Providers

Health professionals provide excellent healthcare to our policyholders. We strive to support your efforts by giving you quick, quality service. Use the links below to easily discover patients' benefit eligibility, submit claims, and check the status of claims through our Smart Data Stream partner.


National Provider Identifier Requirements

Effective May 23, 2008, federal regulations require:

  • All institutional and professional claims submitted electronically must contain the National Provider Identifier (NPI) of the billing provider and the attending/rendering physician. The NPI of the referring physician is also recommended.
  • The billing provider's Federal tax identification number continues to be required on all claims. Claims which do not contain this information may be rejected back to the provider.

American Republic Insurance Company does not require the NPI on paper claims, although this information is helpful in the processing of the claim. Some provider networks do require the NPI on paper submissions and will reject claims which do not contain this information.

We recommend that all providers review the NPI requirements of the networks in which they participate. Paper claims should be submitted on the most recently revised claim forms (CMS 1500 version 02/2012 and UB-04).

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File claims online

Did you know you can electronically submit claims, check claim status, and make benefit eligibility inquiries? Simply log in to your Smart Data Solutions account to process policyholders’ claims easily and efficiently 24 hours per day, 7 days a week, at no cost to you. If you experience issues with your account, call support at (855) 297-4436.


Provider assistance line

If you don’t have a Smart Data Solutions account, call (800) 247-2190 to access patient coverage and claim status information through our automated system — without needing to speak to a representative. When you call in, you will be prompted to enter your patient’s policy number and date of birth before you can access policy-specific details.

    PPO Claim Submissions

    You may view patients' claim submission information by selecting the appropriate PPO network below.
    To process claims more efficiently, please submit claims electronically using the EDI Payer ID. 
    Please note: Claims from Medicare are considered crossover claims, so submitting a paper claim results in unnecessary duplicates.

    • America's PPO
      EDI Payor ID: 16120

      Mail claims to:
      America's PPO
      7201 W 78th St., Suite 100
      Bloomington, MN 55439
    • CIGNA PPO
      EDI Payor ID: 62308

      Mail claims to:
      CIGNA PPO
      P.O. Box 188061
      Chattanooga, TN 37422-8061
    • First Health Network
      EDI Payor ID: 42011

      Mail claims to:
      American Republic Insurance Company
      P.O. Box 21670
      Eagan, MN  55121-0670
    • InterWest
      EDI Payor ID: 42011

      Mail claims to:
      American Republic Insurance Company
      P.O. Box 21670
      Eagan, MN 55121-0670
    • Mississippi Physicians Care Network
      EDI Payor ID: 42011

      Mail claims to:
      American Republic Insurance Company
      P.O. Box 21670
      Eagan, MN 55121-0670
    • NovaNet
      EDI Payor ID: 42011

      Mail claims to:
      American Republic Insurance Company
      P.O. Box 21670
      Eagan, MN 55121-0670
    • PHCS PPO

      EDI Payor ID: 42011

      Mail claims to:
      American Republic Insurance Company
      P.O. Box 21670
      Eagan, MN 55121-0670

    • Preferred Health Professionals/HPK
      EDI Payor ID: 42011

      Mail claims to:
      American Republic Insurance Company
      P.O. Box 21670
      Eagan, MN 55121-0670
    • PreferredOne
      EDI Payor ID: 41147

      Mail claims to:
      PreferredOne
      P.O. Box 1527
      Minneapolis, MN 55440-1527