Important Information: In a medical emergency, call 9-1-1 or go to the nearest emergency facility. Eagan Post Office 3145 Lexington Ave S, Eagan MN 55121 About Address: 3145 Lexington Ave S, Eagan MN 55121 Large Map & Directions Phone: 651-405-3068 Fax: 651-454-9478 TTY: 877-889-2457 Toll-Free: 1-800-Ask-USPS (275-8777) Retail Hours: Monday: 9:00AM - 5:00PM Tuesday: 9:00AM - 5:00PM Wednesday: 9:00AM - 5:00PM Thursday: 9:00AM - 5:00PM All medical claims should be mailed to the addresses listed below for each network. Sutter Health PlusP.O. Receive fair and prompt payment along with an Explanation of Benefits. Y(W^PuPuX< Or contact us by telephone (Voice/TDD): Toll free: 800.279.4000 Local: 608.276.4000 Fax: 608.276.9119 . Hy cN0oXW@M3[b. Electronic Payer ID: PCU01 (Smart Data Solutions clearinghouse) Box 211597 Eagan, MN 55121 Wisconsin Family Care c/o WPS Health Insurance 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. Reference - CountyCare Health Plan Box 21341 Eagan, MN 55121 If a customer's ID card still references the El Paso, TX address, please reference the address above when submitting paper claims. 1 0 obj Claims and Billing | Baylor Scott & White Health Plan Claim Analysis and Recovery Information for Providers | Medica Review claims payment history. EDI Payer ID: 58379 EDI Payer Name: Hometown Health Plan MA HMO (P3 Health Partners Nevada) Professional, Institutional and Hospital Claims CLAIMS STATUS . Submit all claims to: EDI Payer ID: 66701 Group Marketing Services, Inc. PO Box 21044 Eagan, MN 55121 Please submit Cofinity, First Health Network, Lakeland Care, American Health Alliance, Dental and Vision claims electronically to Smart Data Solutions (SDS) claims clearinghouse: EDI Payer ID: 66701 Don't Have A Provider Portal Account with SDS? Call us Monday 8am to 6pm EST | Tues-Friday 8am to 5pm EST. If you have questions just give us a call at 1-877-762-3515, 8am to 5pm. The Claim Adjustment/Appeal Request Form and documentation will be reviewed. endobj UT, and VA: (2022 services effective 1/1) Bright HealthCare Claims P.O. 333 Butternut Drive Electronic claim submission is available to all providers. PDF Provider Reference Guide - Baylor Scott & White Health Plan Here are some ways to get in touch. PO Box 21051 Eagan, MN 55121-0051 Electronic pay ID: 12422 Medica Behavioral Health claims should be submitted to: Medica PO Box 30757 Salt Lake City, UT 84130 Electronic pay ID: 87726 Medica Chiropractic claims should be submitted to: Medica PO Box 212 Minneapolis, MN 55440-0212 Electronic pay ID: 41161 Inspire by Medica PO Box 21342 Eagan, MN 55121-0342. P.O. Po Box 211282 Eagan Mn - Mixed News - anymixnews.blogspot.com AmFirst Insurance Company Contact PDF Provider Notice - FirstCare 4 0 obj ABOUT Edison Health Solutions All dental claims should be mailed to GEHA at the appropriate address below: For information about Innovation Health, please call our toll-free number at 1-855-228-0510. Prepare for patients with Bind health insurance | UHCprovider.com Premium Payments Mailing Address: PO Box 14998, Oklahoma City, OK 73113 Agent Services Phone: (888) 524-3629 Mailing Address: PO Box 14498, Oklahoma City, OK 73113 Claims Phone: (888) 524-3629 Fax: (385) 207-7883 Mailing Address: Medicare Supplement Claims PO Box 211635 Eagan, MN 55121 Electronic (837I) Loop 2010AA . PDF SAMPLE ID CARD - FirstCare . P.O. Contact Us - Blackhawk Claims Service GA, Inc. About Blackhawk Products Providers Brokers Employers Members Contact Us CONTACT US Do you have a question about getting a quote or filing a claim? Box 21392. P.O. Customer Service Billing Address and Payer ID Numbers Denver Health Medical Plan, Inc. Medical Care/Point of Service P.O. PDF Independence Blue Cross Quick Reference Guide - Magellan Provider PO Box 211342 Eagan, MN 55121 Prior Authorization: 1-800-884-4905 Card Issue Date: 12/01/2019 FOR MEMBERS This card is for identification only and does not guarantee current membership or coverage. Electronic (837P) Loop 2010AA NM108 = XX NM109 = NPI # Paper (CMS-1500) NPI # - Box 33A Non-participating providers must submit all other claims to the member's participating provider group (PPG). Eagan, MN 55121. Customer Service: 1-800-884-4901 (TTY/TDD . 