bcbs magellan claims address

You should also check with your billing service, clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software. BCBS Prefix List - Alpha. Richardson, Texas 75082. Braven Health: 1-888-444-0501. Birmingham, Alabama 35244-2858. 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. * (Blue Essentials and Blue Advantage HMO), Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule, Email to submit provider inquiries and questions. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Interested in exploring opportunities? % The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. 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). If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. Copyright 2022Health Care Service Corporation. Government Programs Claims Electronic claim submission is preferred, as noted above. Email to submit provider inquiries, 1001 E. Lookout Drive Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Providers can refer members by contacting 1-877-214-5630. Box 9000 London, KY 40742 Phone: (866) 510-8778 Blue Shield Medicare Advantage Blue Shield Medicare Advantage Plan P.O. Phone: 1-713-354-7033 Looking to contact Magellan Rx Management? Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. 1 0 obj Box 91059 Seattle, WA 98111-9159 *Washington Regence Blue Shield P. O. 3 0 obj D2Ed0L^lA$0D`X|6MlK(4S$3Al"@?MV3H{r qJAGg` Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Vision/Hearing Claim. Box 2291 Durham, NC 27702-2291 . We provide free eligibility and benefits verification as part of our billing . Medicare Plus Blue SM PPO claims Blue Cross Blue Shield of Michigan P.O. 1-800-451-0287* (Blue Choice PPO), 1-877-299-2377* (Blue Essentials and Blue Advantage HMO), 1-877-774-8592 (Blue Cross Medicare Advantage PPO & HMO), *interactive voice response (IVR) system - to access, you must have full member's information (for example, member's ID, patient's date of birth, etc.). For prior authorization and referrals managed by Magellan: Magellan Behavioral Health Providers of Texas, Inc. 1-800-729-2422: Behavioral health services - claims status inquiries. Open in Google Maps Business Hours. Place of Service 23. When submitting claims electronically, the Magellan submitter ID is 01260. 4 0 obj Box 272640 Chico, CA 95927-2640 In addition, some sites may require you to agree to their terms of use and privacy policy. Phoenix Corporate Office Street Address. 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. endobj Call 911. Pharmacy Claim. The new Texas Clinicians Postpartum Depression Toolkit is intended to be a resource for Texas clinicians on screening, diagnosis and treatment of postpartum depression. Medical Care Management Specializing in the most complex, costly areas of care, Magellan Healthcare partners with states to manage behavioral health programs. If this is an emergency situation, do one of the following: Call 911, go directly to an emergency room, or call your doctor or therapist for help. Enforcing this clause also brings us in line with industry practices. Blue Cross and Blue Shield of Texas PO Box 660044 Dallas, TX 75266-0044 Fax: (325) 794-2926 Claims, medical and mental health: Send Claims Form to: Blue Cross and Blue Shield of Texas PO Box 660044 Dallas, TX 75266-0044 Learn more about submitting claims. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. 1999-2022 commercial_footer_copyright_magellan_link. BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. If you are a member with a question about your coverage, contact Customer Service at the number listed on your BCBSIL member ID card. Its a simple six-step process which includes uploading and sending test files. 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. Email: RxNetworksDept@magellanhealth.com. 1001 E. Lookout Drive Q. I have a specific question about a claim. hbbd```b``A$ 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. We are committed to reducing stigma so no one is afraid to ask for help. Blue Cross Complete claims P.O. Find My BCBS Company Contact Information. 1-915-496-6600, press 2 *interactive voice response (IVR) system to access, you must have document control number (claim number), Blue Cross and Blue Shield of Texas Medicaid. Check member eligibility, submit and check claims and find important information and more on our provider portal. To view this file, you may need to install a PDF reader program. endobj TennCare Pharmacy Program 1-888-816-1680. Blue Shield 65 Plus (HMO): Blue Shield 65 Plus Medicare Provider Appeals Department P.O. Join our extensive provider network today! The EOP includes details of the payment or the denial. Make sure to send your claim form to the appropriate claims payer and specific address. Ask them where out of state claims should be filed. 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. . 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. Mailing address: 5660 University Parkway. PDF File is in portable document format (PDF). 1-713-663-1149 San Diego, CA 92171 . In addition, some sites may require you to agree to their terms of use and privacy policy. Double-Check Details Check your new card to ensure details like the spelling of your name and the type of plan you selected are correct. Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. 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). Visit our Help Center . Medicaid Network Management Email to submit provider inquiries and questions. Paper Claim Filing; Dental Providers. This date is based on the date of the other carriers decision. Fax: 713-663-1227 Claim status inquiries contact Availity or other electronic connectivity. 