Claim Reporting To report a claim, visit www.aig.com/reportaclaim In claim management, delays often result in higher costs. Prompt notification of a claim helps ensure that appropriate investigative, legal, and/or medical expertise is applied early in the case when it can have the greatest impact on the outcome. AIG provides claim reporting services to centralize the reporting of all workers’ compensation, general liability, auto and property claims. Regardless of where an accident or injury occurs, AIG offers fast, easy and accurate online and telephonic services to report your claims. By reducing the time it takes to report an injury or accident, our claim specialists can promptly begin working on your case and immediately start to control claim costs. All of the information necessary to file a claim will be obtained and processed for file creation and assignment to the appropriate claim representative. When reporting a claim to AIG online or telephonically, you are required to answer a series of questions which are specific to state laws regarding accident or injury claim reporting. The account profile is also confirmed and information is verified relating to your location. 1. Workers’ compensation claims – verify the state in which the injury occurred and obtain relevant claim information as required by the state-specific Workers’ Compensation Bureau. uto, general liability and property claims – verify the type of claim and obtain 2. A information necessary to complete a Loss Notice form. Benefits • A centralized, controlled data-entry process that reduces errors often caused by difficult-to-read handwritten claim forms. • M ore detailed information is available about an injury or accident, which can result in more accurate claim reporting. • R eduction in lag-time maximizes the benefits of early intervention and investigation. • Reduction in time required to file a claim. • E arly medical evaluation helps control cost of the claim. • E arly intervention allows for proper treatment to be administered before a pattern of care is established. • S ubmission of the most current state-required forms is ensured. Claim Reporting Reporting a Claim Register for Internet claim reporting at www.aig.com/reportaclaim by clicking on the “Register Now” link. Please have your policy information available to register. If you do not have Internet access, you can report all workers’ compensation, auto, general liability and property claims via the toll free reporting number: 877-399-6442 Preferred Medical Providers To find an AIG Preferred Medical Provider, click on “Find Nearby Medical Care” from www.aig.com/intellirisk. Loss Runs / RMIS IntelliRisk provides two report options: Standard Loss Run and Monthly Payment in Adobe PDF or Microsoft Excel formats. Policy, claim and financial information can be viewed on the screen. Register for IntelliRisk at www.aig.com/ir by clicking on the “Enroll in our free service” link. Please have your policy declaration page available to register. IntelliRisk Advanced provides more detailed viewing, analysis, and reporting communication tools. For more information about IntelliRisk Advanced, visit our website at www.aig.com/intellirisk or contact the RMIS Help Desk at 800-767-2524. Please note there is a charge for this upgraded application. American International Group, Inc. (AIG) is a leading international insurance organization serving customers in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide property-casualty networks of any insurer. In addition, AIG companies are leading providers of life insurance and retirement services in the United States. AIG common stock is listed on the New York Stock Exchange and the Tokyo Stock Exchange. AIG is the marketing name for the worldwide property-casualty, life and retirement, and general insurance operations of American International Group, Inc. For additional information, please visit our website at www.aig.com. Products and services are written or provided by subsidiaries or affiliates of American International Group, Inc. Not all products and services are available in every jurisdiction, and insurance coverage is governed by actual policy language. Certain products and services may be provided by independent third parties. Insurance products may be distributed through affiliated or unaffiliated entities. Certain property-casualty coverages may be provided by a surplus lines insurer. Surplus lines insurers do not generally participate in state guaranty funds and insureds are therefore not protected by such funds. 