Your Patients are Covered. We're here to make it simple.

Accepting Fairos Patients

Seeing a Fairos Patient? Here's What to Know.

Employer Sponsored Health Plans

When a patient presents a Fairos ID card, you can feel confident scheduling and treating them. Fairos members have active employer-sponsored health coverage, and payment is coordinated through the TPA listed on their ID card.

Check the ID Card

The patient's ID card will include the name of their TPA and a contact number. The TPA is your point of contact for eligibility verification, authorizations, and claim submission.

Verify Eligibility  

 Contact the TPA directly using the information on the member's ID card to confirm eligibility and benefits prior to service. 

 Deliver Care

 Treat the patient as you would any insured individual. Fairos members have access to an open network — any licensed provider may see them. 

 Submit the Claim to the TPA  

Claims are submitted directly to the TPA listed on the ID card — not to Fairos directly. Claims can be submitted electronically to the EDI payor ID number on the back of the ID card, if your submission software does not show the TPA in the drop-down menu choose "Commercial" or "Other" and input the EDI payor ID. You can also submit claims via paper to the address on the back of the ID card.  The TPA will adjudicate the claim and coordinate payment.

GET PAID

 Payment is issued by the TPA in accordance with the employer's plan terms. Our team is here to support you if any questions arise after a claim is processed.