To obtain an aggregate number of grievances, appeals, and exceptions filed with BlueRx (PDP) contact Member Services at 1-800-327-3998 (BlueRx AL) or 1-888-311-7508 (BlueRx TN), 8 a.m. to 8 p.m., seven (7) days a week. Behavioral Health Services: 1-800-266-6167. Tricare Phone Number and Claim Address. Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. This new site may be offered by a vendor or an independent third party. Through this option, providers submit an 837 file to a third party middle-man who in turn submits the files to Magellan. Check member eligibility, submit and check claims and find important information and more on our provider portal. Most PDF readers are a free download. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. The Subscriber Claim Summary includes the name of the health care provider who sent us the claim, the date of service, the type of service (lab, surgery, medical care, etc.) % Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. Many times, primary care physicians are the first place a member goes when they have a problem. To submit claims on Magellans website: Providers can submit claims using the Claims Courier application by signing in to the. Box 21974 Eagan, MN 55121 1-800-778-2119 Verify eligibility and benefits at 1-888-356-7899 www.pearprovider.com Independence Blue Cross Federal Employee Program (FEP) PPO "R" followed by 8 numeric characters 54704 837I - 12X26 Facility Providers Claims 1Only Claims Receipt Center (336) 774-5400. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. If you need to mail claims: Horizon BCBSNJ. Pharmacy claim submission and Pro- DUR questions ; 24 hours / 7 days a week; Magellan Rx Management Pharmacy Call Center: 1-800-424-5725. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. Do the timely filing limits apply to this claim?A. <> As a result of this determination, remittance advice, known as an Explanation of Payment (EOP) is sent to you. endobj BCBSTX providers who receive paper checks and Provider Claim Summaries (PCSs) via the U.S. Mail may wish to consider the electronic alternatives listed below for greater efficiency, convenience and security of information. Care Management Contact Information . If your ID card is not available, you may use one of the Customer Service telephone numbers below. Braven Health: 1-888-444-0501. Blue Cross and Blue Shield of Texas. What should I do? These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. Box 32593 Detroit, MI 48232-0593. Interested in exploring opportunities? The form cannot be used for any other purpose except to request prior authorization of a healthcare service. For the latest information on flexibilities and extensions due to COVID-19, refer to theTexas Medicaid & Healthcare PartnershipandTexas Health and Human Services Commissionwebsites. Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, National Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual, Independent Review Organization (IRO) and EMR Provider Training, Interpreting the PLB Segment on the 835 ERA Guide. Magellans Primary Care Physician (PCP) Toolkit. Resubmissions must be submitted within 60 days from the date of denial. Join Blue Cross and Blue Shield companies and leading voices from NAMI, Business Group on Health and Morgan, Lewis & Bockius LLP as they come together to discuss strategies for addressing pandemic-amplified behavioral health challengesparticularly as vaccines are rolling out and more focus on hybrid work models are set to spur workplace changes that can impact employee behavioral health. Email to submit provider inquiries, 1001 E. Lookout Drive Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. Email Us. BCBSTX Behavioral Health Unit PO Box 660241 Dallas, TX 75266-0241 Fax 877-361-7646 Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044 For prior authorization and referrals managed by Magellan: Magellan Behavioral Health Providers of Texas, Inc. 800-729-2422 If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. Make sure to send your claim form to the appropriate claims payer and specific address. 136 0 obj <> endobj Box 272540, Chico CA 959272540 Phone Number: (800) 541-6652 Is Blue Shield MHSA the same as Magellan? Maryland Heights, MO 63043 . Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . For Emergency Situations, Always Call 911. Box 2924 Phoenix, AZ 85062-2924. . This claim is a resubmit; why was it denied for timely filing?A. Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). Click the link below to find the provider portal for your needs. Copy of an EOP with a date within the timely filing period, Certified or overnight mail receipts dated within the timely filing period, Copy of the claim with Magellan's date stamp within the timely filing period, Copy of 2nd level EDI 277 acceptance reports. Magellan did not receive your resubmitted claim within our timely filing limits (or within the timely filing limits of your state) after the initial date of denial. stream Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-800-442-4607*, Behavioral health services mental health and chemical dependency prior authorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 1-800-528-7264, Behavioral health services claims status inquiries contact Availity or other electronic connectivity vendor or call 1-800-442-4607*, Behavioral health services claim adjustments call 1-800-442-4607, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-877-299-2377*, Claim status inquiries contact Availity or other electronic connectivity vendor, Medical Management Correspondence for the Health Insurance Marketplace for Blue Advantage HMO Members, Blue Cross Blue Shield of Texas Users will obtain immediate feedback regarding the results of the test to ensure compliance with HIPAA rules and codes. 