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Benemax Generic Dear Provider Letter

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Dear Provider: Please be advised that your patient is a member of the [Employer Name Health Plan] underwritten by [Insurance Carrier Name]. This is a fully insured plan. In most cases, the deductible, co-payments and co-insurance are supplemented by the employer. The plan is administered by OneDigital Benemax, a benefit management company. Please enter Benemax into your billing system as secondary payer. The secondary benefits will be listed on the patient’s white Benemax Identification Card. This card shows the secondary layer of coverage provided by the employer, and our contact information in the event you would like to verify coverage over the phone. Benemax will administer the employer’s claims payment responsibility and has been authorized to pay these charges directly to you, the provider, weekly as directed by the insurance carrier. Please note that plan members have been advised that this plan requires no point of service payments, other than co-payments, and that prompt provider payments are assured. If you have any questions regarding this letter or the payment procedures detailed above, please contact a Benemax Independent Member Advocate at 1-800-528-1530. Thank you. OneDigital Benemax 7 West Mill Street P.O. Box 950 Medfield, MA 02052