Visit our provider portal for 24/7 online access to view medical bill status and payment information and look-up a patient’s claim number. To login or register, go to https://provider.jopari.net.
If you have an existing Jopari Remittance Gateway account, simply create a new folder and click the pencil icon to edit that folder. On the "EDIT FOLDER" window, click "Register New TINs" and assign your TIN to the folder, and then click "Enroll Payees" to add the available payees to that folder. If you have multiple TINs, it is recommended that you create a new folder for each TIN and repeat the enrollment process for each folder.
For questions and/or assistance with the Provider Portal, please contact Jopari Customer Care. Support Agents are available from 8:00 a.m. to 8:00 p.m. ET Monday through Friday.
Phone: 800-630-3060
Email: support@jopari.com
Medical providers can submit bills for processing through the following options:
E-billing:
Jopari Solutions is PMA's e-billing clearinghouse for all states [Payer ID: PMA - J1439]. Take advantage of e-billing benefits by signing-up for the Jopari Remittance Gateway (Provider Portal). Access to the Provider Portal is available 24/7.
Mail:
PMA Companies – Medical Bills
P.O. Box 5231
Janesville, WI 53547-5231
Fax:
(800) 432-9762
You can find a claim number on the Provider Portal. If information is needed in order to bill, contact the PMA Customer Service Center at 888-476-2669 or customer_service@pmagroup.com.
If you have questions regarding how a bill was repriced, access the Provider Portal or contact Conduent’s Provider Relations team at 833-631-4866.
If you wish to appeal your reimbursement, submit a written request for reconsideration, along with all the documents related to the request, to the following mailing address:
PMA Companies – Medical Bills
P.O. Box 5231
Janesville, WI 53547-5231
Fax: (800) 432-9762
In support of your written appeal, please provide all the following documentation:
Missing or incomplete information will result in your appeal being denied.
How can I submit a bill for processing/payment?
Medical providers can submit bills for processing through the following options:
E-billing:
Jopari Solutions is PMA's e-billing clearinghouse for all states. Take advantage of e-billing benefits by signing-up for the Jopari Remittance Gateway (Provider Portal). Access to the Provider Portal is available 24/7.
Mail:
PMA Companies – Medical Bills
P.O. Box 5231
Janesville, WI 53547-5231
Fax:
(800) 432-9762
How can I find out the claim number?
Claim numbers can be found on the Provider Portal: https://provider.jopari.net
If you need additional information in order to submit a bill, contact PMA Customer Service at (888) 476-2669 or customer_service@pmagroup.com.
What should I do if I sent a bill for payment, but certain information was missing?
If we are unable to process your bill because of missing information, provide the missing information and resubmit the bill. Please mark the submission as a corrected bill.
How will I receive payment?
Your bill will be processed in accordance with state law and regulations and payment sent in accordance with your preferred payment preference.
PMA offers two payment options:
How do I enroll in electronic payments (direct deposit)?
Send an email to customer_service@pmagroup.com and include the following information:
Your request will be reviewed by our Treasury Department and the necessary form(s) sent to the indicated contact for completion.
How can I change my payment preference?
Send an email to customer_service@pmagroup.com and include the following information:
How long will it take for my bill to be processed?
We are required to process medical bills within the time allotted by each state’s laws and regulations.
When and/or how can I check on the status of my outstanding bill?
Visit the Provider Portal to view medical bill status and payment information: https://provider.jopari.net
If additional details are needed, contact PMA Customer Service at 888-476-2669, Option 6, then Option 2 or customer_service@pmagroup.com.
How will I get the Explanation of Review (EOR)?
All EORs will be mailed regardless of how the bill was submitted or how payment is made. Additionally, medical providers who bill electronically can access their EORs via the Provider Portal: https://provider.jopari.net.
How do I reconcile the payment with the outstanding bills previously sent to PMA?
For each payment you will receive an EOR, which includes pertinent patient/claimant information as well as an itemization of the reviewed bill and any appropriate state-mandated information.
For bills submitted electronically (e-bills), visit the Provider Portal to view the status of claims/payments and view/download any associated EOR. If you have questions about or need assistance with the Provider Portal, contact Jopari Customer Support at 800-630-3060 or support@jopari.com.
For paper bills submitted to PMA by U.S. mail, e-mail, or fax, the EOR will be sent by mail.
