Visit our Provider Portals English Not a Magellan provider yet? 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. Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. Yes. Care Management Contact Information . 1-800-336-5696 Fax: 512-349-4853 1001 E. Lookout Drive Mailing address (for paper claims): Magellan Health Services . Email to submit provider inquiries and questions, Ambulatory Surgery Centers (ASC) Independent, Non-Hospital owned, Fax: 1-713-663-1227 Under Magellan's policies and procedures, the standardtimely filing limit is 60 days. If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. 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. 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. %%EOF Paper Claims Address Independence Administrators P.O. It is important for you to stay current with your specific state and/or plan/program requirements. Email to submit provider inquiries, 1001 E. Lookout Drive In addition, some sites may require you to agree to their terms of use and privacy policy. Mailing address (for paper claims): Blue Shield of California Mental Health Service Administrator (MHSA) P.O. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. 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; . [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Federal Employee Program claims Blue Cross Blue Shield of Michigan P.O. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Box 2924 Phoenix, AZ 85062-2924. . Richardson, TX 75082-4144 Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. The State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program: 1-800-991-5579. One option is Adobe Reader which has a built-in reader. Visit our job search tool to find and apply to a position. Still looking for additional help? Medicaid Network Management Email to submit provider inquiries and questions. Magellan continuously looks at our processes and procedures to improve service and increase efficiencies. If you have a question about . % hb```@(]K@1% V!iD3 7+S#UBCm0#LiF j9vvfL4 q* Blue Cross Complete claims P.O. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. 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. 9442 Capital of Texas Hwy N, Suite 500 (336) 774-5400. Medicaid and CHIP Claim Editing Enhancements Coming Feb. 23, 2022, ICD -10 Z Codes for Social Determinants of Health, How to Submit a Complaint as a Medicaid Provider, Medicaid Provider Information on COVID-19 Coverage, Members can ask for an External Medical Review (EMR) and State fair Hearing from the state Medicaid program and get information about how the process works in our provider alert. 4 0 obj endobj 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. Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. Click to skip to content, You are on secondary menu. 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 submitting claims electronically, the Magellan submitter ID is 01260. Box 805107, Chicago, IL 60680-4112. PO Box 660044. 800-676-BLUE (2583). 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. A. Claims Address. APPEALS . Please be aware that inquiries and email boxes are not monitored 24/7. Please emailwomenshealth@hhsc.state.tx.uswith any questions. See first question and answer above. Box 211184 Eagan, MN 55121 To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . <>/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>> Email to submit provider inquiries, Phone: 1-972-766-1380 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. Claims Submitting Claims Claims will continue to go directly to BlueCross. 17806 IH 10 West, Bldg II, Suite 200 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). endobj Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. We're here to help answer your questions. Within BCBSTX-branded Payer Spaces, select the Applications tab and click the BCBSTX Medicaid Provider Appeal Request Form. Magellans Primary Care Physician (PCP) Toolkit. Fax: 1-713-663-1227 Box 312599 Detroit, MI 48231-2599. What should I do? As a Magellan network provider, what is my timely filing limit?A. Vision/Hearing Claim. Dental Expense Claim. View help topics or login via our member website. Make sure to send your claim form to the appropriate claims payer and specific address. Claims Submission. 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. %PDF-1.5 % This functionality is available for claims transactions with a status of Received/ Accepted. General Information: 1-972-766-6900. There, claims submission information is broken out by prefix/product name. The Blue Cross Blue Shield Association is an . This new site may be offered by a vendor or an independent third party. Government Programs Claims Electronic claim submission is preferred, as noted above. Go directly to an emergency room. Phoenix Corporate Office Street Address. Resubmissions on Claims Courier (MBH Website): changes/ corrections are allowed to Place of Service, Billed Amount, or Number of Units Only (all other corrections must be submitted via paper claim). Resubmitted claims should include the Date of Original Submission and Claim number if applicable. 1-915-496-6600, press 2 endobj <> 3 Magellan of Virginia NCQA Quality Improvement Activity Form, 2018. Read about our progress in the 2021 GuideWell Social Impact Report. endstream endobj 137 0 obj <. Beaumont, TX 77702-1954 <>/Metadata 147 0 R/ViewerPreferences 148 0 R>> Box 30271 Salt Lake City, UT 84130-0271 *Washington Regence Group Administrators Attn: Claims P. O. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. UB-04 claims Blue Cross Blue Shield of Michigan P.O. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. This date is based on the date of the other carriers decision. When you enroll for the ERA, you are automatically enrolled for the EPS, which is an electronic version of the paper PCS. External link You are leaving this website/app (site). Fax: 713-663-1227 Services billed beyond 95 days from the date of service are not eligible for reimbursement. The site may also contain non-Medicare related information. For service questions, such as benefits, claims, bill pay or other issues: Call: 1-800-495-2583, 8 a.m.-8 p.m . 1 Cameron Hill Circle . Need Help? 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. Again, this can be a huge time-suck, calling and being transferred over and over. . Box 660027 What should I do? Blue Shield of California welcomes you. Q. Q. I have proof that I submitted the claim within the timely filing limits. Q. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. This practice is called balance billing and is not permitted. If you are a member with a question about your coverage, contact Customer Service at the number listed on your BCBSIL member ID card. Submit appeals within 120 calendar days from receipt of remittance advice (RA). Participating physicians, professional providers, ancillary and facility providers are requested to submit claims electronically to Blue Cross and Blue Shield of Texas (BCBSTX) within 95 days of the date of service, or by using the standard CMS-1500 or UB04 claim form. 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. 1-512-349-4847 . Specializing in the most complex, costly areas of care, Magellan Healthcare partners with states to manage behavioral health programs. Blue Cross and Blue Shield of Texas Resubmission of Claims: Claims that must be revised and resubmitted after adjudication must be stamped resubmission or otherwise noted on box 22 of the CMS-1500 form. Human Resources . Blue Shield Final Appeal Resolution Office P.O. 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data Outside the United States. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. 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. 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 Many times, primary care physicians are the first place a member goes when they have a problem. External link You are leaving this website/app (site). 1001 E. Lookout Drive. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. BCBS Prefix List. Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 a.m.-8 . Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX: Out-of-network providers will be paid the Medicare-allowed amount less any member cost-sharing. Claim status inquiries contact Availity or other electronic connectivity. 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 . Credentialing Status. Blue Cross and Blue Shield of Texas Box 2048 Southeastern, PA 19399 Online: at www.bcbsglobalcore.com Questions related to a specific claim should be directed to the toll-free number on the member's ID card or the Explanation of Benefits. 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). No. Contact Magellan Healthcare. (Note:For behavioral health professional providers, refer to the Network Management Office Locations listed above). 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