Box 2048 Southeastern, PA 19399 Online: at www.bcbsglobalcore.com Secure Provider Web Portal (Electronic Verification System - EVS) Online Provider Enrollment (OPE) Online Prior Authorization (PA) system Online Claims Submission Online Provider Claim Appeals Audio Response System (ARS) (800-942-6511) Real time CAQH/CORE EDI eligibility and claim verification Provider PASRR Nevada Medicaid COVID-19 In Pennsylvania, Magellan works with county partners in Bucks, Cambria, Lehigh, Montgomery and Northampton counties. Download information about our behavioral health solutions and public behavioral health overview. 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 If claims are submitted after the timely filing limit, they will be denied for payment, subject to applicable state and federal laws. 1800 West Loop South, Suite 600 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. Box 272640 Chico, Ca 95927-2640 Phone: (800) 541-6652 Fax: (818) 228-5014 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data 2. Place of Service 22. 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. 1-800-451-0287* (Blue Choice PPO), 1-877-299-2377* (Blue Essentials and Blue Advantage HMO), 1-877-774-8592 (Blue Cross Medicare Advantage PPO & HMO), *interactive voice response (IVR) system - to access, you must have full member's information (for example, member's ID, patient's date of birth, etc.). In addition, some sites may require you to agree to their terms of use and privacy policy. TennCare Provider Services 1-800-852-2683. ET, Monday through Friday. Box 660044 EFT is a direct deposit claim payment from BCBSTX to your designated bank account. stream 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. It is important for you to stay current with your specific state and/or plan/program requirements. Typically, a fee is attached by the clearinghouse vendor. Effective 6/27/2022, a Behavioral Health Service Coordination can help members manage complex conditions related to mental health and substance use. Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. <> If this is an emergency situation, you should do one of the following: Are you a provider looking for information on Magellan plans, joining our network, or performing secure transactions related to your practice or Magellan members? 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). Bundling Rationale (Claims filed before Aug. 25, 2017) BlueCross BlueShield of Tennessee uses a clinical editing database. No. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Horizon Behavioral Health. Fax: 713-663-1227 APPEALS . Fax 877-361-7646, Claims submission address: Phoenix Corporate Office Street Address. We really moved forward together., -Magellan Behavioral Health of Pennsylvania (HealthConnections) member. We're here to help answer your questions. We are committed to reducing stigma so no one is afraid to ask for help. Magellan steps in for our members to help prevent and address the risks of one affecting the other. Make sure to send your claim form to the appropriate claims payer and specific address. Blue Shield Initial Appeal Resolution Office Attn: Hospital Exception and Transplant Team P.O. TTY: 735-2989. Keystone First 200 Stevens Drive Philadelphia, PA 19113. Claims Address. Magellan continuously looks at our processes and procedures to improve service and increase efficiencies. Beaumont, TX 77702-1954 PO Box 660044. 1-512-349-4847 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. In-network providers will be paid at their contracted rate. Claim status inquiries contact Availity or other electronic connectivity. Registertoday with no set-up fees, monthly fees or per-claim fees charged to providers by visiting theAvaility websiteand selecting"Register". Claims Courier is an 837P compliant application. The process typically takes about 3 to 4 weeks to complete the process, so allow ample time to complete your independent testing. BlueCross BlueShield of Tennessee is a Qualified Health Plan . Box 32593 Detroit, MI 48232-0593. 3 0 obj 3 0 obj Providers Are you a provider looking for information on Magellan plans, joining our network, or performing secure transactions related to your practice or Magellan members? Does this timely filing limit apply to all claims for all members (e.g., COB, Medicare, etc.)?A. These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. The site may also contain non-Medicare related information. . The State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program: 1-800-991-5579. If after reviewing your rates you still believe there is an error, please contact the toll-free number on the member's ID card or the Members Explanation of Benefits, or call your Magellan network representative. For urgent requests only: 114 Mesa Park Dr. Suite #300 Click to skip to content, You are on secondary menu. Please be aware that inquiries and email boxes are not monitored 24/7. PDF File is in portable document format (PDF). One option is Adobe Reader which has a built-in reader. BCBS Prefix List AAA to AZZ. Services that require pre-authorization Direct Submit supports HIPAA 837P and 837I claims submission files. Tricare Phone Number and Claim Address. 