Claims for services provided to HealthChoices Members who have another primary insurance carrier must be submitted to the primary insurer first in order to obtain an EOB. Box 2924 Phoenix, AZ 85062-2924. . Claims Courier is an 837P compliant application. Customer Service: If you have questions or need additional support, BCBSTX Personal Health Assistants are available to help. Houston, TX 77027-3279 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 site may also contain non-Medicare related information. PO Box 660044. endobj In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. View the 2021 GuideWell Social Impact Report. UB-04 claims Blue Cross Blue Shield of Michigan P.O. 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 What is the appeals process? Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Fax: 713-663-1227 Don't have your card? Contact Us. View help topics or login via our member website. Again, this can be a huge time-suck, calling and being transferred over and over. Box 211184 Eagan, MN 55121 If this is an emergency situation, you should do one of the following: Are you a provider looking for information on Magellan plans, joining our network, or performing secure transactions related to your practice or Magellan members? If you are able to create an 837 file in a HIPAA compliant format, we. Providers Are you a provider looking for information on Magellan plans, joining our network, or performing secure transactions related to your practice or Magellan members? Resubmissions must be submitted within 60 days from the date of denial. Q. 2. Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. Dallas, TX 75266-0027, Prior authorization of Medical Services for the Health Insurance Marketplace for Blue Advantage HMO Members, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-800-451-0287*, Behavioral health services mental health and chemical dependency, For prior authorization and referrals managed by BCBSTX: (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services). TennCare is happy to provide you an email response to your inquiry. hb```@(]K@1% V!iD3 7+S#UBCm0#LiF j9vvfL4 q* Email to submit provider inquiries and questions, North Texas Dallas, Fort Worth, East Texas (ExcludesBastrop, Bell, Bosque, Burleson, Burnett, Caldwell, Falls, Fayette, Hays, Hill, Lee, Leon, Limestone, Madison, Milam, McLennan, Robertson, Travis, Wichita and Williamson counties), Blue Cross and Blue Shield of Texas The process typically takes about 3 to 4 weeks to complete the process, so allow ample time to complete your independent testing. 2 0 obj Mailing address (for paper claims): Magellan Health Services . BlueCard (See item #2 below to learn how to contact your BCBS company to address any errors.) BlueCross BlueShield of Tennessee is a Qualified Health Plan . Through increased access to evidence-based treatment options and effective preventive measures, we are making it easier for members to recover and stay out of hospitals. 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. Note: Predetermination requests for members with Blue Cross and Blue Shield benefits in another state should be sent to the Plan indicated on the members ID card. Submit appeals within 120 calendar days from receipt of remittance advice (RA). Interested in exploring opportunities? The Magellan timely filing standards (or in accordance with your state law) will be applied to claims for services rendered after you joined the Magellan network. Box 312599 Detroit, MI 48231-2599. Availity provides administrative services to BCBSTX. stream Registertoday with no set-up fees, monthly fees or per-claim fees charged to providers by visiting theAvaility websiteand selecting"Register". For service questions, such as benefits, claims, bill pay or other issues: Call: 1-800-495-2583, 8 a.m.-8 p.m . <> Blue Shield of California welcomes you. 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. Blue Cross and Blue Shield of Texas 1 0 obj (out-of-state subscribers) 1-800-336-5696 Magellan has had sites accredited by URAC since 1992. BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. Blue Cross and Blue Shield of Texas Copyright 2022Health Care Service Corporation. Austin, TX 78759-7228 Utilization Management/Medical Management/Case Management. 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 We provide free eligibility and benefits verification as part of our billing . Fax: 361-852-0624 BCBS Prefix List AAA to AZZ. Need Help? Claims are paid based on your status on the date of service. For this reason, your resubmitted claim has been denied. Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . Contact Magellan Health Services or call 1-800-788-4005 For prior authorization, benefits, eligibility, or claims status or questions contact Magellan at 1-800-327-7390 Effective 6/27/2022, a Behavioral Health Service Coordination can help members manage complex conditions related to mental health and substance use. Skip to article content, Electronic Data Interface (EDI) via Direct Submit, Claims Courier-Magellans Web-based Claims submission tool, Paper Claims: CMS-1500 (Non-Facility-Based Providers) or UB-04 (Facility-Based Providers). Together, we're committed to making a meaningful difference in the health of all Floridians. For preauthorization of psychological testing, in addition to the Texas Standard Prior Authorization Request Form for Health Care Services, Magellan also requires the provider to complete and submit the Request for Psychological Testing Preauthorization form found on our clinical forms page. Upon receipt of a claim, Magellan reviews the documentation and makes a payment determination. Medicaid Network Management Email to submit provider inquiries and questions. Magellan understands the importance of integrating care for members with SMI and physical comorbidities. Box 2291 Durham, NC 27702-2291 . Not a Magellan provider yet? Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. Find plan-specific and program resourcesfor Texas STAR, STAR Kids and CHIP. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. Open in Google Maps Business Hours. No. 1800 West Loop South, Suite 600 17806 IH 10 West, Bldg II, Suite 200 Download information about our behavioral health solutions and public behavioral health overview. Does this timely filing limit apply to all claims for all members (e.g., COB, Medicare, etc.)?A. A. Fax: 1-713-663-1227 Eligibility and benefits 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. Credentialing Status. It is important for you to stay current with your specific state and/or plan/program requirements. 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.) Fax: 972-766-2231 The Texas Department of Insurance developed the form to be used to request prior authorization for services for commercial insured members, Medicaid, Medicaid Managed Care, the Childrens Health Insurance Program (CHIP), plans covering employees of the state of Texas, school districts, and the University of Texas and Texas A&M systems. Behavioral Health Program Blue Cross and Blue Shield of Illinois (BCBSIL) manages behavioral health services for all commercial, non-HMO members who have behavioral health benefits through our group or retail products. Magellan is committed to the fight against the opioid epidemic and other substance use disorders (SUDs) affecting far too many of our family members and friends. When your BCBS ID card arrives in the mail, take a moment to look for these five things: 1. Claims Submission. TO AVOID DELAY, DO NOT SUBMIT FORM TO MULTIPLE AREAS/OFFICES. General Information: 1-972-766-6900. To submit claims on Magellans website: Providers can submit claims using the Claims Courier application by signing in to the. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. 2022 Magellan Health, Inc. All Rights Reserved. Participating physicians, professional providers, ancillary and facility providers may not seek payment from the member for claims submitted after the 95-day filing deadline. Box 629011 El Dorado Hills, CA 95762-9011. endobj Find your provider portal Contact us By mail. 2615 Calder St, Suite 700 Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. By telephone. Member website Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O status the! Be a huge time-suck, calling and being transferred over and over # x27 re. These five things: 1 box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark of! 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