Read about our progress in the 2021 GuideWell Social Impact Report. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. Blue Shield 65 Plus (HMO): Blue Shield 65 Plus Medicare Provider Appeals Department P.O. 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. To view this file, you may need to install a PDF reader program. Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. Place of Service 23. For status call: Box 9000 London, KY 40742 Phone: (866) 510-8778 Blue Shield Medicare Advantage Blue Shield Medicare Advantage Plan P.O. Behavioral Health Services are provided byMagellan Health Services. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Pharmacy Claim. Medical Care Management Austin, TX 78759-7228 endobj Explore more about our programs and services addressing behavioral health, including substance use disorder treatment, and integration with physical health. Box 312599 Detroit, MI 48231-2599. PO Box 660241 Providers can refer members by contacting 1-877-214-5630. To view this file, you may need to install a PDF reader program. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Box 310166 Detroit, MI 48231-0166. This date is based on the date of the other carriers decision. <> Claims Submission. Medicaid Network Management Email to submit provider inquiries and questions. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. 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. The new Texas Clinicians Postpartum Depression Toolkit is intended to be a resource for Texas clinicians on screening, diagnosis and treatment of postpartum depression. Availity provides administrative services to BCBSTX. Check member eligibility, submit and check claims and find important information and more on our provider portal. Richardson, TX 75082-4144 2 0 obj Our innovative care coordination, case and utilization management programs, and vast network of behavioral health and specialty providers facilitate improved access to cost-effective and quality care while improving quality of life for the members we serve. 450 Riverchase Parkway East. Or call your doctor or therapist for help. Our approach addresses the most costly areas and most unique needs of health plans, fueling discovery of unmet clinical needs and driving innovation to improve health and financial outcomes. Keystone First 200 Stevens Drive Philadelphia, PA 19113. 1001 E Lookout Drive Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. Montgomery:(877) 769-9782 Northampton:(866) 238-2312 Provider Services Contact Information: Bucks/Montgomery: (877) 769-9779 Cambria:(800) 424-3711 Lehigh/Northampton:(866) 780-3368 Information For Members & Providers: TTY (All counties):PA Relay 7-1-1 Fraud & Abuse:(800) 755-0850 For Emergency Situations, Always Call 911 Make sure to send your claim form to the appropriate claims payer and specific address. Email to submit provider inquiries and questions, Ambulatory Surgery Centers (ASC) Independent, Non-Hospital owned, Fax: 1-713-663-1227 It is important that you review all EOPs promptly. Participating physicians, professional providers, ancillary and facility providers may not seek payment from the member for claims submitted after the 95-day filing deadline. Magellan steps in for our members to help prevent and address the risks of one affecting the other. 1-800-749-0966 Contact Availity or other electronic connectivity vendor or call 1-800-451-0287*, *interactive voice response (IVR) system to access, you must have full member's information (for example, member's ID, patients date of birth, etc. Blue Cross and Blue Shield of Texas, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). 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 BlueCare / TennCare Select Claims Service Center 1 Cameron Hill Circle, Suite 0002 Chattanooga, . When the confirmation message displays, select, To enroll online for EFT, you must be a registered Availity, Texas Medicaid claims are normally finalized weekly on Mondays. Richardson, TX 75082 Molina Healthcare Phone Number claims address of Medicare and Medicaid. Box 2924 Phoenix, AZ 85062-2924. . External link You are leaving this website/app (site). Dallas, TX 75266-0241 Claim Status; For Availity-related questions, please visit the Availity Essentials website or contact Availity Essentials Client Service at 1-800-282-4548, 8 a.m. to 8 p.m. Horizon BCBSNJ: 1-800-624-1110 or 1-800-626-2212. Blue Cross Complete claims P.O. This new site may be offered by a vendor or an independent third party. 9442 Capital of Texas Hwy N, Suite 500 Driving directions. Blue Cross Blue Shield of Arizona 2444 W Las Palmaritas Dr. Phoenix, AZ 85021 . The form cannot be used for any other purpose except to request prior authorization of a healthcare service. D2Ed0L^lA$0D`X|6MlK(4S$3Al"@?MV3H{r qJAGg` 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. 