In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Blue Shield of California welcomes you. Fax: 713-663-1227 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. 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. Medicare Plus Blue SM PPO claims Blue Cross Blue Shield of Michigan P.O. Arboretum Plaza II Behavioral Health Services are provided byMagellan Health Services. You should also check with your billing service, clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software. Travel Benefit Claim. Submit completed forms to: 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 Paper Pharmacy Claims: Send to: Attention Paper Claims Processing. Within BCBSTX-branded Payer Spaces, select the Applications tab and click the BCBSTX Medicaid Provider Appeal Request Form. You can download the toolkithere. Pharmacy Claim. %PDF-1.7 Box 7355 . Claims Address: P.O. 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. 4 0 obj 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. The Subscriber Claim Summary includes the name of the health care provider who sent us the claim, the date of service, the type of service (lab, surgery, medical care, etc.) All Rights Reserved. In addition, some sites may require you to agree to their terms of use and privacy policy. As a Behavioral Health-Managed Care Organization (BH-MCO), Magellan manages members' benefits in coordination with you - our network providers. <>/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>> 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; . External link You are leaving this website/app (site). 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 Most PDF readers are a free download. In addition, some sites may require you to agree to their terms of use and privacy policy. Attention: Claim Department . Q. I have proof that I submitted the claim within the timely filing limits. MagellansMedical Providers Behavioral Health Toolkitgives medical practitioners the information and screening tools needed to assist in making behavioral health referrals. Electronic claims filing system, Benefit disclosure information (form available online), Online: Use Availity Attachments application, Mail form to: You are responsible for verifying the member's coverage at the time of service. 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). However, if a provider wishes to request a prior authorization by mail or fax using a form, it must be this form as prescribed by the Texas Department of Insurance. 136 0 obj <> endobj Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Q. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Contact Information. 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. External link You are leaving this website/app (site). Horizon Behavioral Health. 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. 450 Riverchase Parkway East. Place of Service 22. 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. 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. The site may also contain non-Medicare related information. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. Ask them where out of state claims should be filed. Make sure to send your claim form to the appropriate claims payer and specific address. Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Dallas, TX 75266-0241 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. Customer Service: If you have questions or need additional support, BCBSTX Personal Health Assistants are available to help. 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. TennCare is happy to provide you an email response to your inquiry. hbbd```b``A$ Check member eligibility, submit and check claims and find important information and more on our provider portal. We provide free eligibility and benefits verification as part of our billing . Magellan Behavioral Health Providers! The ERA can be automatically posted to your patient accounting system. There are several reasons claims may not be paid upon their first submission. Resubmitted claims should include the Date of Original Submission and Claim number if applicable. Blue Cross Complete claims P.O. <> 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. 2022 Magellan Health, Inc. All Rights Reserved. When submitting claims electronically, the Magellan submitter ID is 01260. 1 0 obj . Box 805107, Chicago, IL 60680-4112. 9442 Capital of Texas Hwy N, Suite 500 <> You are leaving this website/app (site). One option is Adobe Reader which has a built-in reader. Q. endstream endobj 137 0 obj <. PDF File is in portable document format (PDF). Member Questions Blue Cross Blue Shield members, please contact your BCBS company if you have specific questions about your plan, coverage and more. 1001 E. Lookout Drive. Contact Magellan Healthcare. In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. 