The Main Street America Insurance has partnered with CorVel for bill review and clearinghouse services. You are able to submit all workers’ compensation and first-party auto medical bills and records to CorVel for processing using the appropriate clearinghouse electronic payor ID below (categorized by carrier name):
Payor Name
Payor ID
Austin Mutual Insurance Company (Main Street America Insurance)
13412
Grain Dealers Mutual Insurance Company (Main Street America Insurance)
22098
Main Street America Assurance Company (Main Street America Insurance)
29939
Main Street America Protection Insurance Company (Main Street America Insurance)
13026
MSA Insurance Company (Main Street America Insurance)
11066
NGM Insurance Company (Main Street America Insurance)
14788
Old Dominion Insurance Company (Main Street America Insurance)
40231
Spring Valley Mutual Insurance Company (Main Street America Insurance)
11028
Clearinghouse Contacts for Medical Records/New Bills:
Fax: (866) 450-9386
Email: stmn-corvel_clearinghouseintake@corvel.com
U.S. Mail:
Main Street America Insurance c/o CorVel Corporation
10151 Deerwood Park Blvd
Building 300 Suite # 320
Jacksonville, FL 32256
If you wish to establish electronic connectivity with CorVel Corporation, please email: stmn_clearinghouse@corvel.com or call (612) 436-2520.
Questions? For questions on actual bill review services/reductions, please contact:
Email: Jacksonville_MedCheck@CorVel.com
Phone: (904) 240-3500
*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, email or U.S. Mail.
E-billing Information for Minnesota Workers Compensation and Auto Medical Bill Submission
CorVel Clearinghouse Electronic Billing
Connectivity issues and questions
Clearinghouse Name: CorVel
Contact: Christy M.
Phone: (612) 436-2520 / (877) 703-4240
Fax: (866) 450-9388
Email: stmn_clearinghouse@corvel.com
For general claims questions, please contact Main Street America Insurance’s customer care unit at
(877) 4Claims (877-425-2467).