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 Eagan, MN 55121. Eagan, MN 55121 Claims and Benefits Guide. Submit claims electronically using the SOMOS Payer ID: 81336 through Change Healthcare or another approved EDI vendor, or mail paper claims to: SOMOS IPA, LLC, P.O. . There, claims submission information is broken out by prefix/product name. Did you know you can electronically submit claims, check claim status, and make benefit eligibility inquiries? Our Providers | Devoted Health | Devoted Health . For Providers - Maryland Physicians Care You can view our list of covered items for 2022 here. Box 4368 Lutherville, MD 21094. BL=KxtcPaSdal`R12X{CWp,GpNp o[rWVbT%X $)5Lq?$H*D|4*?xDE R)Ji1J rI bn?)0Q2dl8Q @=J!3at&ANB@&.h'hi 1OaFZ~n06>}WcQFx1Qar4=@A@q&- Our customer support team is always available to answer questions your staff may have 833-733-8478. Payer ID: 25463; All claims should be routed to Bind Benefits, Inc., following the instructions on the member ID card. Bay Bridge Administrators Centivo electronic payer ID: 45564 Submit all claims to the following address: Centivo P.O. FAQs for Medical Providers | ClearChain Health Offering employee benefit services including third party administrators, TPAs, employee bridge plans and self funded plans. PDF Centivo Provider Manual THN 030419 - Health Network Solutions Box 211758, Eagan, MN 55121. ( . Claims address: Bind, P.O. SSI Payer ID & Sub ID 99999-0648 (314) 209-2700 or (866) 597-9560 Option 5, then Option 2 IBEW Local 309 Collinsville, Illinois Meritain Health PO Box 853921 . Provider Services: (855) 979-5194. Mail Claims and Other Correspondence to: Excellus BlueCross BlueShield P.O. PDF Mayo Medical Plan Fact Sheet Group benefit services claim department p.o. <> Group ID remains the same: 2008ALC. InnovAge's Program of All-inclusive Care for the Elderly (PACE) is an alternative to nursing facilities. P.O. Eagan, MN 55121 Claims Appeals (844) 865-8033 Fax: (888) 345-9110 Claims Appeals Mailing Address MoreCare Attn: Appeals Department P.O. Box 211592 Eagan, MN 55121-2892 Payer ID 06541 CountyCare Provider Quick Reference Guide January 2021 Page 1 of 2 Provider Services CountyCare Website Visit for documents, forms, important health plan information, and provider and member resources. P.O. First Health Network - American Republic Payer id provider number reference professional rev. Coalbenefits: Online Portal Instructions Provider Relations Department Phone: 303-602-2100 Fax: 303-602-2516. <> Provider Services - Alliance Medical Supplement endobj Payer Information. Please note that member consent is required. Website: Claims.pointcomfort.com Phone: 317 -210 -2010 . Below is the process for interim billing for inpatient hospital stays that exceed one hundred (100) consecutive days. Ohio Provider Resources | Devoted Health | Devoted Health Box 211342 Eagan, MN 55121 If a claim is deemed deficient or an unclean claim to the point of unpayable, FirstCare will notify the . Medical Directors. Or if you're in Illinois or Texas, call us directly at 1-800-338-6833 (TTY 711) %?}n ,HUp$}`,w?MTO8)h:`*'N/} ^O|NgLL&A xE%*x'c:1SMO#Dz:clI7UWkK^=MoiV(~_|sjolI(k2@kcn N@< }K4^KR}d0I(eO Gd@@VdKq6f$5`t( PcT(LJluIv8 @S;7L`+0e:TCje3C9{S, WELCOME TO BAY BRIDGE ADMINISTRATORS Bay Bridge Administrators is a full-service, nationally recognized, third party administrator of fully-insured employee benefit plans. If you experience issues with your account, call support at (855) 297-4436. If Medica determines an adjustment is necessary, providers will be . At 90 Degree Benefits we know your patients are your priority and we know the importance of providing comprehensive health plan information 24/7 so you can find what you need quickly and get back to what you do best care for our patients. Important Phone Numbers PO Box 21531 Eagan, MN 55121 Claim Forms: How to Submit Your Claim A guide for submitting a claim when the service provider does not submit the claim directly. Add the Bind Benefits, Inc., payer ID number into your systems. Get in touch 100 Decker Ct, Suite 250 866-910-6166 Outreach@blackhawktpa.com Name (required) Email (required) Message Box 21994 Eagan, MN 55121 Questions? Payor ID - 76498 Phone: 1-866-506-2830. PDF Claim Submission and Payment Addresses - Mercy Managed Behavioral To check on the status of your claims, call our customer support team at 833-484-9985. Eagan, MN 55121 . Box 6090, De Pere, WI 54115-6090 All other claims (Badger Care Plus and non-PPO) - Quartz, P.O. Health Choices | Medical Management Services Medica | Claim Submission and Product Guidelines Eagan Post Office, MN 55121 - Hours Phone Service and Location For a complete list of claims submission addresses, refer to the professional and facility payer ID grids at www.amerihealth.com/edi.There . Vivida's Electronic Payer ID: A0102. Claims Tel: 1-888-888-2519 Click to Email. Non-Participating Provider Claim Information | Sutter Health Plus Payer ID; Emdeon/ Change Healthcare: 13360: MDOnline/ Ability Network: 13360: . Employee Benefit Services | Jackson MS - Bridge Plans Box 211595 Eagan, MN 55121 What is the Payer ID? payer information* Paper claim mailing address Billing provider ISA-08 GS-03 AmeriHealth HMO AmeriHealth Q3A AmeriHealth PA - ERISA POS 54704 95044 23037 Claims Receipt Center P.O. Home - Gulf South Risk Services P.O. See the Notice to Residents on page 2 of the claim form. PO Box 211290 Eagan, MN 55121 . Submit Claims - Group Marketing Services Electronic payer ID remains the same: 93658. <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> FAQs Provider Portal | WPS Where to submit claims | GEHA PDF Provider Manual - Point Comfort Box 21153 Eagan, MN 55121: CountyCare Health Plan Administrative Offices 1950 West Polk Street Chicago, IL 60612. Main Tel: 1-800-800-1397 Click to Email. Claims Submissions - Go Paperless Madison Wisconsin | Quartz EHS has done more in 12 months than they did in 20 years to deliver better care to our members and save the company money in our hardest year yet. Claims and Payment - Bright HealthCare PO Box 211577. To learn more about benefits, visit our educational resources page. Claims mailing addresses. . For Providers CenterLight Healthcare Sutter Health Plus includes the PPG and claims submission address on the member's identification (ID) card. If there are multiple claims in question, you may provide an Excel spreadsheet that contains the additional information. Box 21546 Eagan, MN 55121. ameriban y po box 7186 boise, id 83707 (800) 786-7930-a-medical claims department . Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. Please review, complete, and submit our online form. Mail your redetermination or request for adjustment to: Baylor Scott & White Health Plan ATTN: Claims Review Dept. Payer List. For Medica members with Payer ID #71890, 53589 or 88090, send the Claim Adjustment/Appeal Request Form with supporting documentation to: . Billing Information | Denver Health Medical Plan For precertification, to confirm eligibility, verify benefits, or check claim status, contact Centivo at 844-993-3165. Valid and registered : NPI is . % PDF Scott and White Health Plan (SWHP) is transitioning to a new claims Payer ID: 71890 ID: 1234567891 Name: Mayo Medical Plan Page Fact Sheet 2 of 4 . Our senior management staff has over 90 years of combined experience. EDI Payor ID: 56071 Mail Claims to: American Family Mutual Insurance Company PO Box 21801 Eagan, MN 55121-0801 We've used 2 TPAs over my 20 years here. 312-864-8200, 711 (TTY/TDD) 3 0 obj Contact HealthEZ for reimbursement rates for any facility based care. Contact Us. Providers - 90 Degree Benefits To place an order, contact Integrated Home Care Services directly: Phone 1-844-215-4264. Medical Provider Resources | ClearChain Health We hope you enjoy our new look! All facilities and non PHCS providers please send all claims to: Group Benefit Services Claim Department P.O. Varipro is a TPA (Third Party Administrator) with the look and feel of a fully insured plan. Box 211221, Eagan, MN 55121 Also note Paper claim submissions that have multiple pages to a claim should only have the total of the claim submitted on the last page Quartz requires diagnosis codes on dental claims Fax 1-844-215-4265. Administered by: HEALTHE Policy Holder: Group. Subscriber: Effective Bright HealthCare does not accept faxed claims. To join our Ohio provider network, just complete this form. To help answer your questions promptly and accurately, please have individual policy numbers or group ID numbers ready. Simply log in to your Smart Data Solutions account to process policyholders' claims easily and efficiently 24 hours per day, 7 days a week, at no cost to you. For paper