Prescient National Insurance Services fax number

Fax destination details

Department

Claims

Purpose

Submitting workers' compensation medical charges and related documents (CMS 1500/UB04) to Prescient National Insurance Services for claim processing.

Form

CMS-1500 (red form) and UB-04 — CMS-1500 Professional Claim Form (02/12) and UB-04

Address

217 South Tryon Street, Charlotte, NC 28202

Voice phone

704-927-2860

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Submit all charges on CMS 1500 (red form) and UB04 per state requirements; include claim number, medical notes, and W-9. Bills can be submitted via secure file upload (www.prescientnational.com/file-upload), encrypted email (vendoremails@prescientnational.com), fax (704-927-2867), or mail to Prescient National Insurance Services, Attn: Claims, 217 South Tryon Street, Charlotte, NC 28202. Do not send invoices to the employer or injured worker.