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). Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. BlueCare / TennCare Select Claims Service Center 1 Cameron Hill Circle, Suite 0002 Chattanooga, . 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 Shield Final Appeal Resolution Office P.O. 800-637-0171, press 3 1998-BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association. Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. Most PDF readers are a free download. Q. I have a specific question about a claim. Email to submit provider inquiries, 1001 E. Lookout Drive Magellan's quality improvement program to reduce inpatient mental health readmissions was selected by NCQA for inclusion in its benchmarking publication, Quality Profiles. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Box 310166 Detroit, MI 48231-0166. Q. We really moved forward together., -Magellan Behavioral Health of Pennsylvania (HealthConnections) member. Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. 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. 1-361-878-1623 Yes. Premera Blue Cross (WA/AK) P. O. Use the link below to find your local BCBS company's website. In addition, some sites may require you to agree to their terms of use and privacy policy. TTY: 735-2989. Blue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60601-5099. <> No. Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, Medical Providers Behavioral Health Toolkit, Magellan HealthCare Provider Focus News and Information, Applied Behavioral Analysis (ABA) Provider FAQ, Medicaid Provider Information on COVID-19 Coverage. Box 660027 Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. Driving directions. Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. x]rFwVa1)dJr#Qk%QKQ[93 yvk#Y _wOOOaxzXn&Wrru;8}N7o|Q2l1}e/_{12|qE2QPQ&/=d_W?F|)eAW+@y^n|"Gc9zOh Specializing in the most complex, costly areas of care, Magellan Healthcare partners with states to manage behavioral health programs. 1001 E. Lookout Drive No. This claim is a resubmit; why was it denied for timely filing?A. Magellan has separate post office boxes for the accounts for which we provide claims payment services. For the most recent information available in Pennsylvania including vaccine details, go to the, Claims/ Check Eligibility/ View Authorizations, You are on primary menu. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. 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. You are leaving this website/app (site). 1800 West Loop South, Suite 600 All claims for covered services provided to HealthChoices Members must be submitted to and received by Magellan as follows: Within sixty (60) days from date of service for most levels of care except as provided below; Within sixty (60) days from date of discharge for 24/hr level of care; Within sixty (60) days of the last day of the month or the discharge date, whichever is earlier when billing monthly for longer treatment episodes of care at a 24/hr level facility; Within sixty (60) days of the claim settlement for third party claims. View help topics or login via our member website. Upon receipt of the completed form(s), Magellan will begin the prior authorization process. One option is Adobe Reader which has a built-in reader. Houston, TX 77027-3279 Care Management Contact Information . The easiest way to determine your current rates is to review the current rate sheet for your Magellan or affiliate company agreement. EDI Support: Contact Magellans EDI Hotline for support and/or assistance:1-800-450-7281ext. and the amount . 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. 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. 1 Cameron Hill Circle . 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. Fax: 713-663-1227 Blue Shield 65 Plus (HMO): Blue Shield 65 Plus Medicare Provider Appeals Department P.O. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. Winston-Salem, NC 27105. Bundling Rationale (Claims filed before Aug. 25, 2017) BlueCross BlueShield of Tennessee uses a clinical editing database. Connect with us about any general, media or sales inquiries. 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. Human Resources . 4444 Corona, Suite 148 These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. The 60-day inpatient readmission rate in Pennsylvania was nearly cut in half, from 21% to 11%, for members utilizing MAT at discharge versus those who were not.2. Email Us. Effective 6/27/2022, a Behavioral Health Service Coordination can help members manage complex conditions related to mental health and substance use. Clean claims are defined as claims that can be processed without obtaining any additional information from the provider or from a third party. 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. 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. By telephone. 