provider · raul medina (regional account manager) (305) 392- 4380 ryan jamison (area manager)...

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Provider Relations & Provider Payables TOLL-FREE CONTACT INFORMATION PROVIDER PAYABLES DEPT. at: (800) 226-6210 for issues concerning: Payment Status Check Copy Request Stop Payment / Reissue Payment INVOICING INFORMATION PROVIDER INVOICES BY WEB: www.road-america.com Providers Service Provider Portal PROVIDER INVOICES BY MAIL: ROAD AMERICA MOTOR CLUB Attention: Provider Payables P.O. Box 528024 Miami, Florida 33152 DISPATCH CENTER at: (888) 298-6776 Option 1 for issues concerning: Updates, changes, or problems with a dispatch Problems with the fax dispatch Note: Please do not contact the Dispatch Center for Provider Relations or Payment issues PROVIDER RELATIONS DEPARTMENT at: (888) 293-6672 Option 2 for issues concerning: Existing Service Agreement Digital Dispatch Service Area RECRUITMENT DEPARTMENT at: (888) 293-6672 Option 2 or (800) 442-4690 ext. 4240 for issues concerning: New Applications Insurance Certificates & Other Relevant Documents Repair Facility Network PLEASE CONTACT OUR YOU MAY CONTACT OUR PROVIDER N E T W O R K CONTACT INFORMATION

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Provider Relations & Provider PayablesTOLL-FREE CONTACT INFORMATION

PROVIDER PAYABLES DEPT. at: (800) 226-6210 for issues concerning:

Payment Status Check Copy Request Stop Payment / Reissue Payment

INVOICING INFORMATION

PROVIDER INVOICES BY WEB:

www.road-america.com Providers Service Provider Portal

PROVIDER INVOICES BY MAIL:

ROAD AMERICA MOTOR CLUB Attention: Provider Payables P.O. Box 528024 Miami, Florida 33152

DISPATCH CENTER at: (888) 298-6776 Option 1 for issues concerning:

Updates, changes, or problems with a dispatch Problems with the fax dispatch

Note: Please do not contact the Dispatch Center for Provider Relations or Payment issues

PROVIDER RELATIONS DEPARTMENT at: (888) 293-6672 Option 2 for issues concerning:

Existing Service Agreement Digital Dispatch Service Area

RECRUITMENT DEPARTMENT at: (888) 293-6672 Option 2 or (800) 442-4690 ext. 4240 for issues concerning:

New Applications Insurance Certificates & Other Relevant

Documents Repair Facility Network

PLEASE CONTACT OUR YOU MAY CONTACT OUR

PROVIDERN E T W O R KCONTACT INFORMATION

REGIONS / STATES GUIDE

NORTHWEST SOUTHWEST NORTHEAST SOUTHEAST

Alaska IdahoCalifornia (Northern) MontanaN. DakotaNebraskaOregonS. DakotaWashingtonWyoming

Arizona California (Southern) ColoradoHawaiiKansas NevadaNew MexicoUtah

Connecticut DelawareIllinoisIndianaIowaKentuckyMaineMarylandMassachusettsMichiganMinnesotaMissouriNew Jersey

New YorkNew HampshireOhioPennsylvaniaRhode IslandVermontVirginiaWashington DCWest VirginiaWisconsin

Alabama ArkansasFloridaGeorgiaLouisianaMississippiN. CarolinaOklahomaS. CarolinaTennesseeTexas

R E G I O N S M A P

NORTHWESTREGION

SOUTHWESTREGION

NORTHEASTREGION

SOUTHEASTREGION

CA

CA

PROVIDER NETWORK DEPARTMENT REGIONAL MAP

NORTHWEST REGION

Jaime Santamaria (Regional Account Manager) (305) 392-4381

Erin Bray (Area Manager) (305) 392-4422

[email protected]

SOUTHWEST REGION

Alex Francisco (Regional Account Manager) (305) 392-4392

Jason Jones (Area Manager) (305) 717-5841

[email protected]

NORTHEAST REGION

Raul Medina (Regional Account Manager) (305) 392- 4380

Ryan Jamison (Area Manager) (305) 717-5842

[email protected]

SOUTHEAST REGION

Wilmer Guayara (Regional Account Manager) (305) 392-4384

Miguel Cifuentes (Area Manager) (305) 392-4363

[email protected]

NATIONAL ACCOUNTS

Makeida Johnson (National Accounts Manager) (305) 392-4385

[email protected]

SPECIALTY (HD, Motorcycles, & Transport Services)

Jason Jones (Specialty Area Manager) (786) 452-4756

[email protected]

RECRUITMENT/CONTRACTING

Russell Dickens, Jr.& Ayesha Bradshaw (Recruiters) (800) 442-4690

[email protected] ext. 4240

ADMINISTRATIVE

Bonnie Verhulst (Director of Provider Network) (305) 392-4325

[email protected]

Miguel Cifuentes (Compliance Manager) (305) 392-4363

[email protected]

Odalis Pou-Usategui (Network Adm./Payables Manager) (305) 392-4285

[email protected]

DISPATCH CENTER (888) 298-6776 Option 1 FAX (305) 392-3121

PROVIDER RELATIONS DEPARTMENT (888) 293-6672 Option 1

PROVIDER PAYABLES DEPARTMENT (800) 226-6210

NORTHWEST REGION

Gabriella Bermeosolo (Payables Representative) (305) 717-5816

(Northern CA,WA,OR,ID,NV,WY,MT,ND,SD,NE)

SOUTHWEST REGION

Michael Lazo (Payables Representative) (305) 392-4421

(UT,AZ,CO,NM,KS)

Andrea Villamizar (Payables Representative) (305) 392-4428

(Southern CA)

Gabriella Bermeosolo (Payables Representative) (305) 717-5816

(Only NV)

NORTHEAST REGION

Jenell Mordica (Payables Representative) (305) 392-4299

(MN, IA, MO, WI, IL, MI, IN, OH, KY)

Tony Mejia (Payables Representative) (305) 392-4450

(WV, VA, PA, NY, MD, NJ, DE, CT, DC,MA, RI, NH, VT, ME)

SOUTHEAST REGION

Karen Ellis (Payables Representative) (305) 392-4286

(FL, GA, SC, NC, LA, AL)

Eddie Rios (Payables Representative) (305) 392-4429

(TX, OK, AR, MS, TN)

DEPT. MANAGEMENT

Patrice Painson (Supervisor) (305) 392-4280

[email protected]

SPECIAL PROGRAMS (Digital Dispatch/Battery Program)

Bibiana Gutierrez (Program Manager) (800) 442-4690

[email protected] ext. 5805

DEPARTMENT E-MAIL ADDRESSES

Provider Relations Dept. Provider Payables Dept.

[email protected] [email protected]

PROVIDER NETWORK DEPARTMENT CONTACT LIST