1-800-454-3730. Medicare Advantage plans; Uniform Medical Plan: 1 (888) 849-3682 . For general messages and inquiries MedicareInfo@hpplans.com Colonial Penn Life Insurance Company P.O. For participating providers, some of the most common inquiries — including member eligibility and claims details — now can be done online 24 hours a day, 7 days a week. Use one of the following self-service tools to check the status of your claim. 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. Claim Editing Software. Tools. • Claim Status • Claim Payments • Status on Service Authorizations • Service Limits Information • Pharmacy Prescriber ID Information Automated Services • Phone (Richmond Area) - 800-772-9996 •-800 884 9730 Provider Helpline (8am-5pm, Mon-Fri) • Assistance with claims status and adjudication inquires MHCP Provider Call Center For questions about fee-for-service coverage policies and billing procedures provided to Minnesota Health Care Programs (MHCP) members, contact the Provider Call Center or email Health Care Providers.. Email: Colorado_PR_Team@uhc.com for claims … Get the support you need so you can focus on providing patient care. You can call Medicare anytime for help with your coverage. Child Health Plus. Call: 877-778-7226, Monday - Friday, 8:00 AM – 4:30 PM Mail: SCAN Claims Department P.O. 1-866-309-1719. Kaiser Permanente. TTY: 1-800-662-1220. For eligibility-related questions, call the number on the back of the member’s ID card or dial 800-676-BLUE (2583). Medicaid. Checking Claim Status. PPHP Members and Providers Inquiries: 800-405-9681 . For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. Molina Healthcare of Michigan - Medicare. Welcome to Medi-Shares provider page! Providers without access to NMP must coordinate with his/her employer to gain access. Dedicated Provider appeals line: Phone… Monday – Friday, 8:30 am – 5 pm (Eastern Time) Toll Free: 1-800-684-9286. Non-Participating providers have 120 days to submit a dispute and 60 days to file an appeal (claim denial). Electronically filed claims must use EDI Claims/ Payor ID number - 51062. Customer ID Card (Back) Confidential, unpublished property of Cigna. Mailing address: 5660 University Parkway Winston-Salem, NC 27105. Contact Provider Support. The EDI 837 (Electronic Claims Enrollment) form can be found in the Claims section of the Provider Forms Library. Box 3686 Scranton, PA 18505 Medicaid.gov Mailbox: Medicaid.gov@cms.hhs.gov. 74232 Provider Assistance When you register for a Provider web account, you are establishing a secure, personal web account that offers you access to the following services:. File the claim with Medicare, which will forward it to be processed under the Medicare Supplement policy as a crossover claim for Medicare Parts A and B. If you are a Provider and require assistance, you may contact UnitedHealthcare plans by calling the toll-free General Provider line. ‌ Horizon Healthcare Dental Services Local: 410-786-3000. Founded in 1997, we provide our members with cost-effective health and drug coverage, local customer service and a high-quality network of providers. 17 Technology Circle. If you speak another language, assistance services, free of charge, are available to you. Call the Interactive Voice Response (IVR) at 1.877.220.6289. 800-677-6669. Contact. or. Anti-Fraud and Corporate Compliance. Standard and expedited appeal fax: (916) 350-6510. Call the Interactive Voice Response (IVR) at 1.877.220.6289. Slide 1 - Welcome to Aetna’s Cultural Competency Training. Behavioral Health Services: in the Other Comments box. Additional Support. Grievance and appeals. Call 1-800-401-2740 TTY/TDD: 711 Monday through Friday, 8am to 8pm EST ... OUR PHONE NUMBER: Toll Free: 1-800-401-2740 or TTY: 711. Main Customer Service numbers: Medicare – 503-574-8000, 800-603-2340 Call the Consumer Hotline 1-800-324-8680. For general questions, eligibility verification or Medicare Cross-Over Claim questions, contact TennCare Provider Services at … PO Box 908. Member Services 1 (800) 244-6224. The IVR provides the status of a claim (e.g., processed, pending, denied, returned to provider, rejected), when it was received, the type of bill, claim location, and total charges. Resources for Providers. Claims Support. Mailing address: 550 High Street, Suite 1000, Jackson, MS 39201. ProviderSource is Premera's preferred method for receiving provider credentialing and recredentialing information. Box 1938. Claim Status/Patient Eligibility: (866) 518-3285 24 hours a day, 7 days a week. Mailing address: 5660 University Parkway Winston-Salem, NC 27105. Plan Options & Programs. 