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Health Care Providers

Submit a Paper Claim Electronically

Please complete the form fields on the next page and follow the instructions to upload your claim.

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Check Eligibility & Benefits

We are pleased to announce the launch of our new ProviderXG Portal, where you can verify eligibility, benefits and claims status for your patients covered by one of our health plans .  Please click here to register. Access to paid claims data is required in order to complete your registration.

Alternatively, please complete the form fields on the next page and select your requested information from the Drop-Down Menu. A representative will provide your requested information.

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Check The Status of a Claim

We are pleased to announce the launch of our new ProviderXG Portal, where you can verify eligibility, benefits and claims status for your patients covered by one of our health plans .  Please click here to register. Access to paid claims data is required in order to complete your registration.

Alternatively, please complete the form fields on the next page to request the status of a claim. A representative will provide your requested information.

Complete Form

Request a Pre-Determination of Benefits

Please complete the form fields on the next page and follow the instructions to upload documentation you wish to be considered.

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Submit Documentation Requested By The Plan

Please complete the form fields on the next page and follow the instructions to upload your documentation.

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Need more information?

To request additional information about any of the TPA services that we offer, please complete the short form below and a NEBA expert will contact you promptly.