%%EOF Postpartum depression is a common, potentially serious and sometimes life-threatening condition. 136 0 obj <> endobj Copy of EOP from the medical/health plan vendor substantiating their denial date. Box 2924 Phoenix, AZ 85062-2924. . This claim is a resubmit; why was it denied for timely filing?A. Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. 3 0 obj EAP providers can request an EAP authorization by leaving a brief voicemail message. 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? What should I do? 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 BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Fax: 713-663-1227 x}[s6{&.JIOwZd o/v//lwzv}|y_&TBn}?l.}oQdMy{~HbSMP7 s~o[}tUG0/Nyo{,J:T$aI|H@O_jVLyjV@>G77 Aug@GQO_>d+l6T5>A.1z{;|})eE&)35~5om[|{w-re^P=Jw"4Y]GW>+>4 *lBC3zcmW~\U0e.t^j2PtTU/%xz.w`]7OBu'!EW>K(>QEJ@&lh5. PDF Magellan Complete Care Provider Quick Guide Payers with unique claim filing rules - SimplePractice Support Blue Cross Blue Shield of Illinois is the location of the claims processing center and customer service center. Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 1-800-729-2422, Claim filing address for Commercial products, Availity Essentials Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. El Paso, TX 79912 -6156 Together, we're committed to making a meaningful difference in the health of all Floridians. General Member Service Correspondence. BCBS Prefix List. Health Coaching and Interventions: 1-800-672-7897 (toll free) Blue Cross and Blue Shield of North Carolina P.O. EDI Support: Contact Magellans EDI Hotline for support and/or assistance:1-800-450-7281ext. Horizon Behavioral Health. Again, this can be a huge time-suck, calling and being transferred over and over. Richardson, TX 75082-4144 If you havent found what you need or have additional questions, press the button below to submit a general inquiry. 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. BCBS Prefix List - Alpha. Services billed beyond 95 days from the date of service are not eligible for reimbursement. HealthChoiceswill notmake payments if the full obligations of the primary insurer(s) are not met. 1-361-878-1623 Fax: 713-663-1227 The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. There are several reasons claims may not be paid upon their first submission. In addition, some sites may require you to agree to their terms of use and privacy policy. 114 Mesa Park Dr. Suite #300 If after reviewing your rates you still believe there is an error, please contact the toll-free number on the member's ID card or the Members Explanation of Benefits, or call your Magellan network representative. Braven Health: 1-888-444-0501. 2 0 obj If you need to mail claims: Horizon BCBSNJ. Phone: 1-713-354-7033 The site may also contain non-Medicare related information. External link You are leaving this website/app (site). 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. 2. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Behavioral Health Services are provided byMagellan Health Services. BlueCross BlueShield of Tennessee is a Qualified Health Plan . Florida Blue is a part of the GuideWell family of companies. Arboretum Plaza II Winston-Salem, NC 27105. For status call: Magellan recommends Claims Courier for low volume claim submitters who dont want to use a clearinghouse. Click the link below to find the provider portal for your needs. Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. 1999-2022 commercial_footer_copyright_magellan_link. For service questions, such as benefits, claims, bill pay or other issues: Call: 1-800-495-2583, 8 a.m.-8 p.m . Providers can refer members by contacting 1-877-214-5630. Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. The following address should be used for claims related to outer counties: Outer County Claims - Lehigh, Lancaster, Northampton, and Berks County Claims Receipt Center P.O. Note: If you are a Blue Cross and Blue Shield of Alabama customer and need to reach us by phone, please use the telephone number(s) on the back of your ID card. For urgent requests only: . (336) 774-5400. 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. Direct Submit supports HIPAA 837P and 837I claims submission files. Enter your company name in the search box, select the group name from the drop-down, check the box at the bottom and then click the "Go" button. Dental Expense Claim. Authorizations & Referrals submissions Do the timely filing limits apply to this claim?A. This new site may be offered by a vendor or an independent third party. DO NOT COMPLETE THIS FORM IF YOU ARE A MAGELLAN COMPLETE CARE MEMBER OR PROVIDER. EFT is a direct deposit claim payment from BCBSTX to your designated bank account. AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent third party vendor that is solely responsible for its products and services. Click to skip to content. Copyright 2022Health Care Service Corporation. BCBS Prefix List AAA to AZZ. The State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program: 1-800-991-5579. Still looking for additional help? BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer. The site may also contain non-Medicare related information. Human Resources . Mailing address: 5660 University Parkway. San Diego, CA 92171 . BlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan's service area. Maryland Heights, MO 63043 . The ERA can be automatically posted to your patient accounting system. 1-512-349-4847 Submit appeals within 120 calendar days from receipt of remittance advice (RA). 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. Effective 6/27/2022, a Behavioral Health Service Coordination can help members manage complex conditions related to mental health and substance use. P.O. Vision/Hearing Claim. Blue Cross and Blue Shield of Texas Upon receipt of your message, New Directions will fax or mail you the . To connect with someone on the right team, please choose an option below. Care Management Contact Information . For a guide on how to fill out Provider ID# - Box 33b on the 1500 Claim Form, view page 56 of theNational Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual. The Blue Cross Blue Shield Association is an . As a result of this determination, remittance advice, known as an Explanation of Payment (EOP) is sent to you. APPEALS . Blue Cross Blue Shield of Arizona 2444 W Las Palmaritas Dr. Phoenix, AZ 85021 . Richardson, TX 75082-4144 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. 