94 50 Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. 0000011937 00000 n Our bariatric surgeons use a range of treatments to help you reach weight loss goals and optimize your health. hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. They give you the run around and tell you that you need to take it up with Cigna, they dont handle thatCigna tells you that you need to talk with Bywater. "I havent had a chance to tell you thank you for all your efforts. 1For additional information and disclosures related to California HMO and other medical, behavioral and dental plans in California, visit https://www.cigna.com/individuals-families/member-guide/customer-forms/cigna-in-california. <<5D0A48CDAB051444A35BDEC03408FBA1>]/Prev 447176/XRefStm 1617>> 24 hours a day, 365 days a year. Read more on your rights and protections against surprise medical bills here. To request precertification, use the contact information below or visit the website for next steps. Once again, Bywater gives you the run around, connecting you to person to person. Benefits are generous and internet and phone are paid. hb``c``:pDAb@qa 1Fv>`hpb83+Z ii Du1h}aZxK1Ag jx8/G80=`y 4Z[lgUhP u G@;O]fc`He` )$ We offer turnkey online enrollment, billing, claims and call center operations to help you meet your benefit solutions strategies and needs so you can grow your business and attentively serve your membership. Chattanooga, TN 37422-7223. Fortunately, many insurance companies recognize the serious health threats of obesity and do cover weight loss surgery as long as you meet the qualification requirements. Partner with Cigna Payer Solutions, and you'll have access to a broad portfolio of products and services, quality health care networks, and personalized account supportbacked by a global brand with more than 90 years of health service experience. 0000028532 00000 n 0000004618 00000 n In all other states (where available), Cigna Dental Care plans are insured by Cigna Health and Life Insurance Company, Cigna Health and Life Insurance Company or Connecticut General Life Insurance Company. Cigna. jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address The myCigna app gives you a new and improved way to easily access your important health information. We offer turnkey online enrollment, billing, claims and call center operations to help you meet your benefit solutions strategies and needs so you can grow your business and attentively serve your membership. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000009397 00000 n The individual must have actively participated in the program for at least 3-6 months; Pre-operative nutritional counseling with a Registered Dietitian; United Health Care (UHC) Optum Center of Excellence Network (COE), Blue Cross Blue Shield Bariatric Resource Service (BRS). 0000027001 00000 n 201. 0000028053 00000 n No vision or dental offered. 143 0 obj <>stream Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . The legal entity insuring or administering any specific product may vary. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see All member calls answered in 2 minutes or less, Acknowledgement of all inbound inquiries in 24 hours or less, All employers onboarded with their Summary Plan Description completed in 30 days or less, 99% of all claims adjudicated accurately in 14 days or less. tbc@bywater.com. Being able to depend on responsiveness when its most critical provides me with a certain level of comfort., Implementation was a challenge for my team. Medical Claims. As a global health service company, Cigna's mission is to improve the health, well-being, and peace of mind of those they serve by making health. For 30 years, we have been lighting the way to better health by providing our customers an easier way to have products delivered directly to their door. CareAlliesProvider Collaboration Solutions. Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). The language is easy to read and interpret, and coverage, exclusions, and financial obligations are clearly spelled out so everyone is on the same page. 0000012607 00000 n If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a Centura Health facility. See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . When you get emergency care or get treated by an out-of-network provider at and in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. 0000018052 00000 n However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. Our team always puts the customer first. Please email us atContactUs@myEHCS.com. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. We have paid out more money ourselves than the insurance has. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. 0000006808 00000 n View our Digital Toolkit for more information about our solutions available to TPAs. to be added in. 278 0 obj <> endobj 4The term "DHMO" is used to refer to product designs that may differ by state of residence of enrollee, including but not limited to, prepaid plans, managed care plans, and plans with open access features. Together, we can build a solution that's right for your clients. 0000025529 00000 n CIGNA First Health * Additional networks expected . Details, Group Health Maintenance Organization (HMO), including HMO Open Access (OA), Point-of-Service POS), and OA POS medical plans, All other group medical plans, and pharmacy and vision plans, Cigna Behavioral Health, Employee Assistance Program (EAP). View Top 10 List What's Included with Cigna? 0000014090 00000 n Glassdoor is your resource for information about ByWater Solutions benefits and perks. as usual! startxref Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . provider has your correct Bywater Insurance information. Hopefully some will be easier. