Texas eBilling Contact Information for: Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters United States Fidelity and Guaranty Company Discover Property & Casualty Insurance Company |
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| THIRD PARTY ADMINISTRATOR NAME | TPA FEIN | TPA CONTACT - URL OR EMAIL ADDRESS | eBill Agent Name | eBill Agent FEIN | eBill Agent Contact information (EMAIL ADDRESS, PH #, FAX #) |
| Broadspire, a Crawford Company | 36-3917295 | Gwen Farmer Gwen.Farmer@choosebroadspire.com or gwen_farmer@us.crawco.com | Ingenix Health Intelligence, Inc. | 35-2170347 | Erin.Baughman@ingenix.com Phone: 407-877-3993 Fax:407-877-8104 |
| Cambridge Integrated Services Group, Inc | 23-2731565 | Jeannine Howell, jeannine.howell@cambridge-na.com | Integrated Comp Network | 20-4828401 | mpolo@integratedcompnetwork.com Ph: 847-824-5510 x6025 Fax: 847-813-0000 |
| CCMSI | 37-1057804 | Bonnie Walsh bwalsh@ccmsi.com | CorVel Corporation www.corvel.com | 95-3382819 | diane_blaha@corvel.com 630-874-7500 630-874-7300 |
| CCMSI | 37-1057804 | Bonnie Walsh bwalsh@ccmsi.com | Stratacare Inc www.stratacare.com | 33-0894977 | sosterberg@stratacare.com ph# 949-743-1275, fax# 949-743-1299 |
| Cottingham & Butler Claims Services, INC | 20-5233506 | www.cb-sisco.com | CompIQ Corporation | 33-0803325 | ebilling@compIQ.com Ph: 949-923-4000 Fax: 949-923-4048 |
| ESIS | 95-2008390 | ESISCompliance@esis.com | Coventry | 20-8376354 | 6705 Rockledge Drive, Suite
900 Bethesda, MD 20817-7828 Fax # 314-754-9774 Email: cheryl_glotzer@concentra.com |
| F.A. Richard and Associates | 72-0837383 | Bridgette Hammant/Bridgette.Hammant@fara.com | Emdeon Bussiness services | 20-57165914 | www.emdeon.com 26 Century Blvd, Nashville, TN 37214 Fax# (615)886-9000 |
| Frank Gates Service Company | 31-4359765 | John Paolacci - jpaolacci@frankgates.com | Forte, Inc | 74-2760720 | jpaolacci@frankgates.com |
| GAB Robins | 13-2747054 | Tom Walters, walterst@gabrobins.com | Fair Isaacs Corporation | 94-1499887 | Scott Smith scottsmith@fairisaacs.com Ph. 949-655-3200 |
| Gallagher Bassett | 36-3365500 | Diana_Johnson@gbtpa.com | Coventry Workers' Comp Services, Inc | 20-8376354 | Cheryl_Glotzer@Concentra.com Ph: 301-581-0600; Fax: 314-754-9774 |
| Helmsman Management Services | 04-2791584 | Bruce.Borner@libertymutual.com | P2P Link | 27-0008097 | Barb Robinette acctmgmt@p2plink.com Ph: 469-417-7756 Fax: 972-417-7711 |
| Innovative Risk Management | JBennett@innovative-risk.com | CompIQ Corporation | 33-0803325 | ebilling@compIQ.com Ph: 949-923-4000 Fax: 949-923-4048 |
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| JI Specialty Services | 74-2445066 | noel.dametz@jicompanies.com | Stratacare Inc. | 33-0894977 | sosterberg@stratacare.com ph# 949-743-1275, fax# 949-743-1299 |
| LWP Claims Solutions Inc | 94-3345235 | makensp@lwpclaims.com | CorVel Corporation | 95-3382819 | Doug Homa Doug_Homa@corvel.com Ph: 817-332-2785 |
| Matrix Absence Management | 77-0493584 | Julie Osborn julie.osborn@matrixcos.com | Coventry Worker’s Comp Services, Inc. | 20-8376354 | Address: 6705 Rockledge
Drive Suite 900 Bethesda, MD 20817-7828 Contact name: Cheryl Glotzer Email: Cheryl_Glotzer@concentra.com |
| Risk Enterprise Management | 13-3832689 | www.corvel.com | Corvel | 95-3382819 | Doug Homa Doug_Homa@corvel.com Ph: 817-332-2785 Fax: 817-332-8491 |
| Sedgwick Claims Management Services | 36-2685608 | jmiano@sedgwickcms.com | Ingenix Health Intelligence, Inc. | 35-2170347 | Erin.Baughman@ingenix.com Phone: 407-877-3993 Fax:407-877-8104 |
| Parker Services, LLC | 39-1956269 | ted.francsis@sentry.com | P2P Link | 27-0008097 | acctmgmt@p2plink.com 1320 Greenway Drive Suite 815, Irving, TX 75038 PH: 866-450-3898 Fax: 972-417-7711 Web Address: www.p2plink.com |
| Specialty Risk Services | 20-0730592 | www.p2plink.com | P2P Link | 27-0008097 | Phone number 866-450-3898 Barbara Robintte Email address - acctmgmt@p2plink.com |
| TRISTAR Risk Management | 95-2795831 | www.tristarrisk.com | CompIQ Corporation | 33-0803325 | 35 Tesla Way Suite 100 Irvine, CA 92618 Email: eBilling@CompIQ.com Phone:949-923-4000, Fax number: 949-923-4048 Web Address: www.CompIQ.com |