800-444-2726 (Anthem National Claims) 800-676-2583 … Medicare Member Services, phone: (800) 776-4466. Box 830430 Birmingham, AL 35283-0430 Claims Inquiries and Administrative Reviews (Provider Disputes): Gateway Health Attention: Claims Review 444 Liberty Ave, Suite 2100 Pittsburgh, PA 15222 Clinical Provider Appeals: Gateway Health AmeriHealth Administrators. The IVR provides the status of a claim (e.g., processed, pending, denied, returned to provider, rejected), when it was received, the type of bill, claim location, and total charges. This website provides information and news about the Medicare program for health care professionals only.All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Local: 410-786-3000. Medicare Supplement. Claim … 404-651-9982. PROVIDERS ONLY. Email. You can also contact Medicare or the Social Security Administration. 6300 Canoga Avenue. For all service inquiries and claims questions please call: 800.800.2254. CMS Requests Provider Demographic Data Review/Attestation in NPPES The Health Plan strives to maintain an accurate provider directory to assist our members in locating a provider to treat their health care needs. Box 30377 Lansing, MI 48909-7877 Mailing Address for Customer Service, Medical Claims, Appeals & Grievances: P.O. Welcome to NGSMedicare.com. Customer Care Center for Provider Services. Customize a plan to fit your needs and your employees' needs. ENROLLING IN THE MEDICARE PROGRAM Find a Medicare Plan Find a Provider. Other Inquiries. Blue Shield of California provider appeals. For health care professionals 1-888-991-9023 or 215-991-4350. Check your claim status with your secure Medicare account, your Medicare Summary Notice (MSN), your Explanation of Benefits (EOB), Medicare's Blue Button, or contact your plan. Slide 2 – At the end of this presentation you will be able to. TTY: 877-486-2048. www.medicare.gov. Box 8248 Madison, WI 53708-8248. Please contact the myNEXUS Claims Team for questions related to the claims process by calling 833-241-0428. 1-866-745-1791. The toll free telephone number for Medicare is 855-625-8060. Corporate Headquarters. • Claim Status • Claim Payments • Status on Service Authorizations • Service Limits Information • Pharmacy Prescriber ID Information Automated Services • Phone (Richmond Area) - 800-772-9996 •-800 884 9730 Provider Helpline (8am-5pm, Mon-Fri) • Assistance with claims status and adjudication inquires All claims and specialist authorizations. Claims Administration and Provider Enrollment. Welcome to the Medi-Cal Provider Home. Kaiser Wellness. SummaCare uses a claim editing software called CES, which is available to providers … Looking for help? Note: If you are not satisfied with the level of service you have received from one of our provider contact center representatives, please ask to speak with a supervisor, and the supervisor will promptly return your call. Providers. If you need assistance in obtaining approvals/referrals or other medical service for the impacted area, please contact Customer Service at … This page last updated 12-08-2020. Use Payer ID 22099 if you use a vendor or clearninghouse. Pharmacy Services. Columbia, SC 29203. If you still cannot find the information you are looking for through Medicare.gov, you can also contact Medicare directly by phone. Medicare representatives are available 24/7 by calling 1-800-MEDICARE (1-800-633-4227) (TTY users 1-877-486-2048). Monday–Friday, 7:30 a.m.–5 p.m. (CT) General inquiry request. To check the status of Medicare drug plan (Part D) claims:Check your Explanation of Benefits (EOB). Your Medicare drug plan will mail you an EOB each month you fill a prescription. ...Use Medicare's Blue Button by logging into your secure Medicare account to download and save your Part D claims information. Learn more about Medicare's Blue Button.For more up-to-date Part D claims information, contact your plan. We provide care to our providers. The number to call is 1-800-MEDICARE (1-800-633-4227).The TTY (TeleType) number is 1-877-486-2048.. Customer Service/Claims Resolution. Provider Partners Health Plans 785 Elkridge Landing Road, Suite #300 Linthicum Heights, MD 21090 Corporate Phone: (443) 275-9800. MEDI System Login ILLINOIS Rx Portal Preferred Drug Listing Vendor Payments Claims Processing System Issues Recipient Eligibility Verification Program Electronic Data Interchange (EDI) Medical Card Info Managed Care Provider Complaint Portal HealthChoice Illinois ADT. EDI Claims Assistance. New York State Department of Health – Medicaid Managed Care. For Providers Welcome, providers. PacificSource Health Plans is dedicated to meeting the needs of our members, including the ability to locate appropriate care. OUR FAX NUMBER: 813-506-6150. MEDI System Login ILLINOIS Rx Portal Preferred Drug Listing Vendor Payments Claims Processing System Issues Recipient Eligibility Verification Program Electronic Data Interchange (EDI) Medical Card Info Managed