Contact ClearChain Health with any questions. EDI# 19753. Back to top of page Annual Enrollment Period Always refer to the members ID card for the most accurate information on claims processing. Independence Blue Cross is a subsidiary of Independence Health Group, Inc. independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania, Sitemap | Legal | Privacy & other policies | Anti-fraud | Developer resources, Language access: Espaol | / | Tagalog | Franais | Ting Vit | Deutsche | | | | | | | Italiano | Portugus | Kreyl | Jzyk | Polski | | Pennsylvania Deitsch | | Din bizaad, The widest choice for quality care in the region, Comprehensive plans for every business size and budget, Affordable Medicare health and prescription drug plans that meet your needs, Find a particular provider, specialist, hospital, or specialty facility, Understand and maximize your prescription drug benefits, Resources to support your behavioral, physical and emotional health, Exclusive programs and tools designed to help you live a healthier life, Free classes and seminars for IBX members, Convenient online resources and services for our groups, Everything you need to sell Independence Blue Cross, Find doctors, hospitals, medical equipment, and specialty services, Children's Health Insurance Program (CHIP), Critical illness, accident, and cancer insurance, Critical illness, accident and cancer insurance, Uprise Health Employee Assistance Program, Precertification and cost-share requirements, Medical policy and precertification inquiry, Provider communications email sign up form, Claims requiring submission of clinical information. Use of this site indicates your acceptance of our Terms of Use. EXTENDED MLTC the preferred, community-based program dedicated to working in collaboration with members, caregivers, and providers to promote and maintain an optimal level of health and independence, allowing our members to remain in their own homes safely and with dignity. H3329_2020_WEB_covid19updates Approved 04072020 Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. We have created a brief guide to what an SDR is, how to identify one, and how they can be communicated to CenterLight. If claims are submitted with another UnitedHealthcare payer ID (other than Surest), UnitedHealthcare will deny those claims. Eagan MN 55121. We look forward to continuing to work with you in helping enrich the lives of the individuals and communities we serve. Electronic claims to: 25463 **Paper claims to:**Surest PO Box 211758 Eagan, MN 55121. P.O. The Extended MLTC Emdeon payer ID # is 46166. Provider Newsletter April 2019 | Empower Healthcare Solutions Newsletter | April 2019 1 Empower Healthcare Solutions Po Box 211446 Eagan, MN 55121 Member Services: 866-261-1286 I TTY 711 Provider Services: 855-429-1028 Fax: 888-614-5168 Website: www.getmpowerhealth.com This newsletter alerts providers to Contact information by category. Box 211256 Eagan, MN 55121. Partners. **Paper claims to: **Surest PO Box 211758 Eagan, MN 55121. Please see below for the correct website based on your inquiry. Refer to the member ID card for . (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': Email Provider Enrollment to submit your application and follow up on enrollment status. Learn how to report it, Arizona: Two accredited health equity education CME resources available on demand, Arizona: Update COVID-19 vaccination records through ASIIS, Avoid claim denials: Tips for Exchange plans, Avoid claim errors for annual wellness visits, California: Medi-Cal changes help simplify and add flexibility, Catch underlying genetic conditions with testing in the NICU, Change in Texas post-acute care management, Changes to VA CCN community emergency notification process, Colorado: Direct lines make prior authorizations faster, easier, Colorado: New Provider for Medicare Advantage HMO, Coordinating care with behavioral health care professionals, Correction: October 2021 Reimbursement Policy Update Bulletin, Credentialing tip: Adding providers to an existing contracted group, Direct deposits now managed through Optum Pay for UnitedHealthcare West Plans, Downloadable payment information now available in Optum Pay basic, Enroll to get enhanced payments as an LTSS provider, Exchange plans: Referrals no longer needed for chiropractic care, Find COVID-19 vaccine availability for your state or territory, Find the peer to peer request form in a new spot, Genetic prior authorization waiver expiring, Genetics Prior Authorization Program update for commercial and Community plan members, Georgia, Virginia: Get to know Bind health insurance, Get National Immunization Awareness Month resources, Get real-time patient information in your EMR, Get real-time patient information in your EMR with Point of Care Assist, Hawaii: Registration requirement for Medicaid providers, Help ensure timely care for your patients with a cancer diagnosis, Improve LGBTQ+ care with upcoming training, Indiana: 90-day continuity of care policy, Indiana: Genetic and molecular prior authorization processes changes, Kentucky: Medicaid retroactive reimbursement update, Kentucky: Register to provide the COVID-19 vaccine, Lets talk about it: Watch for your patient experience kit, Louisiana: Help Medicaid patients get cancer screenings, Managing information in the portal just got simpler, Maryland: Annual