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What is IBS  Passport™?
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IBS Passport™ is a Preferred Provider Organization that contracts with physicians,
hospitals, ancillary facilities and other health care providers to form a preferred
provider network that is accessed and utilized by IBS Passport™’s payor clients
and their members. Per IBS Passport™’s contracted agreements with its providers,
these providers have agreed to furnish their services at discounted rates to the
members of IBS Passport™’s payor clients.
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Is IBS Passport™ an insurance company?
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IBS Passport™ is neither an insurance company nor a health plan. IBS Passport™
also does not function as a claims administrator. IBS Passport™ simply offers the
utilization of its network to its payor clients and members, who in turn are able
to capitalize on the discounted fee schedules that IBS Passport™ has negotiated
with its Providers.
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Is IBS Passport™ a national provider network?
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IBS Passport™ is a Wisconsin based preferred provider network that can be wrapped
with numerous nationwide networks to provide a true, cost effective, customized
preferred provider network option.
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What are the advantages of utilizing the IBS Passport™ network?
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The advantages of utilizing the IBS Passport™ network are two fold; cost and quality.
IBS Passport™’s providers offer their services at discounted rates, often far below
what is normally charged for those services. IBS Passport™ contracted providers
are also carefully screened to ensure that they meet the high quality standards
expected by payors and their members.
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How do I know if IBS Passport™ has providers in my area?
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By utilizing our “Find a Provider” functionality contained within this website,
one can find IBS Passport™ providers in your area.
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Does IBS Passport™ accept any applying Provider?
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No, IBS Passport™ will not add a provider to its directory if the provider’s qualifications
and record do not demonstrate a high standard of care and our credentialing standards
are not met.
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What happens if my current physician is not an IBS Passport™ provider?
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If your physician is not a member of the IBS Passport™ network, you have several
options. You can select a new doctor that is in the network, or discuss with your
doctor the possibility of becoming a member of the IBS Passport™ network.
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How do I find information about my benefits?
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Please contact your insurance company or claims payor directly. IBS Passport™ does
not have access to benefit plan information. The phone number should be on your insurance
card. Otherwise, the best way to find it is usually through your employer or Human
Resource office.
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Do I have coverage for Pre-existing conditions?
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Please contact your insurance company or your claims payor directly. IBS Passport™
does not have access to your insurance information. The phone number should be on
your insurance card. Otherwise, the best way to find it is usually through your
employer or Human Resources office.
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What is Coordination of Benefits (COB)? |
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Coordination of Benefits is the provision that applies when an enrollee is covered
by two health plans at the same time. The provision is designed so that the payments
of both plans do not exceed 100% of the allowed charges. The provision also designates
the order in which the multiple health plans are to pay benefits. Under a COB provision,
one plan is determined to be primary and its benefits are applied to the claim first.
The unpaid balance is usually paid by the secondary plan to the limit of its responsibility.
Benefits are “coordinated” between the two health plans. COB is a plan benefit,
not a provision of the IBS Passport™ Provider Agreement.
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When can I contact Customer Service?
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Our PPO Customer Service line is open from 8:00 a.m. to 4:30 p.m. Central Standard Time,
Monday through Friday and can be reached by calling (262) 241-2510. After hours,
we encourage you to search our website to find answers to your question. If further
assistance is needed, you can leave us a message or ask us your question electronically
at kaylas@ibsinc.ws and we will respond the next business day.
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Are there pharmacies in the IBS Passport™ network?
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No. IBS Passport™ does not have a list of pharmacies. We are primarily a health
benefit network and do not contract with pharmacies.
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What is a “preferred provider”?
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A Preferred Provider is a prescreened doctor, hospital, or other healthcare provider
who has agreed to offer their services at predetermined discount. IBS Passport™
has developed a preferred provider network and the providers in our network are
your “preferred providers” of medical care.
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Do we cover Emergency Care?
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Emergency Care coverage is determined by your benefit plan. That information is
available through your employer, Human Resources office or insurance company. Your
insurance company or customer service phone number should be listed on your Insurance
I.D. card.
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If I am a user of IBS Passport™, how do I submit a bill, or claim for payment?
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In most cases, the physician or hospital will file the bill on your behalf. However,
if you need to submit the bill yourself, there should be an address on your insurance
card indicating where you should mail the bill. In some cases, you may be required
to submit the bill along with a claim form. If a claim form is required, you will
need to obtain the claim form directly from the insurance company. IBS Passport™
does not provide claim forms.
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How can I learn more about IBS Passport™?
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The best way to learn about IBS Passport™ is by reviewing this website. However, if you have any further questions please
contact Linda Diamond at (800) 726-0766. |
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