Pinnacol Assurance (workers compensation)

Pinnacol's provider page: paper bills (for providers not required to bill electronically) go to the Clinton, Iowa P.O. box, this fax, or the bill-submission email. First-time billers must also fax a W-9. Email bills as PDF or other standard documents, not PNG. Electronic billing is required for providers and SelectNet participants submitting 25 or more bills a month. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

One of two clearinghouses Pinnacol lists for electronic bills; Pinnacol payer ID E4050. Phone is Carisk (option 2). Any clearinghouse that carries Pinnacol's payer ID will route bills to Pinnacol. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

The second clearinghouse Pinnacol lists for electronic bills; Pinnacol payer ID CB746. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Pinnacol asks first-time billers to complete a W-9 and fax it (with the bill) to this number. Payment-setup paperwork only; not a place for claims questions. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Pinnacol's provider medical billing auditors answer billing and coding questions and contested-bill appeals questions. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Pinnacol prefers online appeals through the Provider Portal Bill Search tab. Paper appeals must include the original or corrected bill, the written notice or EOB, a statement of the contested items and supporting documentation. Under Colorado Rule 16 the provider has 60 days to respond to a notice to contest. Do not resubmit a duplicate bill. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Pinnacol's published customer service line. Pinnacol's provider pages direct providers here when a bill has gone more than 30 days without an explanation of review. Toll-free 800.873.7242 and toll-free fax 888.329.2251 also appear on the contact page. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Per the SelectNet Provider Manual, Provider Relations Specialists are the primary contact for SelectNet agreements; credentialing packets are emailed to credentialing@pinnacol.com. Questions about a specific injured worker go to the claims team, not provider relations. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.