View requirements for FEP Basic Plan, Standard Plan and Blue Focus. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. It covers the cost of medically-necessary insured doctor services. LOCATION. Contract/Credentialing/Premium Designation Inquiries: email networkhelp@uhc.com and include health care professional / facility name, contact name and phone number, NPI, TIN, and brief description of your inquiry including any reference numbers. We would be glad to respond to any questions you may have concerning Medical Associates Clinic and Health Plans. Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. If you have a question or concern, please contact us. The SBC shows you how you and the plan … National BlueCard member benefits and eligibility: Phone 1 (800) 676-2583, Monday through Friday, 7:30 a.m. to 10 p.m. (PT). Individuals may call BMC HealthNet Plan’s hotline to anonymously report any privacy breaches or concerns about the use and disclosure of a member's protected health information. For 2021 open enrollment information visit the UMP Open Enrollment webpages: For PEBB members, UMP offers three plan options: For SEBB members, UMP offers four plan options: To get the best use of your benefits, use providers in the network you enroll in. 1555 RiverCenter Drive, Suite 206 Milwaukee, WI 53212. Claims Mailing Address: UnitedHealthcare Community Plan PO Box 31365 Salt Lake City, UT 84131 Electronically (this is the preferred method) 1. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Oxford Health Plans > Contact Us > Oxford Phone Numbers: Phone Numbers : Member Services: ... number on your health plan ID card, or call 1-800-444-6222 to be connnected to a service associate who can assist you. You will be prompted to enter your tax identification number (TIN). Federal Employee Program. Transaction Services on the Medi-Cal Provider website may not be available for providers to perform transactions during this time. Members: 1-888-674-8734 Non-Members: 1-888-241-4556 Providers: 1-888-732-7364 Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week. Click: Patient Registration>Authorizations & Referrals>Authorizations 3. By Mail: Texas Children’s Health Plan PO Box 301011, WLS-8360 Houston, TX 77230-1011. The normal maintenance window for the Medi-Cal Provider website and systems is midnight to 2 a.m. Please contact us at the phone numbers above. Uniform Dental Plan: THIS IS THE DELTA DENTAL PPO PLAN: Best for those who want the most freedom to choose their dentist • You pick your dentist from the largest provider … Group - Fully-insured and administrative services only (ASO). Please do not use the form on this page for specific health related questions. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. OWCP-04 Uniform Billing Form For Medical Services. Medi-Cal Provider Website and Systems Maintenance Window. Section 4—Consultant/Facility Provider—Complete name, provider ID (specialist’s 8-digit CareFirst BlueChoice ID), and phone number. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or … Explanation of Benefits. 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Have us contact you: Services covered under Uniform Medical Plan (UMP) Achieve 1, UMP Achieve 2, UMP High Deductible, or UMP Plus UMP Customer Service (medical benefits) Phone: 1-800-628-3481 Demographic Changes: 1-877-842-3210 Fax Number: 1-205-437-8530 If you haven't created an account, click Register at the top right of this page and follow the prompts. Visit Forms & publications and select “UMP” in the Plan search filter for information you need to understand your coverage, including monthly premium amounts and comparisons of UMP plans. In Payer Spaces you can access our reimbursement schedules, pricing documents and more. Learn more about your customer service options. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Section 5—Referral Information—Complete reason for referral. Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. If you are looking for information previously contained in the Managed Medical Assistance tab or any information related to the CMS Managed Care Plan, please visit our new website at CMSPlan.floridahealth.gov. Customer Service: 1-800-777-4376 | TTY: 1-800-947-3529 24 hours-a-day, 7 days-a-week Office Hours: Monday - Friday 8:30 a.m. - 5:00 p.m. Psychiatric evaluation or intake assessment 3.2. It provides detailed benefit information, describes what is covered, and explains how much you will pay for different services. Individuals & Families: 1-844-282-3025 2. Enter employee’s information and have patient provide you with their DEEOIC Case ID number. For STAR Health, Allwell from Superior HealthPlan and Ambetter from Superior HealthPlan, office hours are from 8 a.m. to 6 p.m. (Central Time), Monday through Friday. To browse each plan’s network or to find a … UMP administered by Regence BlueShield (Medical only) (UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus) Online: Uniform Medical Plan for school employees Phone: 1-800-628-3481 TRS: 711 UMP Plus–Puget Sound High Value Network Online: UMP Plus–Puget Sound High Value Network for school employees Phone: 1-877-345-8760 UMP Plus–UW Medicine Accountable … Note: You will be prompted to enter your tax identification number (TIN). Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Canadian citizens and permanent residents can apply for provincial health insurance. In Canada, public health insurance is available to eligible residents. Provider Call Center: 877-842-3210 Member Services Number: 800-318-8821 (TTY 711), Monday-Friday, 8:00 am to 7:00 pm EST. Otherwise, you may search for a doctor or facility here or call 1-888-342-7427 . Medicare Advantage: 1-844-282-3026 3. US Family Health Plan: 1-800-678-7347 Member Services Email:CHRISTUS.HP.MemberService.Inquiry@christushealth.org Member Services Fax: 210-766-8851 If you’re hard of hearing, you can call: 711 For medical questions, call a registered nurse any time, day o… Provider Contact Center: 1 (800) 253-0838. The hotline is available 24 hours a day, 7 days a week. Section 6—Services Desired—Complete number of … In B.C., public health insurance is called the Medical Services Plan (MSP). Denver Health Medical Plan 777 Bannock Street, MC6000 Denver, CO 80204 A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Martin’s Point Health Care US Family Health Plan Serving Maine, New Hampshire, Vermont, Upstate and Western New York, and Northern Pennsylvania. We speak English or Spanish. The time limit for filing claims is one year from the date of service/purchase. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. Once you register, you’ll be able to view: Claims history. Please have your tax ID number, provider name and address exactly as it appears on the W-9 you submitted along with your NPI and phone number. Looking for the Children’s Medical Services Managed Care Plan? ... Our Provider Contact Center and Provider Relations teams are here to support you. Due to COVID-19, HCA’s lobby is closed. Current members can switch primary care providers or order a replacement IDcard by calling: 1. Uniform Medical Plan. The Office of Children’s Medical Services Managed Care Plan (CMS Plan) has moved to its own website. Mailing Address: UnitedHealthcare Community Plan 10175 Little Patuxent Parkway Columbia, MD 21044. To find a provider, please follow the instructions on your ID card since your health plan may have a customized phone number or website for the plan. Host Plan phone: Monday through Friday, 6 a.m. to 5 p.m. (PT). If after completing this process, the provider believes they did not receive full due process from the managed care medical or dental plan, they may file a STAR, STAR+PLUS, STAR Health, STAR Kids or managed care dental complaint or inquiry by using the Online Question or Complaint Form or by emailing HPM_Complaints@hhsc.state.tx.us. Access most member eligibility, benefits and claims information online using the Availity Portal. View pre-authorization requirements for UMP members. Explore now. Contact us. For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). Use the electronic authorization tool to determine whether pre-authorization is required and submit requests online. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. Welcome to the Department of Labor EEOICP Medical Provider Enrollment information page. Uniform Medical Plan: 1 (888) 849-3682 . UMP is administered by Regence BlueShield and Washington State Rx Services. Medical Associates Health Plans: 563-556-8070 or 800-747-8900. Alert! We’re always looking for ways to make it easier to do business with us. Apply now. We also have interpreters available by phone who speak 140 different languages. Pre-authorization: Use our online tool to be routed to the home plan's requirements. Community Care Plan strives to provide quality care to you and your family. Use Our Online Tools Instead. This timeframe is used to apply system changes and updates. Any other supporting documents you would like considered, such as letters from outpatient provide… Direct clinical information reviews (MCG Health) For select CPT codes, Availity's electronic authorization tool automatically routes you to MCG Health's website where you can document specific clinical criteria for your patient. History and physical/nursing assessment (if available) 3.3. This page contains benefit information for 2020. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. Our interactive voice response system is also available 24 hours a day, seven days a week when calling the Provider Contact Center. Full Phone Directory. Please complete a separate form for each family member. 1800 Ninth Avenue PO Box 91015 Seattle, WA 98111-9115 MEDICAL CLAIM FORM Use this form to submit reimbursement requests for services received from a non-network provider. Beat the Tuesday, December 15, 2020 deadline to enroll in health coverage that starts January 1, 2021. Independent Care Health Willamette Dental Group of Washington, Inc. 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