Providers Providers

Check below for all the info you need to check eligibility, easy access to claims and to change your password.

FAQ

You will need the new 12-character ID number, the old nine-character ID number or the social security number to look up a member’s eligibility.

You can go to the Providers page here and then click the Claims and Eligibility Inquiry link to get to the secure portal to access information. You can also call the Lifetime Benefit Solutions Provider Services telephone number at 1-315-448-9028 or 1-866-616-7216 Monday-Friday 8:00 AM EST to 5:30 PM EST, with alternating Fridays 9:00 AM EST to 5:30 PM EST.

The fax number for our Provider Services Department is 1-315-448-9129.

On October 1, 2015, a key element of the data foundation of the United States' health care system will undergo a major transformation. This transition will have an impact on anyone who uses health care information that contains a diagnosis and/or inpatient procedure code. As such, Lifetime Benefit Solutions has been working diligently to ensure that all time frames are met. Please see below or the attached document for more detailed information about how we are processing the implementation. 


 Q: Will the ICD-10 conversion impact provider reimbursement and contracting?

A: We believe the transition will impact the entire industry. Mappings between ICD-9 and ICD-10 identify corresponding diagnosis codes between the two code sets. It’s important to note that the ICD-10 conversion was not intended to transform payment or reimbursement; however, it may result in reimbursement methodologies that more accurately reflect patient status and care.

Q: Will Lifetime Benefit Solutions support dual intake of codes?

A: We plan to meet all time frames for compliance. We expect providers, vendors and clearinghouses to meet these time frames as well. Claims with ICD-9 codes for services provided on or after the compliance deadline cannot be paid. We will continue to follow the communications from the regulatory authority and we will adapt our approach as permitted.

Q: Where is Lifetime Benefit Solutions in the process of ICD-10 implementation?

A: We are moving forward with our implementation plan. This plan includes:

  • Determination of training needs
  • Completion of a communication plan
  • Mapping, remediation and testing activities are under way
  • Selection and installation of a tool to map ICD-9 to ICD-10 codes
  • Completion of a testing plan

Q: What should physician practices and facilities do to prepare for the ICD-10 compliance date?

A: The compliance date may seem far off, but the complexity of conversion requires immediate action to address the business and clinical issues associated with the transition. The ICD-10 conversion will affect nearly all provider systems and many processes. The largest impacts will likely be in clinical and financial documentation billing and coding. It is critical not to delay planning and preparation. It is important that providers contact their billing or software vendors to understand plans for conversion and testing.

Q: What is Lifetime Benefit Solutions’ position on the final rules issued for ICD-10 compliance?

A: We plan to meet all applicable time frames for compliance and we will work with providers, software vendors and third-party billing agencies as they strive for compliance. We believe that more detailed coding is helpful and brings the United States in line with non-U.S. practices. ICD-10 codes allow for more accurate information to accompany a claim, which will allow for more accurate claims payment and coverage decisions.

 

This change should be submitted to us on your office letterhead and either faxed to Lifetime Benefit Solutions at 1-315-448-9129 or mailed to the following address:

Lifetime Benefit Solutions
Provider Services Department
115 Continuum Drive
Liverpool, NY 13088

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