Care Provider Complaint Portal HealthChoice Illinois ADT. Contact Number; Provider Contact Center (PCC) Call the PCC for issues related to claims, billing, eligibility, provider education, eServices and other provider issues. Provider Services: 855-322-4077. Just tell us what you're looking for, and we'll design a plan for you. 877-235-8073 . First Coast Service Options. Medicare. Blue Cross Blue Shield of Michigan Anti-Fraud Hotline. On the Medi-Share provider page you can register as a new provider, check member eligibility, check bill status, and add/edit physician or facility info. Phone: 888-355-9165 Press 5 for Customer Service Fax: (803) 264-9844 Y0028_7416_M. For claims questions, contact the Plan at 1-844-637-4760 (TTY 711), option 4. Mailing address: PO Box 91059 Seattle, WA 98111-9159 Claim payer IDs Professional and Institutional 00430; Dental 47570 View claims and billing forms. A / B. EDI Helpdesk – Please have your Provider Transaction Access Number (PTAN), National Provider Identifier (NPI) and Tax ID available when calling. Customize a plan to fit your needs and your employees' needs. Addison, TX 75001-0908. Checking Claim Status. General Provider line: 1-877-842-3210. If you have a question about one of our services, we’d like to hear from you. Explain Aetna’s commitment to cultural competence, and. Provider Relations Colorado Physician & Hospital Advocate Team. Member Services. CMS Comments on Noridian - Access address in which providers may offer comments to CMS concerning Noridian's performance.. Congressional Inquiries - Congressional offices may receive inquiries from constituents regarding their Medicare services. Box 33842 Detroit, MI 48232-5842 Box 2679. Providers are routed by their Tax ID. Welcome. At this time, Health Net commercial (EPO, POS, PPO, and CommunityCare) providers continue to use the legacy Health Net portal at www.healthnet.com. Contact us if you need help with: Billing and policy questions; Claim status – (In order for us to serve you faster, please be sure to review your remittance advice before calling.) All claims should be submitted electronically. All dental Medicare claims . Aetna SilverScript Prescription Drug Plans (PDPs) 1-866-235-5660 (TTY: 711) 7 days a week, 8 AM to 8 PM. We are not able to respond to PHI information through Contact Us. Hotline. Medicare Advantage homepage, Find A Doctor, and forms, call 800-722-9780; Medicare Advantage secure pages and online tools, call 888-850-8526; ProviderSource for online credentialing. … MyMedicare.gov: Phone number for general questions. 1-800-698-4KIDS (1-800-698-4543) 1-877-898-5849 (TTY) Client Advocacy Line, NYS Office of Alcoholism and Substance Abuse Services. Authorizations, Member Benefits, Eligibility Monday-Friday, 8 a.m.-5 p.m. PST. Define cultural competence. Provider Services. Medicare member walk-in services are available: Monday–Friday, 8 a.m.–4:30 p.m. If you have access to the portal, you may click the link below: Go to the Provider Portal. You provide care to your patients. To update your information, Contact your provider services executive by fax at 1-866-449-5668 or call the CarePlus Provider Operations inquiry line at 1-866-220-5448, Monday – Friday, 8 a.m. – 5 p.m., Eastern time. Freedom of Information Act (FOIA) Inquiries. The Provider Service Center helps with contracting, patient services, precertification and many other questions. 404-651-9606. Omaha, Nebraska 68103-2679. Call 877-342-5258, option 2, 8 a.m. to 5 p.m., PST, Monday through Friday, for … Mailing address: Medicare Plus Blue Provider Inquiry Services P.O. Sign-on or Register to access KP Online Affiliate, or view claim status as a guest user. 1-844-305-6963. The IVR provides the status of a claim (e.g., processed, pending, denied, returned to provider, rejected), when it was received, the type of bill, claim location, and total charges. A state of emergency has been declared related to Novel Coronavirus (COVID-19). Switch & … TTY users dial 711. Contact us by phone. Aetna DMO ® and PPO grievance and appeals. Checking Claim Status. Health professionals contact information - Services Australia Contacts. Claims. Woodland Hills, CA 91367-2555. 