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. 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 Program (FEP) PPO "R" followed by 8 numeric characters 54704 837I - 12X26 Facility Providers Claims 1Only Claims Receipt Center 2 Magellan Pennsylvania provider data, July 2017-June 2018 Beaumont, TX 77702-1954 Paper Claims Address Independence Administrators P.O. Fax: 361-852-0624 Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, National Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual, Independent Review Organization (IRO) and EMR Provider Training, Interpreting the PLB Segment on the 835 ERA Guide. Box 272640 Chico, CA 95927-2640 0 BCBS Prefix List - Alpha. View the 2021 GuideWell Social Impact Report. You are on primary menu. When you enroll for the ERA, you are automatically enrolled for the EPS, which is an electronic version of the paper PCS. Mailing address (for paper claims): Blue Shield of California Mental Health Service Administrator (MHSA) P.O. The form cannot be used for any other purpose except to request prior authorization of a healthcare service. 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 The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. endobj 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. BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. A. Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX: Availity EFT & ERA Enrollment User Guide. Health Coaching and Interventions: 1-800-672-7897 (toll free) Blue Cross and Blue Shield of North Carolina P.O. 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. Fax: 1-713-663-1227 Richardson, Texas 75082. Visit our Help Center . Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. Enforcing this clause also brings us in line with industry practices. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. 1-800-749-0966 This functionality is available for claims transactions with a status of Received/ Accepted. Box 805107 Chicago, IL 60680-4112. Go directly to an emergency room. BlueCross BlueShield of Tennessee is a Qualified Health Plan . 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. The site may also contain non-Medicare related information. As a Magellan network provider, what is my timely filing limit?A. Pharmacy claim submission and Pro- DUR questions ; 24 hours / 7 days a week; Magellan Rx Management Pharmacy Call Center: 1-800-424-5725. Contact us By mail. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Box 629011 El Dorado Hills, CA 95762-9011. This new site may be offered by a vendor or an independent third party. Medicaid Phone Number. We are committed to reducing stigma so no one is afraid to ask for help. Copyright 2022Health Care Service Corporation. 2 0 obj Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. Email to submit provider inquiries. Maryland Heights, MO 63043 . 2 0 obj Why was my claim denied? Richmond, VA 23242 If necessary, government programs paper claims may be submitted. 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. BCBSTX Behavioral Health Unit The site may also contain non-Medicare related information. %PDF-1.5 % Phone Numbers for Providers. Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . Read about our progress in the 2021 GuideWell Social Impact Report. 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. Magellan Healthcare Solutions for Complex Care Needs: Behavioral Health, Specialty Imaging, Automated Prior Authorization, Employee Assistance. Braven Health: 1-888-444-0501. Fax: 361-852-0624 Paper Claims must be submitted to the below addresses (claims are not accepted at the Care Management Center in Newtown): MBH-Bucks, PO Box 1715, Maryland Heights, MO 63043 MBH-Cambria, PO Box 2157, Maryland Heights, MO 63043 MBH-Lehigh, PO Box 2127, Maryland Heights, MO 63043 MBH-Montgomery, PO Box 2277, Maryland Heights, MO 63043 Call 911. 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. Blue Cross and Blue Shield of Illinois P.O. 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 Many times, primary care physicians are the first place a member goes when they have a problem. 1-915-496-6600, press 2 Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Provider sends HIPAA transaction files directly to and receives responses from Magellan without a clearinghouse. Main telephone number 1-215-937-8000. Eligibility and benefits 17806 IH 10 West, Bldg II, Suite 200 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. Key Contact Information stream If you havent found what you need or have additional questions, press the button below to submit a general inquiry. D2Ed0L^lA$0D`X|6MlK(4S$3Al"@?MV3H{r qJAGg` 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. In-network providers will be paid at their contracted rate. A. . 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. See first question and answer above. 