Claim Reporting - PCG Public Partnerships

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