Managed Care Services

Management of the medical expense portion of a claim is critical. Medical claim costs can escalate quickly, so Intact Insurance works with key partners to deploy a full array of cost containment programs. These programs begin immediately after an injury occurs and will continue as long as treatment is medically necessary. Our cost containment programs include:

Preferred provider organizations:

Genex Provider Pathways is utilized for all States, however for the California MPN please note specific instructions below.

Accessing the Genex Provider Pathways Channeling Site:
- Go to: www.genexservices.com.
- Click Find a Provider/Genex Provider Pathway (top right)
- Login with Username: WCC and Password: Claims
Features:
- Search for Network Providers by address, name and region
- Create Work Site Posters

If you have any problems accessing Genex Provider Pathway, Contact GenexProviderPathway@genexservices.com or download the user guide.

California MPN

Genex Provider Pathways may be used to access the Genex MPN #2500. Or you may request a regional list of all MPN providers in your area by calling the MPN Contact noted below.

Employer Access to the Genex Provider Pathways Channeling Site:

Go to: www.genexservices.com.
Click Find a Provider/Genex Provider Pathway (top right)
Login with Username: WCC and Password: Claims
Select the CA MPN ID# 2500 Network
Features:
- Search for Network Providers by address, name and region
- Create Work Site Posters

Employees or their Representative Access to the Genex Provider Pathways Channeling Site:

Go to: www.genexservices.com.
Click Find a Provider/Genex Provider Pathway (top right)
Login with Username: Genex3 and Password: CAMPN3

In order to obtain all of your Genex MPN #2500 documents and other claim related information, please visit the State-Specific Forms & Resources page and filter to California.

For more information you may contact the MPN Contact or Medical Access Assistant for the Genex MPN #2500:

MPN Contact:

Name: Genex Services
Title: CA MPN
Address: 440 E Swedesford, STE 1000, Wayne PA 19087
Phone: 800-822-6099 (Press 5)
Email: genexmpnservices@genexservices.com

Medical Access Assistant:

Phone: 800-560-8247
Fax number: 866.266-8702
Email address: MPNMAA@genexservices.com

Coventry Workers Compensation Health Care Network (HCN): Access to the Coventry Workers Compensation HCN Employee Instructions and other supporting HCN documentation can be found in our resources section.

Pharmacy First Fill Program - ScriptAdvisor

Intact Insurance wants injured workers to get on the road to recovery as soon as possible. Early access to prescribed medications for a worker’s compensation injury can have a positive impact on recovery, which is why Intact Insurance is working with ScriptAdvisor to give injured employees access to quality pharmaceutical care through a trusted network of more than 72,000 pharmacies nationwide, with no out of pocket expense.

Program Benefits:

ScriptAdvisor has an extensive network of retail pharmacies including major chain drug stores. For pharmacy locations, you may call ScriptAdvisor’s toll-free number at 866.846.9279 or visit their website at www.enlyte.com/scriptadvisor to access the pharmacy locator.

ScriptAdvisor First Fill Program:

Intact Insurance is pleased to offer the ScriptAdvisor First Fill Program. The ScriptAdvisor First Fill form enables injured employees to fill prescriptions written by their authorized physician for medications related to their injury, even prior to the claim being reported to Intact. Your injured employee just needs to present the first fill form to their pharmacy at the time their prescription is filled. This form should ensure that there will be NO out- of-pocket expenses.
This is a Temporary Prescription Form for a 10 Days' Supply of medications with no out of pocket expense until a permanent card can be provided once a claim has been accepted.
ScriptAdvisor will absorb the cost of the first fill prescription if the claim is later denied or the medications are unrelated to the injury. Intact covers the costs of the first fill prescriptions for injury related medications that are medically necessary on claims that are ultimately accepted as compensable.
The ScriptAdvisor First Fill Card can be provided to the injured employee at the time an injury claim is reported.
To locate a First Fill card, search for State-Specific Forms & Resources on the main menu.

Intact Insurance Specialty Solutions is the marketing brand for the insurance company subsidiaries of Intact Insurance Group USA LLC. Coverages may be underwritten by one of the following insurance companies: Atlantic Specialty Insurance Company, a New York insurer; Homeland Insurance Company of New York, a New York insurer; Homeland Insurance Company of Delaware, a Delaware insurer; OBI America Insurance Company, a Pennsylvania insurer; OBI National Insurance Company, a Pennsylvania insurer; or The Guarantee Company of North America USA, a Michigan insurer. Each of these insurers maintains its principal place of business at 605 Highway 169 N, Plymouth, MN 55441, except The Guarantee Company of North America USA, which is located at One Towne Square, Southfield, MI 48076. This material is intended as a general description of certain types of insurance coverages and services. Coverages and availability vary by state; exclusions and deductibles may apply. Please refer to your insurance policy or consult with your independent insurance advisor for information about coverages, terms and conditions. Some coverage may be written by a surplus lines insurer through a licensed surplus lines broker. Surplus lines insurers do not generally participate in state guaranty funds and insureds are therefore not protected by such funds.