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We are excited to work with you to deliver the best possible healthcare for our members. Please use the following page for prior authorizations, eligibility, and claim submission.

 

Prior Authorizations

Prior Authorization is required for:

  • Inpatient admissions
  • Inpatient/Outpatient surgeries
  • Partial Hospitalization and Intensive Outpatient for Mental Health/Substance Abuse
  • All services listed here regardless of place of service.

All services are subject to medical necessity.

 

submit a prior authorization

 

Eligibility or Status Update

To quickly check a member's eligibility and benefits click below.

 

verify eligibility benefits

 

Phone Support: (866) 797-3343

Hours of Operation:

Monday - Friday
8:00am - 8:00pm EST

 

Claim Submission

To submit eligible member claims please use the following: 

Payer Name: IncentiCare

Payer ID: 18151

Address: 
8310 Clinton Park Drive
Fort Wayne, IN 46825

 

Additional Clearinghouse Information

IncentiCare has extended its relationship with Smart Data Solutions. This strategic relationship offers you the ability to submit your claims directly to Incenticare (at no cost to you!). You may also submit your claims through your current clearinghouse.

  1. Register for access. This can be done online at www.sdata.us. Once you are on the web page simply select the green box “Provider Portal”.
  2. You will be prompted to a new screen, and there you will select the box that says “Register”.  
  3. You will now be prompted with a form to complete with your information. Upon completion of the form, you will receive a system-generated email with your username.

Once you have registered, please refer to the SDS companion guide to learn how to submit your first file.    

Payer Name: IncentiCare     
Payer ID: 18151