
800.648.7563 |
Secure Health Plans
P.O. Box 13447
Macon, GA 31208-3447 |
$15
Co-pay |
|
J&M Tank Lines |
SGHA |
TPA-Allen
Medical Claims Administrator
PAYOR-
J&M Tank Lines |
(1)
800.825.5406
(2)
800.367.5826
(3)
800.825.5406 |
Allen
Medical Claims Administrator
P.O.
Box 978
Fort
Valley, GA 31030
|
$20
Co-pay |
|
Lee County Board
of Commissioners |
Phoebe/SGHA |
TPA - Holden
& Company, Inc.
PAYOR - Lee
County Board |
(1) 800.648.7563
(2) 800.758.8182
(3) 800.648.7563 |
Secure Health
P.O. Box 13477
Macon, GA 31208 |
$15
Co-pay |
|
Payroll Management |
Phoebe/SGHA |
TPA - Tennesse
Benefits Administrators
PAYOR - Payroll
Management
|
(1) 800.373.0374
(2) 800.367.5826
(3) 800.373.0374 |
Tennessee
Benefits Administrators
P.O.
Box 3257
Spartanburg,
SC 29304
|
$20
Co-pay |
|
Peerless
Manufacturing |
Phoebe/SGHA |
TPA-
Integrity Benefit Network
PAYOR- Peerless
Manufacturing |
(1) 800.648.7563
(2) 800.422.7711
(3) 800.648.7563 |
Secure Health
P.O. Box 13477
Macon, GA 31208 |
$20
Co-pay |
|
Phoebe Putney
Memorial Hospital |
Phoebe/SGHA |
REPRICING - Secure
Health
PAYOR -
Phoebe Putney Memorial |
(1)800.648.7563
(2)800.648.7563
(3)800.648.7563 |
Secure Health Claims
Dept.
P. O. Box 13477
Macon, GA 31208-3447 |
$10
Co-pay -
$25
Co-pay -
Specialist |
|
Royster-Clark,
Inc. |
Phoebe/SGHA |
TPA-Gallagher
Benefits Administrators
PAYOR-Royster-Clark |
(1)800.345.0109
(2)800.538.5222
(3)800.345.0109 |
Gallagher Benefits
Administrators
P.O. Box 5227
Lisle, IL 60532 |
$10
Co-pay |
|
Spirit Services
Company |
Phoebe/SGHA |
.
|
(1) 800.239.9088
(2) 614.796.2005
(3) 800.239.9088 |
E-V Benefits
8720
Orion Place, Suite 300
Columbus,
OH 43240
|
$10
Co-pay |
|
Universal
Blanchers |
Phoebe/SGHA |
TPA
- Paragon Benefits, Inc.
PAYOR
-Universal Blanchers |
(1)
800.277.9218/280
(2)
800.641.5566
(3) 800.277.9218/309 |
Pargon Benefits
P.O. Box 12288
Columbus, GA 31917 |
$15
Co-pay |
|
Sumter Electric |
Phoebe/SGHA |
TPA-Cooperative
Benefit Admin.
PAYOR-Sumter
Electric |
(1) 402.483.9200
(2) 800.527.4273
(3) 402.483.9200 |
Cooperative Benefit
Administrators/CBA
P.O. Box 6249
Lincoln, NE 68506 |
$ 20
Co-pay |
|
Sumter Regional
Hospital
|
SGHA |
TPA -Capital
Administrators
PAYOR - Sumter
Regional Hospital |
(1) 888.650.6566
(2) 770.650.8510
(3)
888.650.6566 |
Capital
Administrators
P. O. Box 346
Alpharetta, GA 30009 |
$20
Co-pay
|
|
Collins &
Aikman |
SGHA |
TPA-
Secure Health
PAYOR-Collins
& Aikman |
(1) 888.633.5339
(2) 888.633.5339
(3) 888.633.5339 |
Secure
Health
P.O.
Box 13447
Macon,
GA 31208-3447 |
$ 15
Co-pay |
|
Woodgrain
Millworks |
Phoebe/SGHA |
TPA -EBMS.
PAYOR - Woodgrain
Millworks |
(1) 800.777.3575
(2)
866.304.1348
(3)
800.777.3575 |
EBMS
(Employee Benefit Management Services, Inc.)
P.O.