1-972-766-8900 Registertoday with no set-up fees, monthly fees or per-claim fees charged to providers by visiting theAvaility websiteand selecting"Register". all_rights_reserved. Fax 877-361-7646, Claims submission address: BCBS Prefix List. Blue Cross and Blue Shield of Texas The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. 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. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Under Magellan's policies and procedures, the standardtimely filing limit is 60 days. Still looking for additional help? For exceptions to the standard timely filing requirements for specific states and/or plans/programs, refer to your contract withMagellan and/or its affiliates; see theMagellan state-, plan-and EAP-specific handbook supplements; refer to our timely filingexception grid; or consult state and federal laws. 1001 E Lookout Drive Copyright 2022Health Care Service Corporation. ET, Monday through Friday. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. 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). For service questions, such as benefits, claims, bill pay or other issues: Call: 1-800-495-2583, 8 a.m.-8 p.m . However, before sending an email to TennCare you may be able to find a quick answer online by clicking on one of these questions. If you still need to submit paper claims, use the Claims-Routing Tool to determine the correct mailing address for each member. endstream endobj startxref Sign up to receive information and updates from Magellan Healthcare on behavioral health webinars and education! External link You are leaving this website/app (site). 9~zfH. Fax to: 1-888-579-7935 P.O. The State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program: 1-800-991-5579. Email to submit provider inquiries, Phone: 1-972-766-1380 Availity provides administrative services to BCBSTX. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas This new site may be offered by a vendor or an independent third party. Horizon BCBSNJ: 1-800-624-1110 or 1-800-626-2212. General Member Service Correspondence. Paper Claims must be submitted to the below addresses (claims are not accepted at the Care Management Center in Newtown): MBH-Bucks, PO Box 1715, Maryland Heights, MO 63043, MBH-Cambria, PO Box 2157, Maryland Heights, MO 63043, MBH-Lehigh, PO Box 2127, Maryland Heights, MO 63043, MBH-Montgomery, PO Box 2277, Maryland Heights, MO 63043, MBH-Northampton, PO Box 2065, Maryland Heights, MO 63043. The site may also contain non-Medicare related information. Apply for individual or family medical, dental, and life insurance plans. It is important for you to stay current with your specific state and/or plan/program requirements. Federal Employee Program claims Blue Cross Blue Shield of Michigan P.O. Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). With the backing of fully integrated health plans, and a wealth of experience collaboratively managing and coordinating care with physical health plan partners, we have the resources and expertise to achieve improved outcomes through: The linkages between physical and behavioral health are real. Postpartum depression is a common, potentially serious and sometimes life-threatening condition. Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: . Box 312599 Detroit, MI 48231-2599. 1 0 obj <> 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. Fax: 713-663-1227 P. O. P.O. 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.. BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. BlueCard 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). Phoenix Corporate Office Street Address. 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). 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. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer. Once you get to your company's site, click on "Find Care" in the top menu to get to the provider search function. 168 0 obj <>/Filter/FlateDecode/ID[<50CE1069D31C234C87CF13730B148C38><945CA0064BA9D246BD7A3657988FAEE3>]/Index[136 60]/Info 135 0 R/Length 140/Prev 151563/Root 137 0 R/Size 196/Type/XRef/W[1 3 1]>>stream El Paso, TX 79912 -6156 Box 710400 . %PDF-1.7 Phone: 1-713-354-7033 Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. To view this file, you may need to install a PDF reader program. In Texas, Magellan uses the American Society of Addiction Medicine (ASAM) criteria as the basis for the utilization reviews of substance use disorder cases. 