Payer ID
48143
48143 confirmed on Imagine360's provider-login page + Claim.MD.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Accepts 837P/837I; listed on Claim.MD; also Availity/Change
Provider Services
866-206-3224
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Imagine360, PO Box 749075, Dallas, TX 75374-9075
Provider Portal
https://www.imagine360.com/provider-login
TPA for self-funded employer plans using reference-based pricing (RBP) — filing/appeal deadlines are set per-employer SPD; identify the plan via the member card Group Number.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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