Claims
LifeSynch is dedicated to supporting providers' administrative needs and strives to reduce administrative expenses and improve operational efficiency.
Note: Claims for covered services submitted to LifeSynch or the payor identified by LifeSynch should be received within sixty (60) days of the date of service.
Submit Claims By Mail
To Ensure Prompt Payment Follow These Steps:
- Verify benefits, eligibility and deductibles by calling the mental health services number on the back of your client's insurance card. If the card does not contain a number, call 1-800-777-6330.
- Submit the completed claims forms below ensuring the correct certification number, address or TIN are provided. Directions for completing these forms can be found in your provider manual:
- Outpatient Billing Form: Standard CMS (formerly HCFA)
- 1500 Inpatient Billing Form: CMS (formerly HCVA 1450/UB 04 form
Submit Claims to the Following Addresses:
- All (Except Arkansas, EAP and Humana Claims)
- LifeSynch
- 2101 W. John Carpenter Freeway, Suite 100
- Irving, TX 75063 USA
- Arkansas Claims
- LifeSynch
- Star EAP
- 1701 Centerview Dr, Suite 101
- Little Rock, AR 72211
- EAP Claims (including Humana EAP claims)
- LifeSynch
- 2101 W. John Carpenter Freeway, Suite 150
- Irving, TX 75063 USA
- Humana Claims
- Humana
- PO Box 14601
- Lexington KY 40509
Appeal Claims
LifeSynch offers you the right to appeal any claims decision. Claims Appeals should be made no later than sixty days from the date you receive your claim decision.
You may submit your appeals in writing to:
- Mail:
- Please attach any mitigating information to support your appeal of the original claims determination.
- LifeSynch
- 2101 W. John Carpenter Freeway
- Irving, TX 75063 USA
- Attn: Claims Appeal
- E-mail:
- G&Adept@lifesynch.com
- Claims Help
- Phone: Use the number listed on the client’s insurance card or 1-800-777-6330.