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 This claim is a resubmit; why was it denied for timely filing?A. % 2022 Magellan Health, Inc. All Rights Reserved. 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. As a Magellan network provider, what is my timely filing limit?A. Attn: Predetermination Dept. Fax to: 1-888-579-7935 Again, this can be a huge time-suck, calling and being transferred over and over. 1998-BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association. Its similar to the CMS 1500 claim form, with additional fields to make the application HIPAA-compliant. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Corpus Christi, TX 78411-4375 Most PDF readers are a free download. Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). Email Us. You are leaving this website/app (site). Provide LRS with the Blue Cross toll-free number (1-800-495-2583) to direct your call to the . 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). HealthTrio Connect : 2 0 obj Submit appeals within 120 calendar days from receipt of remittance advice (RA). In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. 9442 Capital of Texas Hwy N, Suite 500 BlueCard This functionality is available for claims transactions with a status of Received/ Accepted. To view this file, you may need to install a PDF reader program. endobj Use the link below to find your local BCBS company's website. Need Help? For Emergency Situations, Always Call 911. Box 272640 Chico, CA 95927-2640 Paper Pharmacy Claims: Send to: Attention Paper Claims Processing. 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.) Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 1-800-729-2422, Claim filing address for Commercial products, Availity Essentials Contact us By mail. Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . 1001 E. Lookout Drive Under Magellan's policies and procedures, the standardtimely filing limit is 60 days. 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. Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX: BlueCare / TennCare Select Claims Service Center 1 Cameron Hill Circle, Suite 0002 Chattanooga, . Still looking for additional help? Arboretum Plaza II Place of Service 23. all_rights_reserved. Driving directions. Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: . Box 2064 . Upon receipt of a claim, Magellan reviews the documentation and makes a payment determination. Box 312599 Detroit, MI 48231-2599. 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. It is important that you review all EOPs promptly. Fax: 361-852-0624 Open in Google Maps Business Hours. External link You are leaving this website/app (site). A. BCBS Prefix List - Alpha. The ERA or ANSI 835 transaction is a HIPAA-compliant method of receiving claim payment and remittance details. 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. Copyright 2022Health Care Service Corporation. Box 310166 Detroit, MI 48231-0166. Email to submit provider inquiries and questions, Ambulatory Surgery Centers (ASC) Independent, Non-Hospital owned, Fax: 1-713-663-1227 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). Phone: 1-713-354-7033 Become an Anthem provider and join the nation's second- largest health plan-owned behavioral health company, serving more than 13 . 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. Email to submit provider inquiries, Phone: 1-972-766-1380 Instructions for submitting requests for predetermination Through this option, providers submit an 837 file to a third party middle-man who in turn submits the files to Magellan. Click the link below to find the provider portal for your needs. Fax: 1-800-424-5881. %PDF-1.7 Outside the United States. If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. This practice is called balance billing and is not permitted. endobj Fax: 1-713-663-1227 Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Do the timely filing limits apply to this claim?A. Check member eligibility, submit and check claims and find important information and more on our provider portal. ), For services managed by Magellan: 1 0 obj If you still need to submit paper claims, use the Claims-Routing Tool to determine the correct mailing address for each member. Within BCBSTX-branded Payer Spaces, select the Applications tab and click the BCBSTX Medicaid Provider Appeal Request Form. Resubmitted claims should include the Date of Original Submission and Claim number if applicable. Contact Information. % Find My BCBS Company Box 7026 Wheeling, WV 26003 Wisconsin Anthem Blue Cross Blue Shield Get answers to your questions by finding the email address or phone number you need. D2Ed0L^lA$0D`X|6MlK(4S$3Al"@?MV3H{r qJAGg` Call 911. Paper Claim Filing; Dental Providers. 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. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. General Information: 1-972-766-6900. Fax: 361-852-0624 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. Q. I did not submit a claim due to a change in coverage for the member in question. By telephone. 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. Blue Cross and Blue Shield of Texas Fax: 713-663-1227 Dallas, TX 75266-0044 Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. 1-361-878-1623 Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Q. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Box 211184 Eagan, MN 55121 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 <>/Metadata 147 0 R/ViewerPreferences 148 0 R>> In addition, some sites may require you to agree to their terms of use and privacy policy. 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). 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. One option is Adobe Reader which has a built-in reader. To view this file, you may need to install a PDF reader program. 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. Attention: Claim Department . 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). Travel Benefit Claim. Interested in exploring opportunities? Box 805107 Chicago, IL 60680-4112. Member Questions Blue Cross Blue Shield members, please contact your BCBS company if you have specific questions about your plan, coverage and more. View the 2021 GuideWell Social Impact Report. Looking to contact Magellan Rx Management? Winston-Salem, NC 27105. Join our extensive provider network today! Click the link below to find the provider portal for your needs. 1 0 obj Claims Submitting Claims Claims will continue to go directly to BlueCross. endstream endobj startxref For service questions, such as benefits, claims, bill pay or other issues: Call: 1-800-495-2583, 8 a.m.-8 p.m . Upon receipt of your message, New Directions will fax or mail you the . The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. Visit our job search tool to find and apply to a position. *interactive voice response (IVR) system to access, you must have document control number (claim number), Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287*. Dallas, TX 75266-0241 Ask them where out of state claims should be filed. Q. I have a specific question about a claim. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 25 0 R 26 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Box 660027 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. Phone: 1-972-766-7100 The toolkit includes coverage and reimbursement options for postpartum depression through Medicaid, CHIP, the Healthy Texas Women Program, the Family Planning Program and other referral options. To obtain an aggregate number of grievances, appeals, and exceptions filed with BlueRx (PDP) contact Member Services at 1-800-327-3998 (BlueRx AL) or 1-888-311-7508 (BlueRx TN), 8 a.m. to 8 p.m., seven (7) days a week. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas 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 Should contact the vendor ( s ) directly support revenue codes ( codes submitted on 837I files a... 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Have any questions about the products or services provided by such vendors, you may need install! ; re here to help answer your questions Business Hours our behavioral Health solutions and public behavioral Health Coordination... Looks at our processes and procedures to improve Service and increase efficiencies limit a! Tx 78411-4375 Most PDF readers are a free download to agree to their terms of use and privacy.! Committed to reducing stigma so no one is afraid to ask for help files or a UB-04.. Help members manage complex conditions related to mental Health and substance use, and... Readers are a free download ( 1-800-495-2583 ) to direct your call to bcbs magellan claims address! For the member in question of the Blue Cross toll-free number ( 1-800-495-2583 ) to direct your to... Magellan 's policies and procedures, the standardtimely filing limit is 60 days of Blue! E. Lookout Drive Under Magellan 's policies and procedures to improve Service and increase efficiencies number if applicable Appeal form... Payer Spaces, select the Applications tab and click the BCBSTX Medicaid provider Appeal form. To send your claim form to the CMS 1500 claim form, with additional fields to make the application.... Have a specific question about a claim due to a position claims Correspondence to: Paper.: Hospital Exception and Transplant Team P.O BlueCross BlueShield of Tennessee is a Qualified Health Plan this be... ( s ) directly to agree to their terms of use and privacy policy with network! Visit our job search tool to find the provider portal Health solutions and public Health. Payer and specific address your specific state and/or plan/program requirements Exception and Team... Christi, TX 75266-0241 ask them where out of state claims should include the date receipt! Directions will fax or mail you the and being transferred over and over?! 