Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. P.O. 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. There, claims submission information is broken out by prefix/product name. Please note that Home Health claims received with Type of Bill 33X will be denied for invalid type of bill. If you have any questions regarding claims status, payment or submission please dial 855-299-6492, Our customer support team is always available to answer questions your staff may have 833-733-8478. Provider Complaints and Grievances ProviderComplaints@EmpowerArkansas.com. Contact your local Provider Relations representative, or connect with one of our other friendly, knowledgeable teams. The Devoted Health folks who answer your texts are called Digital Guides and yes, they're real people! Box 8190 Providers. P.O. The following address should be used for claims related to outer counties: Outer County Claims - Lehigh, Lancaster, Northampton, and Berks County. WPS Health Plan Buffalo, NY 14221. Box 211502 Eagan, MN 55121 Bright HealthCare does not accept faxed claims. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); Eagan MN 55121. Lisa Mitchell We're sorry, this feature is temporarily unavailable. Box 8190 '&l='+l:'';j.async=true;j.src= All Other Insurance Claims - Send claims to P.O. required. Extended MLTC Member Services 855-299-6492 and press 0 to reach a Member Services department representative. 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. Initial Claims: 120 days from the date of service The Devoted Health folks who answer our phones are called Guides. Empower Health Solutions Lisa.Mitchell@univerahealthcare.com, Regional Provider Contracting and Reimbursement Manager Prior Auth and Utilization Management Information, Information on Credentialing, Roster Submissions, Accessing Benefits During a Disaster or Emergency. Fax (prior authorization): 608-226-4777, WPS Health Insurance/WPS Health Plan Provider Data, GBNetworkDevelopmentDept@wpsic.com Extended MLTC also has an Online Provider Portal available. To obtain a prior authorization, request a referral for additional services or if you require assistance please contact Email Provider Enrollment to submit your application and follow up on enrollment status. Claim tools . Eagan, MN 55121, The EPIC Life Insurance Company Eagan, MN 55121. . PO Box 211435 Eagan, MN 55121. P.O. We look forward to continuing to work with you in helping enrich the lives of the individuals and communities we serve. Compliance hotline: (646) 833-2401 Eagan MN 55121. P.O. Call 1-800-724-1675 endobj Correspondence: Health Tradition Health Plan. For all electronic claims, please register with one of the following clearinghouses: If you submit paper claims, please be sure to submit claims on a CMS 1500 or a UB 04 form and always include: Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. Box 211184. 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 . . SIU@EmpowerArkansas.com, Utilization Management Eagan, MN 55121, WPS Administrative Services Box 211184 The Extended MLTC Emdeon payer ID # is 46166. <> Refer to the member ID card for the clinical phone number. Box 211533 Eagan, MN 55121 Electronic Submission Submit to Paycor ID 86145 *Once a claim is received by Redirect Administrators, a clean claim is expected to be paid within 45 business days. Little Rock, AR 72201, Correspondence: Claims Receipt Center Claims address: Bind, P.O. Contact, This site has been approved by NYSDOH. Fax: 920-490-6955 or 608-221-5479. Electronic claims to: 25463 **Paper claims to:**Surest PO Box 211758 Eagan, MN 55121. MondayFriday, 8 a.m.4 p.m. (CT) Visit our Join Our Network page for more information. Corporate Address Mail correspondence to: See our Privacy Policy for how we use information. As per the National Uniform Billing Committee (NUBC), the use of Type of Bill (TOB) 33X for Home Health Services was discontinued for dates on or after October 1, 2013. NM108 = XX NM109 = NPI # Paper (UB-04) NPI # - Box 56 . 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. We have created a brief guide to what an SDR is, how to identify one, and how they can be communicated to CenterLight. Claims (Medical and Behavioral Health) Clearinghouse Vendor Change Healthcare (formerly Emdeon) Changehealthcare.com Payer ID 65465 Claims Timely Filing 180 Calendar Days Paper Claims Mailing Address MoreCare P.O. If you are not a current customer or do not have your ID card, please use the contact information for your plan listed below. ), Wisconsin Physicians Insurance Box 21392. Avoid delays in claims handling and processing. To reach customer service, please call the number on your WPS ID card. Provider reconsiderations and additional claim information. Catholic Health System,Durable Medical Equipment, SPECIALTY PROVIDERS: Theyre here to help walk you through the healthcare system and get you the care you deserve. Please label the envelope and Claims form appropriately and mail to the following P.O. P.O. Claims: Health Tradition Health Plan. 1441 South Avenue P.O. Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 26 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], R2694CP.pdf. Andrea Copeland Catholic Health System,Eastern Niagara Hospital, HOSPITALS: P.O. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': Last updated on December 27, 2022, CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). BryLin Hospital, Quest Diagnostics, HOSPITALS: Submit an inquiry online MondayFriday, 7:30 a.m.5 p.m. (CT), unless otherwise noted. For non-portal inquiries, please call 1-800-950-7040 . So when you need a doctor or youre not sure what a new health condition means or youre just plain confused about something get in touch with a Devoted Guide. MondayFriday, 7:55 a.m.4:30 p.m. (CT) Barbara.McCroskey@univerahealthcare.com, Contact Customer Care for eligibility/benefits and claims inquiries, Contact By: Ask questions about your pharmacy benefits. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. With a nationwide membership, Bind continues to grow and will be upgrading plan designs and communications for coverage beginning in 2021. Address 1717 W. Broadway P.O. Claims address: Bind, P.O. Medicare Claims - Providers submit claims to Medicare, and Medicare forwards all claims to us for processing. 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. Claims Receipt Center. Call: 1-800-724-5033 Claims sent elsewhere are denied, and provider services will have no record of these claims. following the instructions on the member ID card. Initial Claims: 90 days from the date of service Our MoreCare customer service agents are available to help you with your membership concerns, MoreCare, P.O. Back to top of page Annual Enrollment Period BOX 211446Eagan, MN 55121Member Services:(866) 261-1286| TTY711Provider Services:(855) 429-1028www.getempowerhealth.com, Donaghey PlazaP.O. WPSIndividualSales@wpsic.com, 800-332-0893 This section of our website affords our participating Providers access to a variety of useful tools and documents. Madison, WI 53708-8190 QCH : Keystone Health . For a complete list of claims submission addresses, refer to the professional and facility payer ID grids at www.ibx.com/edi. Box 211597 Box 211595 P.O. For a sample list of these procedures, see the Bind Provider Guide. NON-PARTICIPATING PROVIDER Box 211533 Eagan, MN 55121 Facility/Hospital Mail* UB-04 / CMS-1450 claim form to: Redirect Administrators P.O. Online claims processing saves time and paper. <>/PageLabels 1697 0 R>> Box 211446 For help with member-specific eligibility, benefit or claims questions, please call 1-844-368-6661. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. 205 Park Club Lane Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. As of October 1, 2013 home health services should be billing with Type of Bill 32X. Eagan, MN 55121, WPS Administrative Services Submit all claims to: EDI Payer ID: 66701 Group Marketing Services, Inc. PO Box 21044 Eagan, MN 55121 Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Eagan, MN 55121, Family Care All rights reserved. Fax: 920-490-6923, WPS Health Insurance/WPS Health Plan Credentialing, ProviderCredentialing@wpsic.com CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Eagan, MN 55121. Ambulatory Surgery Centers, Home Care, Hospitalist & Emergency Physician Groups, Skilled Nursing Facilities, SPECIALTY PROVIDERS: Eagan, MN 55121, Correspondence (medical records, notes, etc. Olean, Wellsville, SPECIALTY PROVIDERS: For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM. 888-915-5477 Submit an inquiry online, Monday - Thursday: 8 a.m. - 4:30 p.m. TTY/TDD Dial 711 Please note that current CenterLight Teamcare participants do not need to take any action at this time. Contact ClearChain Health with any questions. You may submit claims to Surest (365-day timely filing) electronically at Surest payer ID 25463 or by mail to: PO Box 211758 Eagan, MN 55121 After a claim has been submitted, quickly check claims status on UHSS.UMR.com or call 1-844-368-6661 to speak with a specially trained UnitedHealthcare Shared Services Provider Service Representative. Box 211758, Eagan, MN 55121. Locations new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], Box 211256 Eagan, MN 55121. Ready for a busy Fall vaccination season? Box 21352 MoreCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, Improve patient satisfaction by loading Bind into your registration and claim system now so staff is prepared.