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From February 15 to September 30, on weekends and holidays, you may be required to leave a message. Email Us. Where do I send the claim information?A. If you are enrolled in a Lowe's medical plan with BCBS AL, you will contact Magellan Health for services (1-877-543-3875, press 2, then press 1). Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. Blue Cross and Blue Shield of Texas - Claims PO Box 660044 Dallas, TX 75266-0044 How to submit an international claim You can submit your completed international claim form and documentation using one of the following methods: By mail: Service Center P.O. Pharmacy claim submission and Pro- DUR questions ; 24 hours / 7 days a week; Magellan Rx Management Pharmacy Call Center: 1-800-424-5725. Through the Homeless Outreach Positive Engagement intensive case management program, Magellan has helped 81% of members obtain housing and 61% reduce their number of hospital days.1. The Magellan timely filing standards (or in accordance with your state law) will be applied to claims for services rendered after you joined the Magellan network. 136 0 obj <> endobj Copyright 2022Health Care Service Corporation. Providers may continue to call Magellan with their prior authorization requests, as the form does not replace other existing methods of contacting Magellan to request a prior authorization. 9~zfH. Dental Blue Book eManual; Dental Blue News; Dental Enrollment and Credentialing; EDI Support: Contact Magellans EDI Hotline for support and/or assistance:1-800-450-7281ext. 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. BCBS Prefix List AAA to AZZ. Appeals address: Blue Cross and Blue Shield of Texas Attn: Complaints and Appeals Department PO Box 660717 Dallas, TX 75266-0717 Fax 1-855-235-1055 Email GPDTXMedicaidAG@bcbsnm.com Availity - Submit Claims Appeal Form Online Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. In Pennsylvania, Magellan works with county partners in Bucks, Cambria, Lehigh, Montgomery and Northampton counties. Q. Explore more about our programs and services addressing behavioral health, including substance use disorder treatment, and integration with physical health. The Texas Department of Insurance developed the form to be used to request prior authorization for services for commercial insured members, Medicaid, Medicaid Managed Care, the Childrens Health Insurance Program (CHIP), plans covering employees of the state of Texas, school districts, and the University of Texas and Texas A&M systems. Fax 877-361-7646, Claims submission address: Mailing Address, Customer Service and Claims Contact Information Line of Business Customer Service/ Telephone Number Address Blue Shield of CA (BSC)/ MHSA 1-877-263-9952 1-800-424-6064 1-800-424-5999, option 3 Claims Mailing Address Blue Shield of California Mental Health Service Administrator (MHSA) P O Box 710400 San Diego, CA 92171 800-676-BLUE (2583). Magellan Behavioral Health Providers of Texas, Inc. Request for claim review form and instructions, Wellness and clinical practice guidelines, Independent Diagnostic Testing Facility (IDTF), Intensive Outpatient facility programs (PHP/IOPs). In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. Q. ET, Monday through Friday. Birmingham, Alabama 35244-2858. Why was my claim denied? Horizon BCBSNJ: 1-800-624-1110 or 1-800-626-2212. 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 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. 1-512-349-4847 Phone: 1-713-354-7033 If necessary, government programs paper claims may be submitted. Are you a member looking to access behavioral health or EAP services sponsored through your employer? Fax: 361-852-0624 9442 Capital of Texas Hwy N, Suite 500 Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Ask them where out of state claims should be filed. The ERA or ANSI 835 transaction is a HIPAA-compliant method of receiving claim payment and remittance details. By telephone. Contact Us. 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. External link You are leaving this website/app (site). 1 0 obj 1-361-878-1623 Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. The site may also contain non-Medicare related information. Fax: 713-663-1227 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. Q. I have a specific question about a claim. Premera Blue Cross (WA/AK) P. O. Authorizations & Referrals submissions <>/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>> Copy of EOP from the medical/health plan vendor substantiating their denial date. 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. Box 310166 Detroit, MI 48231-0166. Attn: Predetermination Dept. To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . Maryland Heights, MO 63043 . PDF File is in portable document format (PDF). Sign up to receive information and updates from Magellan Healthcare on behavioral health webinars and education! 1800 West Loop South, Suite 600 Claims Address: P.O. Mailing address: 5660 University Parkway. This date is based on the date of the other carriers decision. Interested in exploring opportunities? 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. To view this file, you may need to install a PDF reader program. Care Management Contact Information . . 17806 IH 10 West, Bldg II, Suite 200 General Member Service Correspondence. Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX: Healthcare providers may submit their requests for prior authorization of healthcare services to Magellan using the Texas Standard Prior Authorization Request Form for Health Care Services.. . You should also check with your billing service, clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software. Keystone First 200 Stevens Drive Philadelphia, PA 19113. Tricare Phone Number and Claim Address. Braven Health: 1-888-444-0501. Blue Shield of California welcomes you. 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. 1001 E Lookout Drive Magellan recommends Claims Courier for low volume claim submitters who dont want to use a clearinghouse. Box 629010 El Dorado Hills, CA 95762-9010. Blue Cross and Blue Shield of . 2022 Magellan Health, Inc. All Rights Reserved. Click to skip to content, You are on secondary menu. Fax: 361-852-0624 PO Box 660044. stream Q. I recently joined the Magellan provider network. Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Visit our Help Center . PDF File is in portable document format (PDF). Email to submit provider inquiries. Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. External link You are leaving this website/app (site). The State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program: 1-800-991-5579. Magellan's quality improvement program to reduce inpatient mental health readmissions was selected by NCQA for inclusion in its benchmarking publication, Quality Profiles. Enforcing this clause also brings us in line with industry practices. Claims Submission. Electronic claims filing system, Benefit disclosure information (form available online), Online: Use Availity Attachments application, Mail form to: 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. (page_last_updated 03/2022) <> Box 2291 Durham, NC 27702-2291 . Behavioral Health Services: 1-800-266-6167. What should I do? Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Beaumont, TX 77702-1954 One option is Adobe Reader which has a built-in reader. There is a simple testing process to determine if Direct Submit is right for you. The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. Contact Information. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Click the link below to find the provider portal for your needs. External link You are leaving this website/app (site). 1-800-336-5696 Most PDF readers are a free download. This new site may be offered by a vendor or an independent third party. Don't have your card? This new site may be offered by a vendor or an independent third party. Upon receipt of your message, New Directions will fax or mail you the . Please send your claims for imaging procedures to the following address: BlueAdvantage Operations 1 Cameron Hill Suite 0002 Chattanooga TN 37402-0002 Please continue to use EDI claims submission. 0 1 0 obj Find My BCBS Company Effective 6/27/2022, a Behavioral Health Service Coordination can help members manage complex conditions related to mental health and substance use. Box 30271 Salt Lake City, UT 84130-0271 *Washington Regence Group Administrators Attn: Claims P. O. You are leaving this website/app (site). No. Q. BCBS Prefix List - Alpha. Fax: 361-852-0624 Corpus Christi, TX 78411-4375 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. endstream endobj 137 0 obj <. 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). 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. 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