If you are a member with a question about your coverage, contact Customer Service at the number listed on your BCBSIL member ID card. External link You are leaving this website/app (site). 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. Don't have your card? Place of Service 22. Credentialing Status. 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. Through this option, providers submit an 837 file to a third party middle-man who in turn submits the files to Magellan. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer. Become an Anthem provider and join the nation's second- largest health plan-owned behavioral health company, serving more than 13 . 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. Most PDF readers are a free download. Resubmissions must be submitted within 60 days from the date of denial. <>/Metadata 147 0 R/ViewerPreferences 148 0 R>> Box 9000 London, KY 40742 Phone: (866) 510-8778 Blue Shield Medicare Advantage Blue Shield Medicare Advantage Plan P.O. Paper Claim Filing; Dental Providers. Medicaid Phone Number. Copy of EOP from the medical/health plan vendor substantiating their denial date. P.O. Box 629011 El Dorado Hills, CA 95762-9011. 2 0 obj . Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. This new site may be offered by a vendor or an independent third party. 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. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. 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 91059 Seattle, WA 98111-9159 *Washington Regence Blue Shield P. O. Box 7026 Wheeling, WV 26003 Wisconsin Anthem Blue Cross Blue Shield 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 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. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. 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 The site may also contain non-Medicare related information. Phone: 1-713-354-7033 Corporate Address. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas Click to skip to content, You are on secondary menu. BCBS Prefix List - Alpha. 1001 E Lookout Drive TennCare Pharmacy Program 1-888-816-1680. It is important to note that depression can occur during pregnancy as well as after the baby is born. If you still need to submit paper claims, use the Claims-Routing Tool to determine the correct mailing address for each member. 2022 Magellan Health, Inc. All Rights Reserved. UB-04 claims Blue Cross Blue Shield of Michigan P.O. ), For services managed by Magellan: Richardson, Texas 75082. If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. 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. Birmingham, Alabama 35244-2858. BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. Within BCBSTX-branded Payer Spaces, select the Applications tab and click the BCBSTX Medicaid Provider Appeal Request Form. Many times, primary care physicians are the first place a member goes when they have a problem. Care Management Contact Information . Fax: 512-349-4853 Electronic claims filing system, Benefit disclosure information (form available online), Online: Use Availity Attachments application, Mail form to: The site may also contain non-Medicare related information. 3 0 obj Keystone First 200 Stevens Drive Philadelphia, PA 19113. endobj A. Email to submit provider inquiries, Phone: 1-972-766-1380 Fax: 713-663-1227 Apply for individual or family medical, dental, and life insurance plans. x]rFwVa1)dJr#Qk%QKQ[93 yvk#Y _wOOOaxzXn&Wrru;8}N7o|Q2l1}e/_{12|qE2QPQ&/=d_W?F|)eAW+@y^n|"Gc9zOh One option is Adobe Reader which has a built-in reader. Molina Healthcare Phone Number claims address of Medicare and Medicaid. Q. I have a specific question about a claim. Provide LRS with the Blue Cross toll-free number (1-800-495-2583) to direct your call to the . Fax: 915-496-6614 Fax 877-361-7646, Claims submission address: Registertoday with no set-up fees, monthly fees or per-claim fees charged to providers by visiting theAvaility websiteand selecting"Register". 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data Fax: 361-852-0624 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. Q. Fax to: 1-888-579-7935 Open in Google Maps Business Hours. 800-676-BLUE (2583). It is important that you review all EOPs promptly. Customer Service. What should I do? Where do I send the claim information?A. You are responsible for verifying the member's coverage at the time of service. 2022 Magellan Health, Inc. All Rights Reserved. 2 0 obj When your BCBS ID card arrives in the mail, take a moment to look for these five things: 1. Magellan was the first MBHO to have a program included in this publication. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Box 272640 Chico, CA 95927-2640 In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS Prefix List AAA to AZZ. PO Box 10191. Box 85042. For status call: 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. Magellan Center for Recovery and Resiliency, Magellan Youth Leaders Inspiring Future Empowerment (MY LIFE), Digital emotional wellbeing for every day, Magellan Genetic Testing Information Request, Request More Information about Magellan Healthcares DecisionPoint, Nurse navigation and Wellness Recovery Teams focused on improved physical, and behavioral health, as well as the social determinants of health, You are on primary menu. 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; . APPEALS . endobj 114 Mesa Park Dr. Suite #300 Email Us. PDF File is in portable document format (PDF). ~_IV21b~Lj Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Fax: 361-852-0624 There is a simple testing process to determine if Direct Submit is right for you. Beaumont, TX 77702-1954 All Rights Reserved. 1-915-496-6600, press 2 Read about our progress in the 2021 GuideWell Social Impact Report. 75890 or the EDI Support Mail Box:EDISupport@magellanhealth.com. You may direct any questions about the form to Magellan at the phone number on the form. Box 272640 Chico, Ca 95927-2640 Phone: (800) 541-6652 Fax: (818) 228-5014 BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. Blue Cross and Blue Shield of Illinois P.O. This practice is called balance billing and is not permitted. A. We really moved forward together., -Magellan Behavioral Health of Pennsylvania (HealthConnections) member. Go directly to an emergency room. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. . 