02/13 © 2013 American International Group, Inc. All rights reserved. AIG Claim Reporting Website Report Your Claim to AIG – Faster and Easier AIG has an enhanced claim reporting website for aerospace, commercial auto, general liability, property, and workers’ compensation customers. Report your claim in minutes on this smart, intuitive, and easy-to-navigate site. You can access AIG’s claim reporting site at www.aig.com/reportaclaim. Report a claim or download a quick reference guide that demonstrates the site’s features and functionality. Live technical support is available. Enhanced site features include: • Smart System Questions – The website asks you the right questions to streamline the reporting process. Only information relevant to your claim is requested. This helps you save time and helps ensure that you are providing accurate information upfront to drive a smooth claims process. • Claim Status Indicator – The site lets you know immediately when an AIG adjuster is assigned to your claim, the adjuster’s contact information, and when your claim has been processed and closed. • Document Attachment Capabilities – You can upload electronic documents that support your claim. Add documents as your claim is processed. Save time and expense of mailing, faxing or emailing documents, while quickly getting your claim information into the hands of the adjuster. • Auto Save – Your progress from page to page is saved automatically. If you are interrupted during claim reporting, you can come back to the site and pick up where you left off. American International Group, Inc. (AIG) is a leading international insurance organization serving customers in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide property-casualty networks of any insurer. In addition, AIG companies are leading providers of life insurance and retirement services in the United States. AIG common stock is listed on the New York Stock Exchange and the Tokyo Stock Exchange. AIG is the marketing name for the worldwide property-casualty, life and retirement, and general insurance operations of American International Group, Inc. For additional information, please visit our website at www.aig.com. Products and services are written or provided by subsidiaries or affiliates of American International Group, Inc. Not all products and services are available in every jurisdiction, and insurance coverage is governed by actual policy language. Certain products and services may be provided by independent third parties. Insurance products may be distributed through affiliated or unaffiliated entities. Certain property-casualty coverages may be provided by a surplus lines insurer. Surplus lines insurers do not generally participate in state guaranty funds and insureds are therefore not protected by such funds. SP 0631F Rev 04/14 © 2014 American International Group, Inc. All rights reserved. Quick Reference Guide Claim Mailing Addresses Eastern Zone Workers’ Compensation Nashville Claims Processing Center Toll-Free Number: 866 642 5246 Alabama, Georgia, Maine, Massachussetts, Mississippi, New Hampshire, North Carolina, Rhode Island, South Carolina, and Vermont For all claim documents for the states listed above: AIG P.O. Box 305902, Nashville, TN 37230-5902 For all medical bills for the states listed above: AIG P.O. Box 305901, Nashville, TN 37230-5901 Connecticut and New York For all claim documents for the states listed above: AIG P.O. Box 305902, Nashville, TN 37230-5902 For all medical bills for the states listed above: AIG P.O. Box 305901, Nashville, TN 37230-5901 Delaware, District of Columbia, Maryland, New Jersey, and Pennsylvania For all claim documents for the states listed above: AIG P.O. Box 305902, Nashville, TN 37230-5902 For all medical bills for the states listed above: AIG P.O. Box 305901, Nashville, TN 37230-5901 Florida For all claim documents for the state listed above: AIG P.O. Box 305902, Nashville, TN 37230-5902 For all medical bills for the state listed above: AIG P.O. Box 305901, Nashville, TN 37230-5901 Indiana, Kentucky, Ohio, Tennessee, Virginia, and West Virginia For all claim documents for the states listed above: AIG P.O. Box 305902, Nashville, TN 37230-5902 For all medical bills for the states listed above: AIG P.O. Box 305901, Nashville, TN 37230-5901 Michigan, Minnesota, South Dakota, and Wisconsin For all claim documents for the states listed above: AIG P.O. Box 305902, Nashville, TN 37230-5902 Western Zone Workers’ Compensation For all medical bills for the states listed above: AIG P.O. Box 305901, Nashville, TN 37230-5901 Olathe Claims Processing Center Toll-Free Number: 877 802 5246 Alaska, Arizona, Arkansas, Colorado, Hawaii, Idaho, Illinois, Iowa, Kansas, Louisiana, Missouri, Montana, Nebraska, New Mexico, North Dakota, Oregon, Utah, Washington, and Wyoming For all claim documents for the states listed above: AIG P.O. Box 25971, Shawnee Mission, KS 66225 For all medical bills for the states listed above: AIG P.O. Box 25972, Shawnee Mission, KS 66225 California For all claim documents for the state listed above: AIG P.O. Box 25977, Shawnee Mission, KS 66225 Nevada For all claim documents for the state listed above: AIG P.O. Box 26149, Las Vegas, NV 89126 For all medical bills for the state