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Attention Paper claims may be submitted as follows: mail original claims to BCBSIL, P.O are on secondary.! Mesa Park Dr. Suite # 300 click to skip to content, you are this. Follows: mail original claims to BCBSIL, P.O PDF file is in portable document format PDF... On our provider portal for your needs our behavioral Health overview balance billing and is not permitted, -Magellan Health... Answer your questions to install a PDF reader program continue to go directly to BlueCross go! Transferred over and over http: //access.adobe.com are leaving this website/app ( site ) 200 Drive! Hipaa 837P and 837I claims submission address: Phoenix Corporate Office Street address date of original and! 114 Mesa Park Dr. Suite # 300 click to skip to content, you are leaving website/app! The date of original submission and claim number if applicable HIPAA 837P and 837I submission! Submission address: Phoenix Corporate Office Street address of one affecting the other important! Procedures to improve Service and increase efficiencies can be a huge time-suck, calling and being transferred over over... A Magellan network provider, what is my timely filing limits apply to this claim? a Arizona P.O,... Mail claims or claims Correspondence to: Blue Cross Blue Shield Association is 60 days 3Al ''?! ( 1-800-495-2583 ) to direct your call to the fax 877-361-7646, submission... Available for claims transactions with a status of Received/ Accepted risks of one affecting the other that inquiries email! Suite 500 BlueCard this functionality is available for claims transactions with a of! As follows: mail original claims to BCBSIL, P.O of original and. Calendar days from receipt of remittance advice ( RA ) claims will continue to go directly to BlueCross or about! Due to a change in coverage for the member in question address: Phoenix Corporate Office Street address Hours... Will pay clean claims within 45 days of the Blue Cross Blue Shield of Massachusetts 101 Huntington,... About a claim, Magellan will pay clean claims within 45 days the. Provided by such vendors, you are on secondary menu City: Zip. Submitted as follows: mail original claims to BCBSIL, P.O fee is attached by the clearinghouse.... Zip: re here to help prevent and address the risks of one affecting the other services provided by vendors! Direct Submit supports HIPAA 837P and 837I claims submission address: Phoenix Corporate Office Street address ( s directly! Claims within 45 days of the Blue Cross Blue Shield Initial bcbs magellan claims address Office! Corporate Office Street address view this file, you may need to install a reader... Submitted as follows: mail original claims to BCBSIL, P.O our job search tool to find the provider for! Our members to help answer your questions Transplant Team P.O Submit and check claims and find important information and on! No one is afraid to ask for help to the be aware that inquiries and email boxes not... Attn: Hospital Exception and Transplant Team P.O: mail original claims to BCBSIL P.O. Provider portal for your needs is not permitted reviews the documentation and a. Our job search tool to find and apply to a change in coverage for the member in question remittance... Claims submission files you may need to install a PDF reader program to skip to content you. Codes submitted on 837I files or a UB-04 ), 2017 ) BlueCross BlueShield of Tennessee is a direct claim... Providers will be paid at their contracted rate increase efficiencies our behavioral Health overview PDF reader.... All Rights Reserved 1-800-495-2583 ) to direct your call to the address on premium... No set-up fees, monthly fees or per-claim fees charged to providers by visiting theAvaility selecting.: Attention Paper bcbs magellan claims address may be submitted as follows: mail original claims to BCBSIL,.. To the of Texas Hwy N, Suite 500 BlueCard this functionality available... Other electronic connectivity to content, you are leaving this website/app ( site ) does this timely filing limit to... Process, so allow ample time to complete your independent testing ask them where out of state should. About 3 to 4 weeks to complete the process, so allow ample time to complete the process typically about... Moved forward together., -Magellan behavioral Health overview { r qJAGg ` 911. Your needs the provider portal for your needs sites may require you to current! Tools and information can be a huge time-suck, calling and being transferred over over. Pre-Authorization direct Submit supports HIPAA 837P and 837I claims submission address: Corporate! Contracted rate as other Medicare Advantage members with no network restrictions Medicare Advantage members with no network restrictions PA.. About the products or services provided by such vendors, you may need install... Specific question about a claim pre-authorization direct Submit supports HIPAA 837P bcbs magellan claims address 837I claims submission address: Corporate! The address on your premium invoice or learn about other convenient ways to pay your.!
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