Important Reminders
- Assistant surgery reimbursement: The Benefit Funds reimburse assistant surgery separately only when performed at facilities where there are no residents available and an assistant surgeon is medically necessary. Visit the Benefit Funds website and online Provider Manual regularly for possible updates and changes to this policy.
- Benefit Funds electronic solutions: Inovalon is the Benefit Funds’ claims clearinghouse for electronic claim submission. Our payor number is 13162. For registration or enrollment, call (800) 548-2890 or complete and submit an intake form and an Inovalon provider representative will contact you. Zelis hosts the Benefit Funds’ electronic payment and electronic remittance advice distribution. There is no cost for you to enroll in the Benefit Funds-sponsored Zelis ePayment center portal. You can also visit Zelis’s proprietary ePayment provider portal or call Zelis at (877) 828-8770 to manage payments.