2 Magellan Pennsylvania provider data, July 2017-June 2018 In addition, some sites may require you to agree to their terms of use and privacy policy. endobj You will be assigned an IT analyst to guide you through the process and address any questions. 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 Bundling Rationale (Claims filed before Aug. 25, 2017) BlueCross BlueShield of Tennessee uses a clinical editing database. As a Magellan network provider, what is my timely filing limit?A. Outside the United States. Fax: 1-713-663-1227 Box 660027 In addition, some sites may require you to agree to their terms of use and privacy policy. Box 2048 Southeastern, PA 19399 Online: at www.bcbsglobalcore.com No. Q. I have a specific question about a claim. 2022 Magellan Health, Inc. All Rights Reserved. Magellan Center for Recovery and Resiliency, Magellan Youth Leaders Inspiring Future Empowerment (MY LIFE), Digital emotional wellbeing for every day, Magellan Genetic Testing Information Request, Request More Information about Magellan Healthcares DecisionPoint, Nurse navigation and Wellness Recovery Teams focused on improved physical, and behavioral health, as well as the social determinants of health, You are on primary menu. ET, Monday through Friday. Dallas, TX 75266-0044 Driving directions. Copyright 2022Health Care Service Corporation. This is the customer service number for questions about your health insurance coverage, benefits or treatment. 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. <> Call 911. When you enroll for the ERA, you are automatically enrolled for the EPS, which is an electronic version of the paper PCS. Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. What is the appeals process? If you still need to submit paper claims, use the Claims-Routing Tool to determine the correct mailing address for each member. You should also check with your billing service, clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software. Tricare Phone Number and Claim Address. If you believe your claim was denied in error, please send your request to the appeal submission address found on the Explanation of Payment (EOP). all_rights_reserved. View the 2021 GuideWell Social Impact Report. Are you a member looking to access behavioral health or EAP services sponsored through your employer? 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. Most people don't view their physical and mental health as separate, and neither do we. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. BCBSTX Behavioral Health Unit Box 805107 Chicago, IL 60680-4112. Use the link below to find your local BCBS company's website. Although it is not preferred, providers may also submit paper claims via a CMS-1500 form (Non-Facility-Based Providers) or UB-04 form (Facility-Based Providers). 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. 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 View help topics or login via our member website. Why was my claim denied? Claims Submission. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Beaumont, TX 77702-1954 10 things to check each time you submit a claim: Q. I believe I am being paid the incorrect rate. We encourage you to submit claims electronically, via www.MagellanProvider.com or through a clearinghouse. Sign up to receive information and updates from Magellan Healthcare on behavioral health webinars and education! 1-361-878-1623 To view this file, you may need to install a PDF reader program. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. 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. Attn: Predetermination Dept. There is a simple testing process to determine if Direct Submit is right for you. % Most PDF readers are a free download. TennCare Pharmacy Program 1-888-816-1680. . 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. You can download the toolkithere. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. (out-of-state subscribers) Get answers to your questions by finding the email address or phone number you need. Fax: 361-852-0624 Dental Blue Book eManual; Dental Blue News; Dental Enrollment and Credentialing; Q. I did not submit a claim due to a change in coverage for the member in question. The ERA or ANSI 835 transaction is a HIPAA-compliant method of receiving claim payment and remittance details. endobj One option is Adobe Reader which has a built-in reader. Need Help? It is important for you to stay current with your specific state and/or plan/program requirements. Box 272640 Chico, CA 95927-2640 Medical Care Management Resubmissions must be submitted within 60 days from the date of denial. 2022 Magellan Health, Inc. All Rights Reserved. Contact Information. Customer Service: If you have questions or need additional support, BCBSTX Personal Health Assistants are available to help. Corporate Address. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. This functionality is available for claims transactions with a status of Received/ Accepted. Email to submit provider inquiries and questions, Ambulatory Surgery Centers (ASC) Independent, Non-Hospital owned, Fax: 1-713-663-1227 Please select the appropriate version of the form below based on the members you serve. If you have a question about . Click to skip to content, You are on secondary menu. HealthTrio Connect : For this reason, your resubmitted claim has been denied. If your ID card is not available, you may use one of the Customer Service telephone numbers below. 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. 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). Blue Medicare HMO Blue Medicare PPO Contact: 1-888-296-9790 or. 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.
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