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Corporate Headquarters:

 Pinnacle Claims Management, Inc.
17620 Fitch Street, Irvine, CA 92614
P.O. Box 2220, Newport Beach, CA 92658
Phone: (800) 649-9121
Fax: (949) 863-9028
Internet Address: www.pinnacletpa.com

Customer Service
customerservice@pinnacletpa.com

Information Services
dwilliams@pinnacletpa.com

HealthView:
swebb@pinnacletpa.com

Pinnacle Employer Resource Center(PERC)
swebb@pinnacletpa.com

Online Provider Information Service (OPIS):
hwilliams@pinnacletpa.com

 

 

Customer Service Call Center

Our call centers are dedicated to each client. That means our customer service representatives are knowledgeable about your health plan benefits and can give accurate, timely, personalized information to employees.

Each of our call center representatives is trained to ensure world-class service. They know that dealing with health care issues can be stressful for employees and their families. That's why we have friendly, cooperative people answering calls. With information right at their fingertips, our call centers provide prompt attention.


Our call center inquiries are answered with unparalleled speed and efficiency. And we always strive to improve our service.

Plus, after normal business hours, if employees prefer to use the Web, they can access health claims and benefit information through our secure client portal.

Our Customer Service Representatives are available:
Monday through Thursday - 7:00 a.m. to 5:00 p.m.
Friday - 9:00 a.m. to 5:00 p.m.

Performance Standards

Pinnacle sets aggressive performance standards in order to meet the needs of our clients and their employees.  Our customer service and claims processing departments adhere to the following guidelines for performance.

  • 80% of claims processed within 14 days

  • 95% of all claims processed within 30 days

  • Claims dollar accuracy of 98%

  • Claims benefit accuracy of 96%

Clients are provided with quarterly reports that track Pinnacle's performance in these areas. In addition, we conduct our own internal audits to ensure compliance with these performance standards.

 


Copyright 2008 Pinnacle Claims Management, Inc. All rights reserved
17620 Fitch Street - Irvine, CA 92614
Tel: 800-649-9121 - Fax: 949-863-9028