Main Street America Insurance has partnered with the following clearinghouse services to process medical bills review and records.

Clearinghouse Contacts for First Party Auto Medical Records/New Bills:

We accept electronic bills (eBills) and attachments from healthcare providers and their billing assignees and invite you to take advantage of this service by contacting our eBill agent, Jopari Solutions. You may sign up using the online enrollment form at www.jopari.com; or contact the Jopari Provider Registration Call Center at toll free 866.269.0554.

We encourage you to participate. Electronic billing is faster, more efficient, and more cost effective for you and us.

*Minnesota Only: If you are unable to submit your medical records electronically, please use the “Claims Attachment Cover Sheet” found at (http://www.health.state.mn.us/auc/forms/index.htm) and send via fax (866-935-2858), email (claimdocuments@afics.com) or USPS Mail.

E-billing Information for Minnesota Workers Compensation:

Sedgwick Claim Management 
Connectivity Issues and Questions
Contact: Tami White
Phone: 614.284.2994
Fax: 715.539.0660
Email: tami.white@sedgwick.com

Direct Submitter eBill Enrollment Instructions for Workers Compensation:

For submitters that want to set up a direct eBilling account with Data Dimensions, they can go to the website https://secure.icompedi.com/Register/Register.aspx. The website will guide the user through a series of instructions about how to set up an account, submit test files, the additional advanced transaction service options available, and more.

It is a self-explanatory process, however, if you need assistance, you can contact the Data Dimensions Help Desk at 800.297.6909 between 9:00 a.m. and 6:00 p.m. Eastern weekdays or go to https://datadimensions.com/clearinghouse/.

Utilize the appropriate clearinghouse electronic payor ID below (categorized by carrier name):