Box 21367
Billings,
MT 59104-1367
|
$15
Co-pay
after
deductible |
|
Williams Detroit
Diesel Allison |
Phoebe/SGHA |
TPA-
Berwanger Overmyer Associates
PAYOR - Wilson
Detroit Diesel |
(1) 800.624.8605
(2) 800.624.8605ext.7
(3) 800.624.8605 |
Acordia
580
North 4th Street, Suite 400
Columbus,
OH 43215-2153
|
$15
Co-pay |
|
Cooper Lighting |
SGHA |
TPA - Aetna
PAYOR - Cooper
Lighting |
(1) 800.255.4492
(2) 800.227.7464
(3) 800.255.4492 |
IBG Repricing
P. O. Box 1868
Statesboro, GA 30459 |
$10
Co-pay
|
|
Southern AG Carriers, Inc. |
Phoebe/SGHA |
TPA - Group Resources,
Inc.
Payor - Southern AG Carriers, INC |
(1)
770.813.8474
(2)
800.822.4692
(3)
770.813.8474 |
Group Resources, INC
3080 Premiere
Parkway, Suite 100
Duluth, GA 30097 |
$20
Co-pay -
$35
Co-pay -
Specialist |
|
Master Craft
Engineering, Inc. |
Phoebe/SGHA |
TPA
- United Benefits, Inc.
Payor - Master
Craft Engineering, Inc. |
(1)
800.323.4890 ext.4337
(2)
800.588.8033
(3)
800.841.7735 |
United Benefits, Inc.
220 S. Ridgewood
Ave., Suite 410
P.O. Box 2480
Daytona Beach, FL
32115 |
$35 Co-pay |
|
Barloworld Handling Distribution |
Phoebe/SGHA |
TPA - Corporate
Benefits Services, Inc.
Payor - Barloworld Handling Distribution |
(1) 800.277.9476 (2)
800.373.4454
(3) 866.277.9476 |
Corporate Benefits Services, Inc.
P.O. Box 12953
Charlotte, NC 28220-2953 |
$20 Co-pay |
|
Cooper Tire and Rubber |
Phoebe/SGHA |
TPA - Planvista
Solutions, Inc
Payor - Health Design Plus |
SEE ID CARD |
Health Design Plus
1755 Georgetown Road
Hudson, Ohio 44236 |
$15 Co-pay |
|
Fred Taylor, Inc |
Phoebe/SGHA |
TPA - Group Resources,
Inc
Payor - Group Resources, Inc |
(1)
770.813.8474
(2)
800.822.4692
(3)
800.822.4692 |
Group Resources, Inc.
3080 Premiere Parkway, Suite 100
Duluth, GA 30097-4904 |
. |
|
Waste Industries, Inc |
Phoebe/SGHA |
TPA -
Payor - |
|
Refer to the Blue Cross/ Blue Shield ID Card |
.
|
|
Tyson, Inc.
|
SGHA |
TPA - CIGNA Healthcare
Payor - CIGNA Healthcare |
(1) 800.845.3136
(2) 800.621.4309
(3) 800.845.3136 |
CIGNA Healthcare
P.O. Box 188023
Chattanooga, TN 37422-8023 |
$20 co-pay |
|
Public Employees,
(PEGHP) Dougherty County
|
Phoebe/SGHA |
TPA - Group Resources,
Inc.
Payor - Group Resources, Inc. |
(1) 800.822.4692
(2) 800.822.4692
(3) 770.813.8474 |
Group Resources, Inc.
3080 Premiere Parkway, Suite 100
Duluth, GA 30097-4904 |
none |
|
Arnold Transportation, Inc. |
Phoebe/SGHA |
TPA - Secure Health
Payor - Arnold Transportation |
(1) 877.782.5360
(2) 800.523.0023
(3) 877.782.5360
|
Secure Health Plans of GA.
P.O. Box 4088
Macon, GA 31208-4088 |
none |
|
Sunbelt Ford Mercury, Inc. |
Phoebe/SGHA |
TPA - Core
Administrative Services
Payor - Sunbelt Ford |
(1) 888.741.2673
(2) 888.741.2673
(3) 888.741.2673 |
Core Administrative Services
P.O. Box 90
Macon, GA 31202-0090 |
$15 copay |
|
Bob's Candies, Inc. |
Phoebe/SGHA |
TPA - Bob's Candies,
Inc.
Payor - Bob's Candies, Inc. |
(1) 229.430.8300
(2) 229.430.8300
(3) 229.430.8300 |
Bob's Candies, Inc.
1315 W. Oakridge Drive
P.O. Box 3170
Albany, GA 31706 |
none |