claims, please submit to Vivida at the following address: Vivida Health PO Box 211290 . PO Box 211342 Eagan, MN 55121-0800 Electronic Claims The Availity Payor ID will be 94999. Select your Provider Network located on your IHP ID Card. Providers - Point Comfort Member Services Our MoreCare customer service agents are available to help you with your membership concerns Monday - Friday, 8 a.m. to 8 p.m CST Interim Billing for Inpatient Hospital Stays. required. IAC Life - Contact Us t8\+upi+8t{`V eTKt_T98/P Claims - MoreCare We are licensed and bonded and we represent only top-rated insurance companies. usAt Phm$C|M/TcPtO:nD 9@?CXYhh{|abEOk>~"]#%4\y4W(``@CQY7(C B.q:Gu/5e0$%xT81n Effective February 25, 2019, FirstCare Health Plans will no longer accept P.O. The information was current at the time of publication. Claims mailing address remains the same: Alliance Coal Health Plan. . american republic insurance company n po box 21670 eagan, mn 55121 (800) 247-2190 americas tpa y po box 398220 minniapolis, mn 55439 (800) 948-3253 medical claims department Each PACE participant has a team of medical experts dedicated to providing personalized healthcare and support to help them age at home. NOVO Health Procedures List; . PDF Payer ID provider number reference Facility - IBX Planstin Administration Inc 2022 P.O. Insurance Information Handbook | How to Submit Disability Claims Box 211314Eagan, MN 55121. Until 6/13/21, pre-2021 dates of service (DOS) paper claims can be mailed to: Maryland Physicians Care P.O. Contact Varipro with any questions or comments. Service: 877-874-6385 Sales: 212-300-0739 Fax: 212-214-0892 PO Box 211745 Eagan, MN 55121 . Access program guidance. Attach the spreadsheet to a copy of the request form. PPO - HealthEOS by MultiPlan, P.O. Box 211502 Eagan, MN 55121. To get provider specific information and service, call 844-732-3415. Submit Claims to: Payer ID # 41178 HealthEZ: PO Box 211186, Eagan, MN 55121 FACILITIES MEDICAL NETWORK: None -All claims paid at the Allowable Charge, generally 150% for facilities. 985-868-7070. PDF Scott & White Care Plans PDF Payer ID Provider Number Reference - Professional - AmeriHealth For details on submitting claims, updating rosters, and other tips, please check our additional provider resources. Member Services: (855) 979-5192. American Republic - Providers Claims and Billing 2021 - Vivida Health For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday . Electronic Funds Transfer (EFT) New registration will be handled via Change Healthcare. Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. PDF Insurance Carrier List - Lawrenceville Family Practice Please refer to our Receiver and Payer ID codes document. PO Box 211197 Eagan, MN 55121 Electronic Payor ID #43185 (918) 615-7972 . Search claims by patient I.D., DOB, name, and more. professional_payer_id.pdf 54704 -SX083 837I -12X26 Claims Address Claims Receipt Center Box 211184 Eagan, MN 55121 Adjustment Claims Inquiries . Contact Us | Providers | Excellus BlueCross BlueShield 317 -210 -2010 service@pointcomfort.com . P.O. Eagan, MN 55121. PDF SOMOS / EmblemHealth Innovator Partnership: What You Need to Know Billing Questions Tel: 1-800-800-1397 Click to email. Mail paper claims to: Maryland Physicians Care P.O. Summary of Benefits and Coverage (SBC) - Planstin Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Contact ClearChain Health with any questions. gL>:E/0c7GUEV">OlE: ,),5#` %&\&a:|E|$q|A-9Y0<6'wuaqMxWo3E/S'| 3FTe\d?M$'c=b'ct&KlDk0>*)x*` Box 21524 Eagan, MN 55121 Electronic Payer ID: 65-456. PO Box 211342 Eagan, MN 55121 Prior Authorization: 1-800-884-4905 Card Issue Date: FOR MEMBERS current membership or coverage. Contact our ClearChain Health Provider Support team at 833-484-9985. We've got answers. Seniors receive customized healthcare and social support at a nearby PACE center. Contact Us | Innovation Health Providers - Sutter Health Plus Contact Us - US Imaging Order Id Card; Enhanced Care Solutions. Providers have 180 calendar days from the date of service to submit claims. Important Information: In a medical emergency, call 9-1-1 or go to the nearest emergency facility. Providers can also call Sutter Health Plus Member Services at (855) 315 . CLAIM.MD | Payer Information | SGIC EDI# 19753. Bind Benefits, Inc. is the payer. NM108 = XX NM109 = NPI # Paper (UB-04) NPI # - Box 56 . PDF Quick Reference Guide 2019 - Hometown Health PO Box 211435 . PDF CountyCare Provider Quick Reference Guide %PDF-1.5 Schedule Demo. P.O. . Box 211592 Eagan, MN 55121-2892: Payer ID: 06541: Claims Timely Filing Requirement : Submit claims 180 calendar days from date of . Po Box 211282 Eagan Mn. Member ID remains the same: ACZ8300XXXXX-XX. x=rS5G25+U#*scB}%H{*sN7hIEggzMW7,(OfS=-WeYU MQW_~Ty. P.O. Box addresses in Box 33 (Billing Provider Address) of the CMS-1500 Form. Claims Status Box 211184 : Eagan, MN 55121 . Provider - Varipro WPS Health Insurance P.O. Claims and Benefits. EDI# 19753. Box 24992 Seattle, WA 98124-0992 Electronic Payer ID: 84-135 . Active Providers: log in to the PCU Provider Claims Portal , where medical and dental professionals can: Access claims status 24/7. Please find resources for our Ohio provider network below. 2 0 obj Click anywhere to close. P.O. Acceptance of this card should indicate acceptance of the Plan's benefits as payment in PO Box 893 Portland, ME 04104. Mail claims to: ClearChain Health. SGIC Payer ID: 11789; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Need to submit transactions to this insurance carrier? Provider Reference Guide - Baylor Scott & White Health Plan Benefits and Eligibility. Aither Health Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Claims should be submitted to PO Box 211681, Eagan, MN 55121 or electronically using payer ID 45564. Important Telephone Numbers. Phone: 888-920-7526 Email: member@planstin.com. Download important claim submission and reimbursement documents. There's always a person available to help our clients - not just a recording! Payer ID: 94265 + Product Fact Sheets Altru & You With Medica Clear Value With Medica Essentia Choice Care with Medica Medica Choice Passport Medica CompleteHealth Medica Elect and Medica Essential Medica Focus Park Nicollet First with Medica Save search results to a spreadsheet. P.O. The network features One Health Nebraska providers as Tier 1 and Midlands Choice providers as Tier 2. . Broker Services Tel: 1-877-759-5728 Click to email. P.O. Box 21392. Sutter Health Plus acknowledges paper claims within 15 business days following receipt. Home | InnovAge endobj Your ID Card. 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.comor call 1-844-368-6661 to speak with a specially trained UnitedHealthcare Shared Services Provider Service Representative. Billing Address: ArchCare Advantage c/o Peak TPA. https://www.countycare.com Submit claims and check claim status | Surest health plans Provider Information | Innovative Health Plan Eagan, MN 55121 (BCBSAZ providers in AZ submit to EDI #53589) Florida 88090 (PHX) Zelis/Medica PO Box 2839 . Avoid delays in claims handling and processing. To avoid out-of-network costs and provider balance C D A B For Healthcare Providers > Payer Resources - Midlands Choice . Box 21800 Eagan, MN 55121-0800 Reserve National Insurance Claim Form Should be filled out completely and submitted with the physician and/or hospital bill. Effective 1/1/2022, the new Payer ID for all Bright HealthCare plans (excluding California Medicare Advantage) is BRGHT. MWG Administrators : (888) 888-2519 Submit Electronic Claims To: Change Healthcare Payer ID: 64090 www.changehealthcare.com SoftCare Payer ID: 01757 www.softcare.com US Mail Claims Submissions AmFirst Insurance Company P.O. P.O. 250 Barrow Street Houma, LA 70360. stream Where Do I Submit a Paper Claim? | WPS Health Insurance Box 211681 Eagan, MN 55121 For pharmacy support: Contact MedImpact Provider phone line: 8444012055 Fax: 8587907100 P.O. Eagan, MN 55121-0051. Box 5080 . P.O. Box 21631. 2017 Provider Benefits Summary Box 211473, Eagan, MN 55121 Note: Your participation in SOMOS IPA does not affect your relationship with EmblemHealth for patients with other lines of business, such as Ohio Providers. Box 211314 Eagan, MN 55121. Box 211184 mn 55121 blue cross independence qca traditional blue cross blue shield 54704 qce 54704 12x26 claims receipt center p.o. Find out More. Farmington Hills, MI 48333 . Claims and Benefits | ArchCare Sutter Health Plus includes the claims submission address for all other services on the back of the member's identification card.
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