877-660-1759 (TTY) 877-847-4992 (IVR) Access the SPOT. Cigna HealthCare Small Group Sales Two College Park Drive Hooksett, NH 03106 Fax: (603) 268-7973 or email us. Contact Us About Claims . Provider Services. If so, please contact Provider Services at the member's Managed Care Organization for MCO claims. P.O. You can call us for help. Or for claims questions, call our Claims Customer Service line at 866-865-7631. Provider Support provides research and technical support for Medicaid Fee-For-Service claims inquiries and processing issue resolution. Important Phone Numbers for Patients and Providers. For health care professionals 1-866-841-7659 or 215-991-4300. Provider Services (direct all inquiries or issues) directly to AmeriHealth Administrators) 1-800-841-5328. provrelations@amerihealth-tpa.com. Contact Anthem Blue Cross (Anthem) For help with eligibility verification , claims , and general provider questions , please call the appropriate Customer Care Center phone number below. Switch & … 800-765-4977. Explain your responsibility in providing culturally competent care. Request must include all National Provider Identifiers (NPIs) and Provider Transaction Access Numbers (PTANs) Last Updated Thu, 04 Oct 2018 09:24:04 +0000 Contact 1-888-650-8136. When contacting Provider Support by phone, please have the necessary information available to receive adequate assistance. Quick and easy access to your personal and corporate data. Find a Pharmacy Find a Drug. Blue Medicare HMO Blue Medicare PPO Contact: 1-888-296-9790 or (336) 774-5400. On the Medi-Share provider page you can register as a new provider, check member eligibility, check bill status, and add/edit physician or facility info. Please provide your contact information so … Lawrence, KS 66044 Claims Customer Service: 602 417-7670, Select option 4 Claims Disputes: Within Maricopa County 602-417-4232, Statewide 1-800-654-8713 ext. Part B Claims and Claims … Provider’s name and address ( must match enrollment information with MAC) In most cases, NGS will respond via letter to the provider address on file within 45 business days. California only: Aetna Dental P.O. Account. Company Network Type of Claim EDI or Payor ID Clearing House Paper Claim Submission Address Contact for Inquiries; PNC: All: HIP & GHI Medical and Hospital claims prior to transitions to ECHO Health, Inc. See EmblemHealth section above. OTC; Quick Links. Please have the NPI, claim number, and member information available when using this tool. Fee-for-service Exceptional Claims. COVID-19 Update for Our Providers: We have received many questions from Providers regarding our policies, coverage, and the COVID-19 vaccines. PO Box 1270. This publication offers providers and suppliers the following information: Enrolling in the Medicare Program; Private contracts with Medicare EHQH¿FLDULHV Filing Medicare claims; Deductibles, coinsurance, and copayments; &RRUGLQDWLRQ RI EHQH¿WV &2% DQG Resources. Go to Provider Page. The purpose of the COB program is to identify the health benefits available to a For help with submitting claims via electronic data interchange (EDI), contact INXIXElectronicSolution@dxc.com or call the EDI Solutions Help Desk … Contact Us. Provider training; Health Insurance Portability and Accountability Act (HIPAA) Forms (claim forms, prior-authorization forms, all other forms, and brochures) Aetna Medicare PO Box 7762 London, KY 40742. Feel free to contact THP’s Medicare Customer Service number at 1.877.847.7907 if you have any questions. • Customer Service phone number • Provider Services phone number • Authorization/Referral phone number • Medical Claims Submission Address • Pharmacy Help desk phone number • Pharmacy Claims Address • 24 Hour Health Information Line phone number • Website . 1-866-745-1791. Supervisor level. Baby FootSteps ®. TTY users should call 1-877-486-2048. Contact Us. Stay up-to-date with the changes in the Medicare Advantage Provider Update Newsletter. TTY: 1-888-588-2711. Nurse Advice Line 1-800-919-8807 24 hours a day, 7 days a week As a provider and medical professional, the Essence Healthcare provider portal offers easy access to information related to member eligibility, claims status, authorizations and more. New Jersey: Small Group Sales 1 (800) 456-6575. Geisinger Gold Medicare Advantage HMO, PPO, and HMO D-SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company, health plans with a Medicare contract. Claims filing requirements and status: 800-390-3510: EDI (Electronic claims submission) 866-285-0361: Claims submission address: Kaiser Foundation Health Plan, Inc. Claims Administration Department P.O. Provider Services Call Center Menu Update - Enter the MCD ID or National Provider Identifier (NPI): Beginning April 29, 2021, providers contacting the Provider Services Call Center may be prompted to enter their 8-digit MCD ID or 10-digit National Provider Identifier (NPI) after pressing option 2 to speak to an agent and selecting a subsequent menu option. Blue Medicare HMO Blue Medicare PPO Contact: 1-888-296-9790 or (336) 774-5400. Call the provider hotline 1-800-686-1516. PNC Remittance Advantage N/A: 877-597-5489, option 1 Anti-Fraud and Corporate Compliance. Claim Status. Welcome to UnitedHealthcare's online provider tool, a resource available to physicians and healthcare professionals serving consumers with UnitedHealthcare