2022 Magellan Health, Inc. All Rights Reserved. Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. Call 911. Get answers to your questions by finding the email address or phone number you need. Find your provider portal *interactive voice response (IVR) system to access, you must have document control number (claim number), Blue Cross and Blue Shield of Texas Medicaid. Where do I send the claim information?A. PO Box 660241 Healthcare providers may submit their requests for prior authorization of healthcare services to Magellan using the Texas Standard Prior Authorization Request Form for Health Care Services.. Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. Box 312599 Detroit, MI 48231-2599. Email to submit provider inquiries and questions, Ambulatory Surgery Centers (ASC) Independent, Non-Hospital owned, Fax: 1-713-663-1227 052 1366489049; 052; 1366489049 Franciscan PHO Northern IN Hammond; Claims Inquiry Patty Arredondo; Julie Lambertino; 7905 S Calumet Ave Munster; IN 46321 (219) 836-5800 66347 (219) 836-8025 patricia.arredondo@franciscanalliance.org; . The new Texas Clinicians Postpartum Depression Toolkit is intended to be a resource for Texas clinicians on screening, diagnosis and treatment of postpartum depression. Dental Blue Book eManual; Dental Blue News; Dental Enrollment and Credentialing; 1-972-766-8900 Its a simple six-step process which includes uploading and sending test files. <>/Metadata 345 0 R/ViewerPreferences 346 0 R>> The site may also contain non-Medicare related information. The site may also contain non-Medicare related information. The toolkit includes coverage and reimbursement options for postpartum depression through Medicaid, CHIP, the Healthy Texas Women Program, the Family Planning Program and other referral options. Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. We encourage you to submit claims electronically, via www.MagellanProvider.com or through a clearinghouse. 2 0 obj Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Out-of-network providers will be paid the Medicare-allowed amount less any member cost-sharing. Blue Shield 65 Plus (HMO): Blue Shield 65 Plus Medicare Provider Appeals Department P.O. 9~zfH. Key Contact Information Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. What is the appeals process? BCBS Prefix List AAA to AZZ. To view this file, you may need to install a PDF reader program. Molina Healthcare Phone Number claims address of Medicare and Medicaid. Self-enroll by creating a unique user ID and password. Vision/Hearing Claim. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Blue Cross and Blue Shield of Texas [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. Magellan Behavioral Health Providers! Specializing in the most complex, costly areas of care, Magellan Healthcare partners with states to manage behavioral health programs. Phone Numbers for Providers. If your state has multiple brands (WA, CA, OR, NY, NJ, to name just a few) then you'll want to ask for the exact address to file to. The short answer is yes! Blue Cross and Blue Shield of Texas PO Box 660044. You are on primary menu. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Blue Cross and Blue Shield of Texas Eligibility and benefits BCBS Prefix List. 1-361-878-1623 EFT is a direct deposit claim payment from BCBSTX to your designated bank account. General Member Service Correspondence. Fax 877-361-7646, Claims submission address: Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, Medical Providers Behavioral Health Toolkit, Magellan HealthCare Provider Focus News and Information, Applied Behavioral Analysis (ABA) Provider FAQ, Medicaid Provider Information on COVID-19 Coverage. To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 a.m.-8 . P O Box 660044 Mailing address (for paper claims): Blue Shield of California Mental Health Service Administrator (MHSA) P.O. Postpartum depression is a common, potentially serious and sometimes life-threatening condition. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. This means that, subject to applicable state or federal laws, claims must be submitted toMagellan within 60 days of the date of service or inpatientdischarge. Secure Provider Web Portal (Electronic Verification System - EVS) Online Provider Enrollment (OPE) Online Prior Authorization (PA) system Online Claims Submission Online Provider Claim Appeals Audio Response System (ARS) (800-942-6511) Real time CAQH/CORE EDI eligibility and claim verification Provider PASRR Nevada Medicaid COVID-19 Blue Cross and Blue Shield of . From theResourcessection, selectState & Plan Information,then under State-Specific, click theTexaslinkto access to access the following forms: Texas State Bill 1742: Preauthorization requirements, Standard Prior Authorization Request Form for Health Care Services, Texas Health and Human Services Commission, Preauthorization requirementsfor Blue Cross and Blue Shield of Texas commercial plans, Provider bulletin regarding Texas HB 3041, American Society of Addiction Medicine (ASAM), BlueCross BlueShield of Texas Medicaid STAR,CHIP and STAR Kids, Texas-specificABA Treatment Plan/Concurrent Review. 4 0 obj Premera Blue Cross (WA/AK) P. O. All Rights Reserved. Blue Shield Final Appeal Resolution Office P.O. Medicaid Phone Number. endobj %PDF-1.7 Austin, TX 78759-7228 hb```@(]K@1% V!iD3 7+S#UBCm0#LiF j9vvfL4 q* 800-637-0171, press 3 all_rights_reserved. Apply for individual or family medical, dental, and life insurance plans. Richardson, Texas 75082. 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