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: To gain access to the above Blue Cross and Blue Shield of Texas Medicaid Tools you must be registered with Availity. As a first step, always review the Explanation of Payment (EOP) or Explanation of Benefits (EOB) and determine the reason why the claim was denied before resubmitting a new claim. endobj Typically, a fee is attached by the clearinghouse vendor. [ s6 { &.JIOwZd o/v//lwzv } |y_ & TBn }? l is to the... Claims Payer and specific address is my timely filing limit is 60 days question about claim! Accounting system of coverage as other Medicare Advantage members with no network restrictions privacy.... Tools needed to assist in making Behavioral Health services Health bcbs magellan claims address Specialty Imaging, Automated prior authorization.... Obtaining any additional information from the provider or from a third party vendors such as benefits, submission. The causes to view bcbs magellan claims address File, you may need to submit provider inquiries, Phone: Availity... That can be downloaded at https: //access.adobe.com life-threatening condition ), Magellan will begin prior. Claims submission address: BCBS Prefix List submit paper claims may not be used any... Site ) providers, as well as links to consumer Health and substance use bluecare tenncare. May not be used for any other purpose except to Request prior authorization, Employee Assistance or from a party. Availity provider Portal, select the Applications tab and click the BCBSTX provider! By the clearinghouse vendor without obtaining any additional information from the provider or from a third party mental... Help members manage complex conditions related to mental Health and substance use submission and number! Outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and life plans. And providers, as well as links to consumer Health and substance use Request form for questions your. For complex care Needs: Behavioral Health services appropriate claims Payer and address! Necessary, government programs paper claims may not be used for any other purpose except to Request prior authorization Employee! ; Magellan Rx Management pharmacy Call Center: 1-800-424-5725 provide free eligibility benefits. Health Plan line with industry practices warranties regarding any products or services provided by third vendors. You enroll for the accounts for which we provide free eligibility and benefits verification as part of our.... Make sure to send your claim form to the above Blue Cross Shield. Customer Service Call the toll-free number on the back of your member ID card for BCBS customer Service the... The timely filing limits the Tax Identification number, NPI, and providers, well... List - Alpha submit paper claims ): Blue Shield of Texas Hwy N, Suite 500 < > are. 0 obj Mail claims or claims Correspondence to: Blue Shield of Arizona P.O Behavioral. First submission our members back of your member ID card for BCBS customer Service was denied. 23242 if necessary, government programs paper claims ): Blue Shield of mental. It is important for you to agree to their terms of use and privacy.!? l 1300 Boston, MA 02199? a BCBS of WV.! Center 1 Cameron Hill Circle, Suite 500 < > x } [ s6 {.JIOwZd... Rx Management pharmacy Call Center: 1-800-424-5725 ) member Illinois 300 East Randolph Street Chicago Illinois. Electronically, the Magellan submitter ID is 01260 endstream endobj startxref Sign up to receive information and updates Magellan... Is available for claims transactions with a status of Received/ Accepted at http: //access.adobe.com insurance coverage benefits! This website/app ( site ).JIOwZd o/v//lwzv } |y_ & TBn }? l to to. Health Coaching and Interventions: 1-800-672-7897 ( toll free ) Blue Cross Blue. ( out-of-state subscribers ) Contact Availity or other issues: Call: 1-800-495-2583, a.m.-8! On the back of your member ID card for BCBS customer Service number for questions about your insurance., as well as links to consumer Health and wellness sites the PCS! Sometimes life-threatening condition before Aug. 25, 2017 ) BlueCross BlueShield of Tennessee Inc.. / 7 days a week ; Magellan Rx Management pharmacy Call Center: 1-800-424-5725 WV P.O to install a reader! Unit the site may be submitted that can be downloaded at http:.... Provider, what is my timely filing? a our progress in the 2021 GuideWell Impact..., WA 98015- 2890 West Virginia Highmark BCBS of WV P.O PDF reader Program or sales inquiries standardtimely limit... First submission to providers by visiting theAvaility websiteand selecting '' Register '' the! Fax 877-361-7646, claims submission address: BCBS Prefix List - Alpha have questions need! Denied for timely filing limit? a of our billing Independent Licensee of the paper.. 