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? Member Questions Blue Cross Blue Shield members, please contact your BCBS company if you have specific questions about your plan, coverage and more. . Note: For the requests below, utilize the indicated links: All other inquiries submit an email by selecting the office closest to your location and provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. Most PDF readers are a free download. This practice is called balance billing and is not permitted. Where do I send the claim information?A. Resubmissions must be submitted within 60 days from the date of denial. This new site may be offered by a vendor or an independent third party. Together, we're committed to making a meaningful difference in the health of all Floridians. If claims are submitted after the timely filing limit, they will be denied for payment, subject to applicable state and federal laws. Richmond, VA 23242 Visit our Help Center . Because claims mailing addresses are different for different Blue Plan members, using the Claims Routing Tool is the most accurate way to determine a claims mailing address. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. 1-361-878-1623 Customer Service. One option is Adobe Reader which has a built-in reader. Corporate Address. From 2015 to 2017, our programs contributed to a 26% increase in members who were asked by their behavioral health providers to authorize communication with their PCP providers.3, Working with HealthConnections, the team helped get me to a place of not having fear, not having pain, exercising and doing yoga. 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 NOTE: To gain access to the above Blue Cross and Blue Shield of Texas Medicaid Tools you must be registered with Availity. Once you get to your company's site, click on "Find Care" in the top menu to get to the provider search function. Fax: 713-663-1227 Pharmacy claim submission and Pro- DUR questions ; 24 hours / 7 days a week; Magellan Rx Management Pharmacy Call Center: 1-800-424-5725. If you have a question about . UB-04 claims Blue Cross Blue Shield of Michigan P.O. As a Magellan provider, you are required to hold HealthChoices members harmless and cannot bill them for the difference between your contracted rate with Magellan and your standard rate. 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. Health Coaching and Interventions: 1-800-672-7897 (toll free) Blue Cross and Blue Shield of North Carolina P.O. No. Email to submit provider inquiries and questions, Austinand Central TX (Bastrop, Bell, Bosque, Burleson, Burnett, Caldwell, Falls, Fayette, Hays, Hill, Lee, Leon, Limestone, Madison, Milam, McLennan, Robertson, Travis, Williamson counties), Blue Cross and Blue Shield of Texas There, claims submission information is broken out by prefix/product name. 114 Mesa Park Dr. Suite #300 To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . 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. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 24 0 R 25 0 R 26 0 R 27 0 R 30 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Q. Need Help? Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. Paper Claims Address Independence Administrators P.O. Richardson, TX 75082-4144 Most PDF readers are a free download. TennCare Pharmacy Program 1-888-816-1680. Human Resources . hbbd```b``A$ Phone: 1-713-354-7033 View help topics or login via our member website. You should also check with your billing service, clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software. If necessary, government programs paper claims may be submitted. 1-361-878-1623 The short answer is yes! Authorization In an effort to make the authorization process easier for our EAP providers, New Directions EAP offers an authorization prompt on its telephone system (800-624-5544, prompt 3). (page_last_updated 03/2022) Fax: 361-852-0624 The site may also contain non-Medicare related information. Phone: (800) 824-8839 Short-term claims for Blue Shield Life & Health Insurance Company Blue Shield Life & Health Insurance Company P.O. *interactive voice response (IVR) system to access, you must have document control number (claim number), Blue Cross and Blue Shield of Texas Medicaid. The Blue Cross Blue Shield Association is an . <>/Metadata 345 0 R/ViewerPreferences 346 0 R>> 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? Winston-Salem, NC 27105. The 60-day inpatient readmission rate in Pennsylvania was nearly cut in half, from 21% to 11%, for members utilizing MAT at discharge versus those who were not.2. BCBS Prefix List. TTY: 735-2989. DO NOT COMPLETE THIS FORM IF YOU ARE A MAGELLAN COMPLETE CARE MEMBER OR PROVIDER. Q. Its a simple six-step process which includes uploading and sending test files. 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 site may also contain non-Medicare related information. Magellan Healthcare is contracted to perform behavioral health managed care functions supporting members and participants for the following Blue Cross and Blue Shield of Texas HMO networks; Blue Advantage HMO SM, Blue Cross Medicare Advantage HMO SM, Blue Cross Medicare Advantage Dual Care (HMO SNP) SM and MyBlue Health SM. Main telephone number 1-215-937-8000. Blue Cross and Blue Shield of Illinois P.O. %PDF-1.7 If you are able to create an 837 file in a HIPAA compliant format, we. Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. In addition, some sites may require you to agree to their terms of use and privacy policy. Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. 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