WebPO Box 14590 Lexington, KY 40511-4590 Fax: 1-800-230-9531. FMLA Certification These forms are used to gather medical information necessary for the ongoing management of Family and Medical Leave Act (FMLA) Claims for yourself, a family member or a service-member family member. Have the physician complete this form after you file your claim. WebSedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes …

Provider Alert: Broadspire Contorts Work First Casualty - daisyBill

WebP.O. Box 14116 Lexington, KY 40512 Mail Administrator P.O. Box 14114 Lexington, KY 40512 The National Account Service Company (NASCO) All prefixes are unique. CareFirst IDs have plan codes 080/580 and 190/690. 877‑228‑7268 Mail Administrator P.O. Box 14115 Lexington, KY 40512 Mail Administrator P.O. Box 14114 Lexington, KY 40512 breakfast items that come frozen

Caregiver Resources, Humana Health Plan of Kentucky

WebWorkers’ compensation billings for Commercial, Monoline Work Comp, and Specialty are sent to our Kentucky billing address. WEST BEND MUTUAL INSURANCE COMPANY PO BOX 14856 LEXINGTON, KY 40512-4856 Fax: 888-772-2805 Email: [email protected] Please include only one bill per email with supporting documents (Black/White images) in … WebP.O. Box 14116 Lexington, KY 40512 Mail Administrator P.O. Box 14114 Lexington, KY 40512 Medicare Advantage HMO— MAC CareFirst IDs have plan code 193. 855‑290‑5744 … WebJul 22, 2024 · PO Box 14645 Lexington, KY 40512 The above is true EXCEPT EXCEPT EXCEPT when the injured worker’s employer workers’ comp insurance is furnished by Work First Casualty. Under these circumstances, Broadspire instructs providers to send bills for Work First Casualty claims to a different bill review vendor and clearinghouse. breakfast jack calories