listed above: AIG P.O. Box 25978, Shawnee Mission, KS 66225 Quick Reference Guide Claim Mailing Addresses Western Zone Workers’ Compensation Olathe Claims Processing Center Toll-Free Number: 877 802 5246 Oklahoma and Texas For all claim documents for the states listed above: AIG P.O. Box 25974, Shawnee Mission, KS 66225 Eastern Zone Casualty For all medical bills for the states listed above: AIG P.O. Box 25975, Shawnee Mission, KS 66225 Nashville Claims Processing Center Toll-Free Number: 866 642 5246 Alabama, Connecticut, Florida, Georgia, Maine, Massachusetts, Mississippi, New Hampshire, New York, North Carolina, Rhode Island, South Carolina, Tennessee, Vermont, and West Virginia For all claim documents for the states listed above: AIG P.O. Box 305905, Nashville, TN 37230-5905 Western Zone Casualty Olathe Claims Processing Center Toll-Free Number: 877 802 5246 Alaska, Arizona, Arkansas, California, Colorado, Delaware, District of Columbia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Texas, Utah, Virginia,Washington, Wisconsin, and Wyoming For all claim documents for the states listed above: AIG P.O. Box 25588, Shawnee Mission, KS 66225 Property Nashville Claims Processing Center Toll-Free Number: 866 642 5246 For all states For all claim documents: AIG P.O. Box 305905, Nashville, TN 37230-5905 Construction Risk Casualty Nashville Claims Processing Center Toll-Free Number: 866 642 5246 For all states For all claim documents: AIG Construction Risk P.O. Box 293333, Nashville, TN 37229-3333 © American International Group, Inc. All rights reserved. SP 489T 09/15 Offering and/or Competency Name Product Profile Medical Provider Network Listing Available Online The AIG Medical Provider Listing is accessible at www.aig.com/intellirisk. What does this mean to you? You have instant access to credentialed providers with expertise in cost-effective industrial and work-related illness or injury. Our online resource enables you to: • Search for individual providers • View a complete list of network providers • Create a customized directory To access the Medical Provider Directory home page, simply go to www.aig.com/intellirisk, and click “Find Nearby Medical Care.” American International Group, Inc. (AIG) is a leading international insurance organization serving customers in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide property-casualty networks of any insurer. In addition, AIG companies are leading providers of life insurance and retirement services in the United States. AIG common stock is listed on the New York Stock Exchange and the Tokyo Stock Exchange. AIG is the marketing name for the worldwide property-casualty, life and retirement, and general insurance operations of American International Group, Inc. For additional information, please visit our website at www.aig.com. Products and services are written or provided by subsidiaries or affiliates of American International Group, Inc. Not all products and services are available in every jurisdiction, and insurance coverage is governed by actual policy language. Certain products and services may be provided by independent third parties. Insurance products may be distributed through affiliated or unaffiliated entities. Certain property-casualty coverages may be provided by a surplus lines insurer. Surplus lines insurers do not generally participate in state guaranty funds and insureds are therefore not protected by such funds. © 2013 American International Group, Inc. All rights reserved. 103938 / SP 0297L MMS 25M 2/13 Pharmacy Benefit Management Program The AIG Pharmacy Benefit Management Program is designed to meet the specific needs of workers’ compensation injuries. Our goal is to save you time and money, while providing an efficient system for your injured workers to receive their injury related prescriptions. Program Highlights: • Access to Tmesys® nationwide network of pharmacies 24 hours a day • No out-of-pocket expense for your injured worker after pharmacy setup • Online processing of prescriptions • Benefits designed to an individual level • Customer Help Desk to respond to questions 24 hours a day • Online Medical Provider Listing to help injured workers find a local pharmacy Dear Employer: Please provide your injured employee with the following information to present to a participating network pharmacy: Tmesys Help Desk: 800.964.2531 Fax: 800.365.6337 Workers’ Compensation Claim Administrator: AIG Pharmacies are connected to Tmesys by a central communications system designed to process each medication request at the point of sale. Injured workers have access to nearly 70,000 preferred pharmacies nationwide. In most cases, these neighborhood pharmacies are located close to your employees’ homes or places of business. Tmesys Retail Pharmacy Network* Nearly 70,000 pharmacies, including large chains and many neighborhood independent pharmacies. A&P Supermarkets