Member Company Info
Referral Form

Provider Directory
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Contacts & FAQ's
Becoming a Provider
   

 

Contacts & FAQ's

For Claim Status:

Claim Status Web Portal


Phone: 800-990-3204
Fax: 815-397-2790

 

Hines & Associates - Referrals
Phone: 815-397-5395 x3515
Fax: 815-395-8107

HSM Contracted Chiropractors & Physical Therapists:

Claim Status-Contact HSM

Phone: 800-432-3640

HSM Website

 

ECOH Office
Phone: 815-397-0790

Paul Brand x1460

Pam Jaworowski x3902

Stephanie Tanner x3903

Susan Marsh x3904

G.E. Boyd, MD x3906

Brandy Lavender x3900


Fax: 815-397-2790
brandy@ecoh.com


FAQ's


Where do I send Claim Forms?

ECOH claims (both Network and River Valley) are sent to:


      ECOH CLAIMS
      P.O. BOX 9625

      MADISON HEIGHTS, MI 48071-9625

  

      Electronic Payor ID # 27008

For Providers contracted with HSM:

Chiropractic and Physical Therapy claims are sent to:

     HSM

     7805 Hudson Road, Suite 190

     Woodbury, MN 55125



Who do I contact to determine the status of a claim?

Please check the ECOH Claim Status Web Portal. Please click here for information on how to obtain a Web Portal account.

You may also call the ECOH Repricing Team at 800-990-3204 or fax at 815-397-2790.

Who do I contact if a claim was processed incorrectly?

Contact ECOH at 800-990-3204 as the first step. We will determine if the claim was repriced correctly and then may refer you to the appropriate Third Party Administrator.


Who do I contact to submit or determine the status of a referral?

Carrie Wilhelms, URA
Intake Team Leader & ECOH Referrals
Rockford Office
800-670-7718 x 3515
815-395-8107 fax
cwilhelms@hinesassoc.com

Referral forms may be downloaded and printed by clicking here.

Who do I contact to determine patient benefits and eligibility?

You will need to contact the Third Party Administrator for the patient's employer. Phone and/or website information for the Third Party Administrator (TPA) is found on the back of the patient's health plan ID card ("For benefit and claims information please contact..."). You may also check the Plan Information page of the ECOH website to find TPA information for each Member Company.


Who do I contact for fee schedule rates?


Call the ECOH office at 815-397-0790 x3901.


Who do I contact if we have a change of address, tax identification number or have added additional providers to our office?

Fax this information to the attention of the Director of Provider Services at ECOH at 815-397-2790. Your fax should include the effective date of the change and provider NPI number.


     
  Edgebrook Court - 1639 N. Alpine Road Rockford, IL 61107 -  800-990-3204  815-397-0790   F: 815-397-2790