Medicare Supplement and Hospital Indemnity Plans that carry the AARP name. 1-800-458-5512. You can also contact us via e-mail at: CPHP_MemberServices@Careplus-HP.com with your suggestions. If you are a non-contracted provider, you will be able to register after you submit your first claim. Call your Provider Relations Specialist (PDF) … Resources for Providers. Provider Services (direct all inquiries or issues) directly to AmeriHealth Administrators) 1-800-841-5328. provrelations@amerihealth-tpa.com. 24 hours a day, seven days a week. Medicare Provider Enrollment P.O. 1 From a report prepared for UnitedHealthcare Insurance Company by Gongos, INC., “Substantiation of Advertising Claims concerning AARP Medicare Supplement Insurance Plans,” December 2019, www.uhcmedsupstats.com or call 1-866-832-2401 to request a copy of the full report. 877-660-1759 (TTY) 904-361-0696 (FAX) N/A. Contact Anthem Blue Cross and Blue Shield. Payor ID’s: Claims – Payor ID 76342 Encounter Data – Payor ID 76343. OUR MAILING ADDRESS: P.O. As of 9/1/2020, Claim Status can only be obtained through one of our self-service tools. Provider Contact Center (PCC) Provider Contact Center Training Closures; Mailing Addresses. 1-800-458-5512. … Providers can help facilitate timely claim payment by having an … Provider inquiries . You can go to any doctor, hospital or other provider that accepts Medicare patients anywhere in the country. Or for claims questions, call our Claims Customer Service line at 866-865-7631. Medicaid.gov Mailbox: Medicaid.gov@cms.hhs.gov. 1-866-868-8967. Toll-Free: 877-267-2323. When submitting a Medicare supplement claim directly to GPM Life, use the following mailing address for our administrative offices: GPM Life. Omaha, Nebraska 68103-2679. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) 1-877-238-6211 (TTY: 711) 7 days a week, 24 hours a day. Please visit this TRICARE customer service page for TriCare East contact information. Access your online account where you can check eligibility, update info and more. New York Medicaid Choice 1–800–505–5678. 1-800-772-1213: Mailing Address: Medicare Contact Center Operations. If you are a contracted Health Net Medicare Advantage provider, you can register now. AmeriHealth Administrators. 1-732-452-6000 Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. Use one of the following self-service tools to check the status of your claim. Contact: Website: Medicare.gov: For specific billing questions about claims, records, and expenses. 7 a.m. to 5 p.m., Monday – Friday Closed Mondays from 8 to 9 a.m. Customer service. If you need additional assistance regarding a claim denial, please contact our Provider Contact Center at (866) 234-7331. 1-800-633-4227. EDI Claims Submission Clearinghouse: OptumInsight 1755 Telstar Drive #400 Colorado Springs, CO 80920. Health insurance plans. (Medicare Advantage) 38334. Provider Manual. Contact Kaiser Permanente. Exceptions to the 12-month claim submission time limit may be allowed, if the claim meets certain conditions. Texas Medicaid & Healthcare Partnership (TMHP) (link is external) is the claims administrator for Texas Medicaid. Provider contact center: Escalated issues --. Under the guidance of the California Department of Health Care Services, the Medi-Cal fee-for-service program aims to provide health care services to about 13 million Medi-Cal beneficiaries. ; You may now submit online disputes, appeals, supplemental claim attachments or request for information (RFI) via Online Affiliate. Member Services: 800-665-3072. The Medi-Cal fee-for-service program adjudicates both Medi-Cal and associated health care program claims. 1-800-553-5790. Here you will find the tools and resources you need to help manage your practice’s submission of claims and receipt of payments. Original Medicare. Box 14094 Lexington, KY 40512-4094. Primary claims, including claims using a legacy provider ID (TIN+suffix), behavioral health claims and claims requiring a medical record, can be submitted from the Horizon BCBSNJ page after logging into NaviNet.net. Hotline. Amerigroup Amerivantage (Medicare Advantage) 1-866-805-4589. WellCare wants to ensure that claims are handled as efficiently as possible. Medicare Advantage Policies The information on this page is available for those providers who are Medicare Advantage-contracted with BCBSNE. Are you a provider who needs assistance with TennCare related matters? Phone Number. Calendar – Check this calendar to see the Federal Holiday and Provider Contact Center (PCC) training closure schedule. All hard copy (CMS-1500, UB-04) claims must be submitted by mail to the address listed below. 837 Professional FFS Claims 5010v Guide (PDF) Claims Samples and Guidelines.

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