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. As your collaborative and trusted partner, Cigna Payer Solutions helps to drive employee health, lower employer costs, and support and enhance the unique value you bring to your customers. Disregard the Scranton, PA address on the ID card and submit all medical claims and correspondence to the appropriate Chattanooga, TN address shown in the tables of the November 2010 issue of Network News. Here are the plans Lovelace Medical Group accepts. They don't know what they are doing. The worst, most painful experience of my life! 0000026709 00000 n Participation in a weight loss program. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 0000005623 00000 n For questions, please call 505.727.2727. - Unresponsive, confusing processes even for their own customer service reps; Customer service was prompt in answering my call and also resolving the problem I had with a provider. 0000022230 00000 n a listing of the legal entities Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. 0000401390 00000 n Suite 200 Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. For support, please emailsupport@choosebywater.comor call800.337.0792to contact customer service if you have any questions. Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. As part of the Roundstone Insurance family, Bywater grew out of the need to offer self-insured employers participating in Roundstones group medical captive health insurance plan a better alternative for plan administration. 0000005821 00000 n Bywater's mission is to deliver our customers the best experience possible. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. What a bunch of b.s. They then left my ultrasound copay instead. Current and former employees report that ByWater Solutions provides the following benefits. Your response will be removed from the review this cannot be undone. 5Cigna Dental Health, Inc. provides network management and other administrative services for Cigna Dental plans. You are always responsive and helpful. For other questions regarding eligibility and coverage of services, please contact your health plan representative. b\e1*O?;c;>y ./}?=T_U_s4phSELM%:TGzM}]{;Z{Sd7ps5_6? 7evt>O7/y}b *]VA{G'9 "FW/_8TKVbro4UZ{#z06yg7tur4M.YYOGQH|6}GE>T}4]Lv.\+U(+MYn[jz.w/M\cS QU?!zbms`,{P4>mT=Qjb,%{1CaC:bR* 5R;SJ07a%c6WdxIE n# : + As the trusted service and benefits technology platform of Employers, Health Plans, and Benefits Administrators, CWI has evolved to be a TPA, data integrator, and Software-as-a-Service vendor. Serving Central Florida Since 1977. 407.206.7300 The fact I had to explain that to them was completely ridiculous. 0000005576 00000 n 0000013170 00000 n I then had to explain that an ultrasound is NOT an X-ray but that an X-ray falls under radiology which has a different copay amount. 2.0. Joe Doremus, All American Boulevard Warehouses. I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. Plans come with $0 virtual care and $0 preventive care Financial assistance available, if you qualify Additional coverage for diabetes and asthma/COPD, if needed Available for shopping during Open Enrollment (Nov 1-Dec 15, in most states) See what Cigna offers Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). 1 (800) 244-6224. 0000397752 00000 n Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. 94 0 obj <> endobj - Delayed response to providers (some claims were processed 6 months after submission); 0000028201 00000 n The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! 0000027895 00000 n Cigna may not control the content or links of non-Cigna websites. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. A person must have a body mass index (BMI) of 40 or greater, orBMIof 35 or greater with an obesity-related co-morbid condition including, but not limited to: **Please Note: All clinical guidelines and qualifying factors vary based on insurance company and the policies in place. 0000395696 00000 n 2023 CWI Benefits, LLC All rights reserved. that insure or administer group HMO, dental HMO, and other products or services in your state). From our first introductions through annual renewals, and every step in between, you can expect attentive, personal care and clear communication from your Bywater Team. They do offer a decent 401k package but their health insurance is not the best. 0000014378 00000 n Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. What is up with that? Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. CWIBenefits, LLC (CWI), is a technology based Third Party Administrator (TPA), offering total benefits administration services and data management. For 30 years, we have been lighting the way to better health by providing our customers an easier way to have products delivered directly to their door. Bywaters mission is to deliver our customers the best experience possible. ", My Account Manager is responsive. Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. Im excited to start 2022 with Bywater and Veracity!! Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 0000001787 00000 n With over 30 years experience, the CWIBenefits Third Party Administrator (TPA) Platform is the trusted service and benefits technology platform of Employers, Health Plans, and Benefits Administrators. This website is not intended for residents of New Mexico. They do not help you in any way. Any insurance company or agent of an insurance company who knowingly provides false, incompleteor misleading factsor information to apolicyholder or claimant forthe purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the We partner with you year-round, integrating our proprietary technology with attentive service and programs that help you meet your business needs and objectives. Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. In Michigan and Minnesota, patient care services for worksite health and wellness centers are provided by HS Clinical Services, PC, an independently owned professional corporation. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. %PDF-1.6 % 0000001945 00000 n 0000025709 00000 n 0000027529 00000 n 307 0 obj <>/Filter/FlateDecode/ID[<922F595429F03242A768AF7997AEBB29><9026FA9FFCD51241847B932A1C65054F>]/Index[278 54]/Info 277 0 R/Length 134/Prev 477804/Root 279 0 R/Size 332/Type/XRef/W[1 3 1]>>stream
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