The Main Street America Insurance has partnered with Jopari for bill review and clearinghouse services. You are able to submit all workers’ compensation and first party auto medical bills and records 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:
Jopari/ Payor ID: C1055
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, email or U.S. 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 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.