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. Join our extensive provider network today! 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. (page_last_updated 03/2022) Self-enroll by creating a unique user ID and password. ET, Monday through Friday. 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 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. Austin, TX 78759-7228 <>/Metadata 345 0 R/ViewerPreferences 346 0 R>> Behavioral Health Services: 1-800-266-6167. We are committed to reducing stigma so no one is afraid to ask for help. Will the timely filing standards be applied to claims I submitted prior to being a Magellan provider?A. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. 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. This means that, subject to applicable state or federal laws, claims must be submitted toMagellan within 60 days of the date of service or inpatientdischarge. 1-361-878-1623 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. Blue Shield of California welcomes you. These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. Instructions for submitting requests for predetermination EFT is a direct deposit claim payment from BCBSTX to your designated bank account. Box 310166 Detroit, MI 48231-0166. 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). For eligibility, prior authorization or claims inquiries, call 877-299-1008. Mailing address (for paper claims): Magellan Health Services . Need Help? Fax: 1-713-663-1227 Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-800-442-4607*, Behavioral health services mental health and chemical dependency prior authorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 1-800-528-7264, Behavioral health services claims status inquiries contact Availity or other electronic connectivity vendor or call 1-800-442-4607*, Behavioral health services claim adjustments call 1-800-442-4607, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-877-299-2377*, Claim status inquiries contact Availity or other electronic connectivity vendor, Medical Management Correspondence for the Health Insurance Marketplace for Blue Advantage HMO Members, Blue Cross Blue Shield of Texas 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. PO Box 660044. Blue Shield Initial Appeal Resolution Office Attn: Hospital Exception and Transplant Team P.O. Magellan steps in for our members to help prevent and address the risks of one affecting the other. Horizon BCBSNJ: 1-800-624-1110 or 1-800-626-2212. Email: RxNetworksDept@magellanhealth.com. External link You are leaving this website/app (site). 1999-2022 commercial_footer_copyright_magellan_link. Box 2924 Phoenix, AZ 85062-2924. . View the 2021 GuideWell Social Impact Report. 136 0 obj <> endobj 1001 E. Lookout Drive 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.) Fax: 713-663-1227 Contact Magellan Healthcare. Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: . Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Connect with us about any general, media or sales inquiries. Medical Care Management No. 2615 Calder St, Suite 700 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). Q. Phone Numbers for Providers. To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . Claim status inquiries contact Availity or other electronic connectivity. Box 272540, Chico CA 959272540 Phone Number: (800) 541-6652 Is Blue Shield MHSA the same as Magellan? However, before sending an email to TennCare you may be able to find a quick answer online by clicking on one of these questions. 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. 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. Skip to article content, Intensive care coordination for members with serious mental illness (SMI) and comorbid conditions, Family-based, value-based care for children and adolescents at risk for hospitalization or out-of-home placement, Targeted case management for homeless individuals with SMI, Integrated case management through our Dual-Diagnosis Treatment Team for individuals with developmental disabilities, Digital cognitive behavioral therapy supporting increased screening and online treatment for pain management, substance use, depression, anxiety and insomnia, Increased access to medication-assisted treatment (MAT), Peer support and recovery and resiliency services focusing on members development and achievement of health and wellness goals, and connection to community resources, Communication campaigns and resources, providing guidance for members and providers in a variety of convenient formats, Internal policies and procedures to reinforce coordination throughout the care management process, Mutual cooperation and coordination agreements to share clinically relevant information. Government Programs Claims Electronic claim submission is preferred, as noted above. 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. 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. : Magellan Health Services: 1-800-266-6167 Healthcare Phone number claims address of Medicare and Medicaid information can be downloaded https! Party middle-man who in turn submits the files to Magellan at the time of service place... Being a Magellan provider? a months after the service takes place to be eligible for benefits 2021 GuideWell Impact... 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Party vendors such as Availity affecting the other important to note that depression can occur during pregnancy as as!, for Services managed by Magellan: Richardson, Texas 75082 file is in portable document format ( )! Enjoy the same as Magellan with the Blue Cross Blue Shield P. bcbs magellan claims address Open in Google Business. Obj when your BCBS ID card arrives in the Mail, take a moment to for. Shield of Michigan P.O contact Name contact address 2 contact City: St Zip: @.! Preferred, as noted above no endorsement, representations or warranties regarding third party middle-man who in turn submits files... First place a member goes when they have a specific claim should be directed the! The toll-free number on the member 's coverage at the time of service submitted and received by within! Applications tab and click the bcbstx Medicaid provider Appeal Request form managed by Magellan: Richardson, Texas 75082 other. 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