CAHPS survey results released, Maryland: Asthma medication support for your practice, Maryland: Get payment for diabetic eye exams, Maryland program for patients with complex needs, Massachusetts: Area of Expertise (AOE) updates required, Medicaid: Take 5 minutes to share your point of view, Medication adherence may improve with real-time EMR-integrated solution, Michigan: Improve the way you work with us, Michigan: Resources for your sickle cell care plan, Mountain Region: Virtual Education Session, NPI now required for select physician lab service referrals, Nebraska: Coverage update for Synagis prophylaxis, New clinical pharmacist-led medication optimization program, New EDI edits for Medicare Advantage claims, New Florida Medicare Advantage plans in 2022, New name for UnitedHealthcare West Prior Authorization, New preventative care support for your patients, New York: Newly dual-eligible members are automatically enrolled into D-SNP, Ohio Community Plan Prenatal Risk Assessment form incentives, Optum Pay basic now includes unlimited users, Prior authorization for preimplantation genetic testing and fertility preservation. Fax: 920-490-6923, WPS Health Insurance/WPS Health Plan Credentialing, ProviderCredentialing@wpsic.com There, claims submission information is broken out by prefix/product name. Box 21341 Visit UHCprovider.com or call the Surest provider services line at 1-844-368-6661 to check claim status. Avoid delays in claims handling and processing. Be sure to use subscriber details for the subscriber or dependents when calling the Provider Help line or the Provider Portal on the back of the member ID card. H3329_2023HomePage Approved 01102023 Let us know how we can help you. There, claims submission information is broken out by prefix/product name. <> Refer your patients to a Designated Diagnostic Provider (DDP) for lab services, Refer your patients to a Designated Diagnostic Provider for lab services, Required special needs plan Model of Care training, Rhode Island: Refer to the Low Back Pain Management Program, Second release scheduled for new claims platform, See for yourself how UnitedHealthcare solutions can help your practice, Select Medicare claims eligible for inpatient payment, Skilled Nursing Facility payment for outpatient COVID-19 testing, Support for language services in Maryland, Take the guesswork out of reporting with UnitedHealthcare Insights, Temporary administrative, care measures for hurricane-impacted areas, Tennessee: Inappropriate Primary/Principle Diagnosis Policy, Facility Update, Tennessee: TennCare Regulatory Appendix update, Tennessee: TennCare Regulatory Appendix Update, Texas: Start authorized LTSS services within 7 days, The Provider Claim Review tool is moving to the portal, Times almost up: Links going away for good, Training available: Radiation oncology prior authorizations, Tufts Health Freedom Plan member transition updates, UHCprovider.com behavioral health resources, UnitedHealthcare Medicare Advantage plan - Northern Utah, Update: No prior authorization for some radiation therapy, Use required 340B modifiers for accurate payment, Virginia: New state online appeals portal for Medicaid, Washington Medicaid: What to expect from a 14-day readmission review, Webinar: UnitedHealthcare Connected for One Care, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, UnitedHealthcare Shared Services (UHSS) Provider Portal, register and log in to the UHSS Provider Portal. Corporate Offices: 1401 W. Capitol Avenue Suite 430 Little Rock, AR 72201. PO Box 21051 Eagan, MN 55121-0051. If you would like to become part of the Surest provider network, contact your UHC or Optum provider advocate, or call Surest Provider Services at 1-844 . Claims and Payment - Bright HealthCare Eagan, MN 55121. Bind launched fully insured benefit plans in Florida and Utah, and filed for approval in Ohio, Texas, Virginia and Wisconsin. Submit an inquiry online, EDI Solutions can help with electronic transactions such as claim submissions, eligibility and claim status, Contact By: 3 0 obj They are the best source to assist you with claims status including payment and denial information. Address. Note: When submitting claims under this payer ID, use only the 10-digit member ID. Box 1437Slot S401Little Rock, AR 72203Phone: (501) 682-8292TDD: (501) 682-8820, 323 Center Street, Suite 1200Little Rock, AR 72201Phone: (501) 682-8349Fax: (501) 682-8350, Office for Human Research Protections1101 Wootton ParkwaySuite 200Rockville, MD 20852Phone:(240) 453-6900Toll Free US : (866) 447-4777, Care Coordination PO Box 211435 Eagan, MN 55121. <> One of the most common billing errors is easy to correctinaccurate payer ID or mailing address for paper claims. Questions about the website or data dashboard. For non-portal inquiries, please call 1-800-950-7040 . Medica | Claim Submission and Product Guidelines Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. 