IE Smart Systems Urgent Care

Three EHN Plans at Z-2-H™

Understanding your medical benefits can make seeking care feel easier when you or a family member becomes sick. Z-2-H™ Family Med & Urgent Care Clinic provides compassionate primary care, family medicine, and urgent care at eligible Texas locations.

IE Smart Systems LLC employees may be enrolled in the Base Copay Plan, Buy Up Copay Plan, or HSA Plan. Each plan uses the EHN Preferred Network, but member costs and coverage requirements may differ. Verify your specific benefits before receiving care.

What IE Smart Systems Medical Plans Are Available?

IE Smart Systems employees may be enrolled in one of three medical plans:

• Base Copay Plan

• Buy Up Copay Plan

• HSA Plan

The available plan information lists the following costs:

Base Copay Plan

• Primary care visit: $35 copay

• Specialist visit: $70 copay

Buy Up Copay Plan

• Primary care visit: $35 copay

• Specialist visit: $70 copay

HSA Plan

Members must first meet the applicable deductible. Medical cost-sharing information is available on the member’s insurance card.

These amounts may not apply to every service received during an appointment. Laboratory testing, imaging, medications, procedures, medical supplies, and other services may be processed separately.

An insurance card does not guarantee coverage or payment. Eligibility, medical necessity, network participation, and the services provided may affect the member’s final responsibility.

For scheduling assistance, call Z-2-H at (469) 283-0076.

Can IE Smart Systems Employees Visit Z-2-H?

Eligible IE Smart Systems employees and their covered family members may visit Z-2-H for primary care, urgent care, preventive services, and many everyday health concerns.

The medical team can evaluate and treat concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Ear pain or ear infections

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Mild allergic reactions

• Rashes and skin concerns

• Minor injuries

• Routine primary care concerns

• Chronic-condition follow-ups

• Preventive care and physical examinations

Coverage depends on the member’s plan, current eligibility, medical needs, provider-network participation, and the services provided.

Call 911 or visit the nearest emergency room for chest pain, severe breathing difficulty, signs of a stroke, fainting, confusion, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the IE Smart Systems Plans?

Anchor Benefit Consulting is the third-party administrator for the IE Smart Systems Base Copay, Buy Up Copay, and HSA plans.

Anchor Benefit Consulting can assist members and providers with:

• Eligibility verification

• Medical benefit questions

• Prior-authorization requirements

• Claim-status questions

• Copays, deductibles, and coinsurance

• Provider-network participation

Call Anchor Benefit Consulting at (888) 487-1807 or visit the Anchor Benefit Website.

Have the member identification number from your insurance card and the name of your IE Smart Systems plan available when requesting assistance.

How Do I Verify My Benefits?

Before scheduling an appointment, contact Anchor Benefit Consulting at (888) 487-1807 and ask:

• Does Z-2-H participate with my IE Smart Systems plan?

• Is the requested medical service covered?

• What copay, deductible, or coinsurance applies?

• Are laboratory tests, imaging, or medications billed separately?

• Is prior authorization required?

• Will I have a time-of-service responsibility?

• Are there clinic or network restrictions?

Write down the representative’s name, the date of the call, and the reference number. Final coverage is determined when the administrator processes the claim.

Z-2-H can collect your insurance information before the appointment, but Anchor Benefit Consulting provides the official explanation of plan benefits.

Is Prior Authorization Required?

Prior-authorization requirements depend on the medical service being requested.

Members and providers should contact Anchor Benefit Consulting at (888) 487-1807 before receiving a service that may require approval.

Prior authorization does not guarantee claim payment. Current eligibility, medical necessity, network participation, plan exclusions, and other requirements may affect how the claim is processed.

What Network Does the Plan Use?

The IE Smart Systems medical plans use the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have chosen to participate.

Not every Baylor Scott & White Quality Alliance provider participates in the EHN Preferred Network. Members should confirm that their preferred Z-2-H clinic participates with their specific IE Smart Systems plan before receiving care.

To locate or verify an in-network provider:

• Visit the HST Provider Search

• Call (800) 440-7427

• Contact BSWQA Care Navigation at 1-844-279-7589

Provide the employer name, plan name, member identification number, clinic location, and requested service when confirming participation.

Are Specialist Referrals Required?

The available IE Smart Systems plan information does not list a general specialist-referral requirement.

Certain specialist visits, procedures, tests, or treatments may still require prior authorization. Contact Anchor Benefit Consulting before beginning specialist care to confirm the current requirements for your plan.

What Should I Bring to My Appointment?

Please bring or prepare:

• Your IE Smart Systems insurance card

• A photo identification card

• A current medication list

• Known medication or food allergies

• Relevant medical records

• Recent laboratory or imaging results

• Any referral or authorization documents

• A description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

Providing complete and accurate information can help prevent delays with eligibility verification and claim processing.

Claims Information for Providers

IE Smart Systems claims are administered through Anchor Benefit Consulting.

Electronic claims: Payor ID IHS07

Mailed claims:

Employers Health Network
P.O. Box 507
Arnold, MD 21012

Providers should verify the member’s eligibility, plan name, authorization requirements, and current claim-submission instructions before sending a claim.

Compassionate Care at a Texas Clinic

Z-2-H works to make primary and urgent care easier to access and understand. Whether you need help with a sudden illness, minor injury, preventive visit, or ongoing health concern, the medical team will listen and help you understand the appropriate next step.

When you are ready, Book an Appointment or call (469) 283-0076. Please have your IE Smart Systems insurance card available so your eligibility, benefits, and network participation can be reviewed before the visit.