Accredo Health Group Acme Pharmacy Albertsons Anchor Pharmacy Arrow Prescription Center Aurora Pharmacy Baker’s Pharmacy Bartell Drugs Bashas’ United Drug Bel Air Pharmacy Big Y Pharmacy BI-LO Bi-Mart Bioscript Pharmacy BJ’s Pharmacy Brookshire’s Pharmacy Buy-Rite Pharmacy Caremark Pharmacy Carle Rx Express Carrs City Market Pharmacy Clinic Pharmacy Coborn’s/Cash Wise Community Pharmacy Concord Drugs ContinuCare Costco Cub Pharmacy CVS Pharmacy D&W Pharmacy Dahl’s Pharmacy Dierbergs Dillon Pharmacy Discount Drug Mart Doc’s Drugs Drug Emporium Drug Mart Drug Warehouse Drugs 4 Less Duane Reade E. W. James Pharmacy Eagle Pharmacy Eastside Pharmacy Eaton Apothecary Econofoods Pharmacy Edwards Pharmacy Express Pharmacy Fagen Pharmacy Fairview Pharmacy Family Drug Store Family Fare Pharmacy Family Pharmacy Food City Pharmacy Food Lion Pharmacy Food Town Pharmacy Fred Meyer Pharmacy Fred’s Pharmacy Fresh Market Pharmacy Fruth Pharmacy Fry’s Pharmacy Gemmel Pharmacy Gerbes Pharmacy Giant Pharmacy Giant Eagle Pharmacy Glenn’s Pharmacy Good Day Pharmacy Gristedes Pharmacy H-E-B Pharmacy Haggen Food & Pharmacy Hannaford Happy Harry’s Harmons Pharmacy Harps Pharmacy Harris Teeter Hartig Drug Harvest Foods Harveys Supermarket Hen House Pharmacy Henry Ford Medical Center Pharmacy Hi-School Pharmacy Homeland Pharmacy Hometown Pharmacy Hy-Vee Pharmacy Ingles Pharmacy Kerr Drug King Kullen Pharmacy King Soopers Pharmacy Kings Pharmacy Kinney Drugs Klingensmith’s Kmart Pharmacy Knight Drugs Kohll’s Pharmacy Kopp Drug Kroger Pharmacy Lewis Family Drug Lifechek Drug Longs Drugs Louis and Clark Lowes Marketplace Lucky Pharmacy Marsh Drugs Martin’s Pharmacy May’s Drug Store Med-Fast Pharmacy Medical Arts Pharmacy Medicap Pharmacy Medicine Shoppe Med-X Drug Meijer Pharmacy Minyard Pharmacy Navarro Discount Pharmacies NeighborCare Pharmacy Nucara OmniCare Osco Owens Pharmacy Park Nicollet Pharmacy Pathmark Pharmacy Pavilions Pharmacy Peoples Pharmaca Integrative Pharmacy PharmaCare Pharmacy Pharmacy Express Pharmacy Plus Pick ’N Save Pharmacy Piggly Wiggly Price Chopper Pharmacy Price Cutter Pharmacy Professional Pharmacy Publix QFC Pharmacy QuickChek Pharmacy QVL Pharmacy Rainbow Pharmacy Raley’s Drug Center Ralphs Pharmacy Randalls Reasors Pharmacy Red Cross Pharmacy Ridley’s Pharmacy Rite Aid Pharmacy Ritzman Pharmacy Rosauers Pharmacy Safeway Pharmacy Sam’s Club Save Mart Pharmacy Sav Mor Pharmacy Save-Rite Pharmacy Savon Pharmacy Schnucks Pharmacy Scolaris Pharmacy Shaw’s Pharmacy Shaws/Osco Pharmacy Shop ’n Save Pharmacy Shopko Pharmacy Shoppers Pharmacy ShopRite Pharmacy Smith’s Pharmacy Snyder Drug Emporium Star Pharmacy Sterling Drug Stop & Shop Pharmacy Super 1 Pharmacy Super D Super Fresh Pharmacy Super Rx Pharmacy Target The Prescription Shoppe Thriftway Drugs Thrifty White Drug Times Pharmacy Tom Thumb Pharmacy Tops Pharmacy U-Save Pharmacy United Pharmacy USA Drug Village Pharmacy Vons Pharmacy VG’s Pharmacy Waldbaum’s Pharmacy Walgreens Walmart Wegman Pharmacy Weis Pharmacy White Drug Winn-Dixie Yokes Pharmacy *List subject to change. This is a partial listing only. Bring on tomorrow How to locate a Tmesys pharmacy: Call Tmesys at 866.599.5426. A Tmesys representative will assist you with the location of a participating pharmacy in your area. How to enroll in mail order delivery: Call Helios at 800.304.1764 to receive a Mail Order Pharmacy Prescription Form. Visit www.aig.com/intellirisk, and click on “Find Nearby Medical Care,” to locate a pharmacy near you. American International Group, Inc. (AIG) is a leading international insurance organization serving customers in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide propertycasualty networks of any insurer. In addition, AIG companies are leading providers of life insurance and retirement services in the United States. AIG common stock is listed on the New York Stock Exchange and the Tokyo Stock Exchange. AIG is the marketing name for the worldwide property-casualty, life and retirement, and general insurance operations of American International Group, Inc. For additional information, please visit our website at www.aig.com. Products and services are written or provided by subsidiaries or affiliates of American International Group, Inc. Not all products and services are available in every jurisdiction, and insurance coverage is governed by actual policy language. Certain products and services may be provided by independent third parties. Insurance products may be distributed through affiliated or unaffiliated entities. Certain property-casualty coverages may be provided by a surplus lines insurer. Surplus lines insurers do not generally participate in state guaranty funds and insureds are therefore not protected by such funds. Rev. 8/15 © 2015 Helios™. Tmesys is a registered trademark of Helios. All rights reserved. ACM14-15267
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