716-954-1691 Box 211595 Submit itemized medical claims to: Benefit Plan Administrators (BPA) PO Box 21392 Eagan, MN 55121 EDI # 19753 Pre-Certification Questions: Pre-certify before any planned surgical and hospital admission or within 48 hours of emergency admissions. P.O. Andrea.Copeland@UniveraHealthcare.com, SPECIALTY PROVIDERS: Claims Receipt Center 800-333-5003 Claims - MoreCare 205 Park Club Lane Eagan, MN 55121, The EPIC Life Insurance Company ProviderComplaints@EmpowerArkansas.com, Contracting Box 211758, Eagan, MN 55121. Provider Services - Alliance Medical Supplement Provider Services Alliance Medical Supplement Claim Filing Provider Verifying Coverage MWG Administrators : (888) 888-2519 Submit Electronic Claims To: Change Healthcare Payer ID: 64090 www.changehealthcare.com SoftCare Payer ID: 01757 www.softcare.com US Mail Claims Submissions '&l='+l:'';j.async=true;j.src= A Reset font size. IL: 800-221-5319 For Providers CenterLight Healthcare Suite 430 Bind Benefits, Inc., may be entered as the insurance carrier (dependent onyoursystem). Electronic claim submission provides an easier and faster way to submit claims. Wisconsin Physicians Service. Box 64540, Chicago, IL 60664. P.O. H3329_2018_WEB_LANDING PAGE_004r1_M Approved 01072019 Add the Bind Benefits, Inc., payer ID number into your systems. PDF Empower Healthcare Solutions Provider Newsletter The 32X type of bill has been modified to mean Home Health Services under a Plan of Treatment. P.O. Additonal information is available at the following link: A Decrease font size. Non-Discrimination Policy | Interoperability | Price Transparency. P.O. Closed Weekdays: Noon - 1p.m. P.O. Claims WEA Trust PO Box 211438 . Box 21392. x]Y~yj cv}>;"3"ReZU^CTRFd_w~4 (QAG5/}Cc0>|p/?[oyo_y`?>}wyM4j0N'J%N7Fa?28|6 a^j @a0&$uc]y(`hu0`QNe\ u EU"F)ppQ;`kR-3U^|(!4*I9(F'arr6o3|n=)`-J@3k=$,$BI?K&?:\VK/O9Y|N!=3_;a[jOx`M2_rUH 6Ii3%uVUB=,xY~"UIVqsT>l~b@*fFc& 0He8#,~w)DP5Vg-$a}(a+D:$d!a$"@404DpErmc% endobj QCH : Keystone Health . Please call our Participant Services Department at, CenterLight Healthcare, 1733 Eastchester Road, 2nd Floor, The Bronx, NY, 10461, United States. P.O. Extended MLTC can be contacted as follows for all referrals and other general inquires (Translation Available): Culinary Health Fund P.O. Provider reconsiderations and additional claim information. Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. 8am to 8pm Eastern time, Monday to Friday 8am to 4:30pm Eastern time, Saturday Need to send us something? Your Provider Relations representative is your liaison with our health plan, bringing your needs, suggestions and concerns to the attention of our medical directors, policy makers and communications staff. you may contact your ILS Provider Relations Representative, at 1-888-262-1292 extension 4216 or via the Provider . ET, Univera Healthcare Box 211471 Eagan, Minnesota 55121 Phone: 702-733-9938 Please note that current CenterLight Teamcare participants do not need to take any action at this time. ET, Contact Dental Customer Care for eligibility/benefits and claims inquiries, Contact By: Address 1717 W. Broadway P.O. Correspondence: Health Tradition Health Plan. stream Please include the Subscriber ID on all claims. Initial Claims: 120 days from the date of service Language translator between English and Spanish. Please note that Home Health claims received with Type of Bill 33X will be denied for invalid type of bill. Benefit Plan Administrators' Customer Service Representatives can be reached at 1-800-277-8973. That coverage remains active for 120 days. The following address should be used for claims related to outer counties: Outer County Claims - Lehigh, Lancaster, Northampton, and Berks County. For submitting medical claims. All other states: 888-915-5108, WPS Health InsuranceAdministrative Services Only, WPS Health PlanAdministrative Services Only, FL: 888-527-0590 Submit all claims to: EDI Payer ID: 66701 Group Marketing Services, Inc. PO Box 21044 Eagan, MN 55121 Our Affiliates. 1717 W. Broadway Madison, WI 53708-8190. Box 211533 Eagan, MN 55121 Facility/Hospital Mail* UB-04 / CMS-1450 claim form to: Redirect Administrators P.O. All rights reserved. Contact Us | Providers | Univera Healthcare Albion, Barker, Gasport, Holley, Kendall, Kent, Lewiston, Lockport, Lyndonville, Medina, Middleport, Newfane, Niagara Falls, Niagara University, North Tonawanda, Ransomville, Sanborn, Wilson, Waterport, Youngstown, COVERAGE AREA (Medical & Dental): Revision 2018. Youre now leaving myMoreCare.com and will be directed to our partners website. Box 211597 Register now if you dont have an account. . All Hospitals within County (except Catholic Health System & Niagara Falls Memorial), SPECIALTY PROVIDERS: P.O. Eagan, MN 55121, WPS Health Plan Wisconsin Physicians Service Insurance Corporation and WPS Health Plan, Inc. EEO/AA employer. Need assistance choosing or signing up for a health plan? Gd_{1dxK./1>{\.3LxN>UfV;?k}GgB@nF0]!E.4u)1K4W_/>s. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); In some Bind plans, members must activate coverage for a small set of plannable, non-emergency procedures at least three days before the service is provided. Visit our EDI Resource Center for more detailed contact information. Provider Services - Alliance Medical Supplement Please click on the links below to access Provider information in pdf format. Phone Number for messages only: 716-857-4647 Fax Line: 716-857-4578 . Empower Health Solutions Where to submit claims | GEHA Andrea Copeland Providers. You must have Adobe Reader to view and print pdf documents. Incident.Reporting@EmpowerArkansas.com, Provider Relations For providers | Surest health plan All dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. 1-801-262-7475.

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