How can I report a payment not received within the jurisdictional timeframe?
Contact PMA Customer Service at 888-476-2669, Option 6, then Option 1 or customer_service@pmagroup.com to request a Stop Payment. Stop payments can take up to 2-3 weeks to process and to issue a replacement check.
How can I obtain a copy of the EOR or payment information?
For bills submitted electronically (e-bills), visit the Provider Portal to download a copy of an EOR or view payment information: https://provider.jopari.net
For paper bills submitted to PMA by U.S. mail, e-mail, or fax, contact PMA Customer Service at 888-476-2669, Option 6, then Option 1 or customer_service@pmagroup.com.
Who can I call with questions about the repricing and/or reimbursement of my bill?
Fee Schedule/U&C Repricing: For questions related to how a bill was repriced (e.g., state fee schedule or usual and customary reductions), visit the Provider Portal or contact Conduent’s Provider Relations team at 833-631-4866.
PPO Repricing: For questions related to PPO reductions, please contact the PPO phone number that is listed on the EOR.
Transfer to Specialty PPO: When a provider of ancillary services is contracted with an ancillary specialty network, payment will be made directly by the network to the rendering provider. For questions related to such a bill contact the appropriate network:
OSR (IQA) Repricing: For questions related to OSR (IQA) reductions, please visit https://www.dataisight.com/iqaprovider or call 844-922-0357 for assistance.
What do I do if I disagree with the repricing and/or reimbursement of my bill?
If the original bill was submitted electronically, submit your request for reconsideration electronically on the Provider Portal: https://provider.jopari.net. For questions regarding the e-billing appeal submission process, contact Jopari Customer Support at 800-630-3060 or support@jopari.com.
Any other written request for reconsideration may be submitted, along with all the documents related to the request, to:
Mail:
PMA Companies – Medical Bills
P.O. Box 5231
Janesville, WI 53547-5231
Fax:
(800) 432-9762
What information is needed to process my request for reconsideration?
In support of your request, please provide all the following documentation:
Missing or incomplete information will result in your appeal being denied.
How long will it take to process my request for reconsideration?
We will process requests for reconsideration in accordance with state law and regulations.
How do I check the status of my request for reconsideration?
If the request for reconsideration was submitted electronically, visit the Provider Portal: https://provider.jopari.net. For questions regarding the e-billing appeal submission process, contact Jopari Customer Support at 800-630-3060 or support@jopari.com.
If the request for reconsideration was submitted by mail or fax, contact PMA Customer Service at 888-476-2669, Option 6, then Option 2 or customer_service@pmagroup.com.
I received a Refund Request. What is this?
A Refund Request is sent to a provider if it is determined that we erroneously overpaid a bill.
I have questions about the Refund Request I received. Who can I contact?
Contact PMA Customer Service at 888-476-2669, Option 6, then Option 1 or customer_service@pmagroup.com if you have any questions about a Refund Request.
Where do I send the refund payment?
Please mail your refund check to the address below. Include the claim number and details (e.g., date(s) of service) regarding the refund.
PMA Companies
Attn: Processing Support
6990 Snowdrift Road, Bldg. A, Suite 100
Allentown, PA 18106
Where can I search for in-network providers and/or pharmacies?
PMA’s online provider and pharmacy directories can be accessed here: www.pmacompanies.com/wcmedicalproviders
Who do I contact if I want to join PMA's network programs?
Email your request to Network_MC@pmagroup.com. In your email include your name, address, contact information, tax ID number, specialty, and any other information pertinent to your request.
Where can I send a request/referral for ancillary services?
PMA partners with Homelink, MedRisk, One Call, Paradigm, and Streamline for ancillary services. Contact the PMA adjuster assigned to the claim to facilitate the referral.
Visit the Provider Portal for 24/7 online access to view medical bill status and payment information and look-up a patient’s claim number: https://provider.jopari.net.
For questions and/or assistance with the Provider Portal, please contact Jopari Customer Care. Support Agents are available from 8:00 a.m. to 8:00 p.m. ET Monday through Friday.
Phone: 800-630-3060
Email: support@jopari.com
For questions/concerns not addressed on the Provider Portal, contact PMA Customer Service at 888-476-2669, Option 6, then Option 1 or customer_service@pmagroup.com.
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