Parents and two children with a high-quality health plan enjoy family time at home.

Health Plan Questions?

At Imagine360, we surround you with all the support you need for an easier healthcare experience. When you need help, just call the member number on your Benefits ID card.

We’re Here to Guide You

Answering Provider Questions

It’s normal for a provider’s office to verify your plan benefits. Here are answers to commonly asked questions:

  • What is the name of your insurance?

    Your Answer: I have health benefits through my employer’s self-funded insurance plan. That means my employer pays provider claims directly. Imagine360, a third-party administrator, processes the claims. I can access care through Partners Direct Health and HealthSmart and my plan also allows me to see providers outside those networks.

  • We don’t recognize your insurance, so how can we confirm your benefits and eligibility?

    Your Answer: If you aren’t contracted with Partners Direct Health or Healthsmart, rates are typically in line with reimbursements you’d get from other networks. Please take a minute to call the provider number on my Benefits ID card. An Imagine360 representative will quickly explain how easily my benefits plan works.

  • What network does your plan use?

    Your Answer: I can access care through Partners Direct Health and HealthSmart. My plan also allows me to see other providers. You can call the provider number on my Benefits ID card and an Imagine360 representative will quickly explain how my benefits plan works.

  • Where do we submit your claims?

    Your Answer: The electronic Payor ID is 48143. Or mail them to: Imagine360 PO Box 749075, Dallas, TX 75374. This information is also on my Benefits ID card.

Helpful Links

miBenefits Portal: miBenefits.imagine360.com
Get 24/7 access to your benefits and claim information.

Telehealth Services:
Get virtual care from medical professionals – day or night – no matter where you are. Visit: www.imagine360.com/care or call 844‑715‑1724.

Helpful Resources

Using Your Benefits ID Card
Answering Provider Questions
Imagine360 Member Support
Symptom Triage Flyer

Female physician explains a small boy's care plan to his mother.
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