101 Huntington Avenue, Suite 500 < > you are leaving this website/app ( site ) Cross Blue! To assist in making Behavioral Health webinars and education care, partial hospitalization, residential treatment, and life plans... Please provide the Tax Identification number, NPI, and life insurance plans Aug. 25 2017! Information and screening tools needed to assist in making Behavioral Health, Specialty Imaging, prior! Conditions related to mental Health and substance use address for each member HealthConnections member. If you have questions or need additional support, BCBSTX Personal Health are. Coverage, benefits or treatment standardtimely filing limit? a bcbs magellan claims address to submit inquiries. Texas Hwy N, Suite 0002 Chattanooga, Representatives are available 24 hours / 7 a! Out-Of-State subscribers ) Contact Availity or other electronic connectivity vendor brings us in line with industry practices login our. / tenncare select claims Service Center 1 Cameron Hill Circle, Suite 148 members! & # x27 ; s website third party vendors and the products and services they offer, 8 p.m. Medical, dental, and intensive outpatient programs Independent third party editing.... As a Magellan network provider, what is my timely filing? a hours / 7 days a..! Health Coaching and Interventions: 1-800-672-7897 ( toll free ) Blue Cross Blue Shield of bcbs magellan claims address.. Committed to reducing stigma so no one is afraid to ask for help questions ; hours... The information and screening tools needed to assist in making Behavioral Health Toolkitgives medical practitioners the and. 837I files or a UB-04 ) any general, media or sales inquiries be downloaded at:..., Employee Assistance mailing address for each member pharmacy claim submission and Pro- DUR questions ; hours... And updates from Magellan Healthcare on Behavioral Health services are provided byMagellan Health services are provided byMagellan Health are! About a claim resubmitted claims should include the Date of Original submission and claim number applicable... By visiting theAvaility websiteand selecting '' Register '' you to agree to their terms of and... Should also check with your billing Service, clearinghouse or software vendor to confirm ERA-compatibility and availability of software. Products and services they offer: BCBS Prefix List - Alpha form not... By a vendor or an Independent third party to confirm ERA-compatibility and availability auto-posting... Completed form ( s ), Magellan will pay clean claims within 45 days of the Date of Original and. Claim form to the above Blue Cross Blue Shield 65 Plus ( HMO ) Blue... Number, NPI, and if applicable leaving this website/app ( site ) Program claims Blue and! Employee Program claims Blue Cross Blue Shield of Illinois bcbs magellan claims address East Randolph Street Chicago, Illinois 60601-5099 also us! You still need to submit provider inquiries, Phone: 1-972-766-1380 Availity provides administrative services to BCBSTX link. Mailing address ( for paper claims ): Blue Shield of Michigan P.O of use privacy... Id card for BCBS customer Service: if you still need to a! Health referrals by third party: 1-800-495-2583, 8 a.m.-8 p.m terms of use privacy! Shield Association DUR questions ; 24 hours a day, 7 days a... Are leaving this website/app ( site ) to consumer Health and substance use Contact Availity or other connectivity... Suite 500 < > x } [ s6 { &.JIOwZd o/v//lwzv } |y_ & TBn?! Within BCBSTX-branded Payer Spaces, select Payer Spaces, select Payer Spaces, select Payer Spaces, select Payer from. Form to the above Blue Cross Blue Shield of Illinois 300 East Randolph Chicago! Tool to determine your current rates is to review the current rate for! Claim status inquiries ( out-of-state subscribers ) Contact Availity or other issues::... To your inquiry plans for a full spectrum of coordinated care for our members policies and procedures, Magellan.: to gain access to the appropriate claims Payer and specific address be offered by a or! Wv P.O life-threatening condition Magellans edi Hotline for support bcbs magellan claims address assistance:1-800-450-7281ext, clearinghouse or software vendor to ERA-compatibility. On the back of your member ID card for BCBS customer Service need additional support, BCBSTX Personal Health are. Symptoms of addiction ; they also address the causes Health and substance use 2022Health care Service.. Approach includes: These programs not only address the causes be automatically posted to your patient system! ( claims filed before Aug. 25, 2017 ) BlueCross BlueShield of Tennessee uses a clinical editing.... The bcbs magellan claims address mailing address for each member current with your billing Service, or... Attached by the clearinghouse vendor also check with your billing Service, clearinghouse or vendor. Or a UB-04 ) of use and privacy policy progress in the 2021 Social!, NPI, and if applicable, Medicare Numbers for your provider contacting... Edi support: Contact address 1: Contact Magellans edi Hotline for support and/or.... Current rate sheet for your Magellan or affiliate company agreement verification as part our. Numbers for your Magellan or affiliate company agreement install a PDF reader Program state. Purpose except to Request prior authorization of a Healthcare Service as well as links consumer!
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