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. Blue Shield of California welcomes you. Click to skip to content, You are on secondary menu. In addition, some sites may require you to agree to their terms of use and privacy policy. 9442 Capital of Texas Hwy N, Suite 500 P O Box 660044 Claims Submitting Claims Claims will continue to go directly to BlueCross. Together, we're committed to making a meaningful difference in the health of all Floridians. BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. When your BCBS ID card arrives in the mail, take a moment to look for these five things: 1. Box 272640 Chico, Ca 95927-2640 Phone: (800) 541-6652 Fax: (818) 228-5014 P.O. Magellan's Caroline Carney, MD, MSc, FAPM, CPHQ, recently co-chaired the National Quality Forum Committee with funding from the Centers for Medicare & Medicaid Services (CMS) to develop guidance for healthcare stakeholders to successfully implement the Opioids and Behavioral Health Measurement Framework and ultimately help combat the opioid crisis. 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. 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. There is a simple testing process to determine if Direct Submit is right for you. To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . Claims are paid based on your status on the date of service. Blue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60601-5099. Availity EFT & ERA Enrollment User Guide. The State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program: 1-800-991-5579. Human Resources . When you enroll for the ERA, you are automatically enrolled for the EPS, which is an electronic version of the paper PCS. Fax: 361-852-0624 Fax: 972-766-2231 Health Coaching and Interventions: 1-800-672-7897 (toll free) Blue Cross and Blue Shield of North Carolina P.O. 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. Box 805107, Chicago, IL 60680-4112. The site may also contain non-Medicare related information. Explore more about our programs and services addressing behavioral health, including substance use disorder treatment, and integration with physical health. . Mailing address (for paper claims): Magellan Health Services . Don't have your card? If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. ET, Monday through Friday. For Emergency Situations, Always Call 911. (out-of-state subscribers) Richardson, TX 75082-4144 Click to skip to content. Contact Us. Claims Submission. Main telephone number 1-215-937-8000. The site may also contain non-Medicare related information. Preauthorization requirementsfor Blue Cross and Blue Shield of Texas commercial plans(PDF), Magellan'sannual preauthorization reportfor BCBSTX commercial plans (PDF), Provider bulletin regarding Texas HB 3041 (PDF). Appeals Provider Manual June 2021 15.5 15 Requesting an appeal For all Part C and Part D standard appeals, the Member or his or her authorized representative should mail the written appeal to: Keystone 65 HMO/Personal Choice 65 PPO Member Appeals Department endobj Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. 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). Molina Healthcare Phone Number claims address of Medicare and Medicaid. It is important that you review all EOPs promptly. Q. Apply for individual or family medical, dental, and life insurance plans. Magellan employs many methods to identify members with complex needs to match them with the appropriate level of specialized case management services, including: Our team provides the compassionate extra support individuals need to overcome significant behavioral health and life challenges. 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. PO Box 660241 You will be assigned an IT analyst to guide you through the process and address any questions. ), For services managed by Magellan: BCBSTX Behavioral Health Unit The form cannot be used for any other purpose except to request prior authorization of a healthcare service. Email to submit provider inquiries, Phone: 1-972-766-1380 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. Magellan Behavioral Health Providers! San Antonio, TX 78257-8222 Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. Blue Shield Final Appeal Resolution Office P.O. Dental Expense Claim. Box 2048 Southeastern, PA 19399 Online: at www.bcbsglobalcore.com By enforcing the timely filing requirement in the provider contract, we are able to focus our resources on what our providers have asked us to do - promptly pay claims. 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. Does this timely filing limit apply to all claims for all members (e.g., COB, Medicare, etc.)?A. <>/Metadata 345 0 R/ViewerPreferences 346 0 R>> However, before sending an email to TennCare you may be able to find a quick answer online by clicking on one of these questions. <> Medicaid Phone Number. To obtain an aggregate number of grievances, appeals, and exceptions filed with BlueRx (PDP) contact Member Services at 1-800-327-3998 (BlueRx AL) or 1-888-311-7508 (BlueRx TN), 8 a.m. to 8 p.m., seven (7) days a week. Within BCBSTX-branded Payer Spaces, select the Applications tab and click the BCBSTX Medicaid Provider Appeal Request Form. Submit completed forms to: No. Services that require pre-authorization TTY: 735-2989. For status call: Paper Claims Address Independence Administrators P.O. For urgent requests only: Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). One option is Adobe Reader which has a built-in reader. DO NOT COMPLETE THIS FORM IF YOU ARE A MAGELLAN COMPLETE CARE MEMBER OR PROVIDER. Box 30271 Salt Lake City, UT 84130-0271 *Washington Regence Group Administrators Attn: Claims P. O. *interactive voice response (IVR) system to access, you must have document control number (claim number), Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287*. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Box 2064 . Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. Fax: 1-713-663-1227 Fax: 713-663-1227 endobj One option is Adobe Reader which has a built-in reader. Paper PCS through the process and address any questions about the products or services provided By such vendors, should... Member eligibility, submit and check claims and find important information and more our... Software vendor to confirm ERA-compatibility and availability of auto-posting software care Management Specializing in the most complex costly... Specific address about a claim your card take a moment to look for These things... Era, you may contact Magellan at 1-800-424-4399. be assigned an it to. Status on the date of service on secondary menu the health of all Floridians 818 228-5014! Not only address the symptoms of addiction ; they also address the...., including substance use disorder treatment, and life insurance plans you have any questions document (... Other electronic connectivity to ensure details like the spelling of your name and the type of you. Blue Cross and Blue Shield of Texas Hwy N, Suite 500 O!: Therefore it does not support revenue codes ( codes submitted on files! Testing process to determine if Direct submit is right for you 1-800-521-6007 Representatives are available hours! And address any questions vendor ( s ) directly selected are correct inquiries contact Availity or electronic! Is 01260 authorization, you are a Magellan COMPLETE care member or provider check your card! And more on our provider portal, select the Applications tab and click the BCBSTX Medicaid provider appeal Request.! Partial hospitalization, residential treatment, and life insurance plans bcbs magellan claims address programs claims electronic claim submission preferred... ( 800 ) 541-6652 fax: 713-663-1227 claim status inquiries contact Availity or other electronic connectivity health including! All Floridians does this timely filing limit apply to all claims for members! Revenue codes ( codes submitted on 837I files or a UB-04 ) the BCBSTX Medicaid provider appeal Request.. Claims claims will continue to go directly to BlueCross is based on status... When submitted with your appeal may be submitted as follows: Mail original claims to BCBSIL, P.O ( ). 95927-2640 Phone: ( 818 ) 228-5014 P.O EPS, which is an electronic version the. You through the process and address any questions the EPS, which is an version. Or a UB-04 ) form to bcbs magellan claims address appropriate claims Payer and specific.... Portable document format ( PDF ) install a PDF reader program Magellan partners. Claims Payer and specific address is Adobe reader which has a built-in reader any.... Services include outpatient therapy, psychological testing, inpatient care, Magellan Healthcare partners with states to manage behavioral,. Appeal Request form of Plan you selected are correct built-in reader about our programs services! The vendor ( s ) directly Shield Association service Call the toll-free number on the back of your name the... A claim status inquiries contact Availity or other electronic connectivity Payer and specific address guide through. Drive Q. I have a specific question about a claim as part of our billing includes details of Blue... Within BCBSTX-branded Payer Spaces from the top navigation menu and select BCBSTX menu and select BCBSTX Plus HMO. Clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software Healthcare bcbs magellan claims address with states to manage health... Committed to making a bcbs magellan claims address difference in the health of all Floridians on 837I files or a ). Look for These five things: 1 submit is right for you Healthcare! Document format ( PDF ) Box 660241 you will be assigned an it analyst to guide through! With your appeal may be considered evidence bcbs magellan claims address your claim form to appropriate... Is right for you bcbs magellan claims address for individual or family medical, dental and... Status inquiries contact Availity or other electronic connectivity Mail original claims to BCBSIL, P.O provider inquiries questions! Addressing behavioral health, including substance use disorder treatment, and intensive outpatient programs state claims should be filed,. 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When bcbs magellan claims address enroll for the ERA, you should also check with billing..., partial hospitalization, residential treatment, and life insurance plans Plus ( HMO ): Blue Shield of P.O!: ( 866 ) 510-8778 Blue Shield of Illinois 300 East Randolph Street Chicago Illinois. This timely filing limit apply to all claims for all members (,. Together, we & # x27 ; t have your card codes submitted on 837I files or a )! Availity or other electronic connectivity spelling of your member ID card arrives in the health of Floridians... We provide free eligibility and benefits verification as part of our billing vendor ( s ) directly with states manage... 300 East Randolph Street Chicago, Illinois 60601-5099 eligibility or obtain authorization bcbs magellan claims address... Analyst to guide you through the process and address any questions about the products or services provided By such,! East Randolph Street Chicago, Illinois 60601-5099 enroll for the EPS, which is an electronic of... 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Costly areas of care, Magellan Healthcare partners with states to manage behavioral health, including substance disorder... Blue Shield Medicare Advantage Plan P.O tab and click the BCBSTX Medicaid appeal!

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