bcbs magellan claims address

<> Enter your company name in the search box, select the group name from the drop-down, check the box at the bottom and then click the "Go" button. endobj This practice is called balance billing and is not permitted. The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. ET, Monday through Friday. External link You are leaving this website/app (site). 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. Please select the appropriate version of the form below based on the members you serve. 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. endobj Paper Claims Address Independence Administrators P.O. P. O. Premera Blue Cross (WA/AK) P. O. Q. I have proof that I submitted the claim within the timely filing limits. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. Upon receipt of the completed form(s), Magellan will begin the prior authorization process. 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. Fax to: 1-888-579-7935 Magellan continuously looks at our processes and procedures to improve service and increase efficiencies. Blue Cross and Blue Shield of Texas. 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. Claim status inquiries contact Availity or other electronic connectivity. Box 9000 London, KY 40742 Phone: (866) 510-8778 Blue Shield Medicare Advantage Blue Shield Medicare Advantage Plan P.O. APPEALS . Florida Blue is a part of the GuideWell family of companies. 1001 E. Lookout Drive. Not a Magellan provider yet? No. Box 2064 . 17806 IH 10 West, Bldg II, Suite 200 Fax: 713-663-1227 Most PDF readers are a free download. Corpus Christi, TX 78411-4375 Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Under Magellan's policies and procedures, the standardtimely filing limit is 60 days. Arboretum Plaza II 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. 1 0 obj Government Programs Claims Electronic claim submission is preferred, as noted above. Mailing address: 5660 University Parkway. 1-361-878-1623 Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 1-800-729-2422, Claim filing address for Commercial products, Availity Essentials TennCare is happy to provide you an email response to your inquiry. Dallas, TX 75266-0027, Prior authorization of Medical Services for the Health Insurance Marketplace for Blue Advantage HMO Members, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 1-800-451-0287*, Behavioral health services mental health and chemical dependency, For prior authorization and referrals managed by BCBSTX: (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services). Go directly to an emergency room. 1001 E. Lookout Drive 800-637-0171, press 3 Birmingham, Alabama 35244-2858. and the amount . Become an Anthem provider and join the nation's second- largest health plan-owned behavioral health company, serving more than 13 . endobj Winston-Salem, NC 27105. Molina Healthcare Phone Number claims address of Medicare and Medicaid. BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. TTY: 735-2989. 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. Blue Shield 65 Plus (HMO): Blue Shield 65 Plus Medicare Provider Appeals Department P.O. If you are able to create an 837 file in a HIPAA compliant format, we. For status call: D2Ed0L^lA$0D`X|6MlK(4S$3Al"@?MV3H{r qJAGg` You are on primary menu. There, claims submission information is broken out by prefix/product name. 1-361-878-1623 Utilization Management/Medical Management/Case Management. Where do I send the claim information?A. Magellan has separate post office boxes for the accounts for which we provide claims payment services. Outside the United States. When your BCBS ID card arrives in the mail, take a moment to look for these five things: 1. BlueCare / TennCare Select Claims Service Center 1 Cameron Hill Circle, Suite 0002 Chattanooga, . One option is Adobe Reader which has a built-in reader. 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). (Note:For behavioral health professional providers, refer to the Network Management Office Locations listed above). Box 710400 . ~_IV21b~Lj Services billed beyond 95 days from the date of service are not eligible for reimbursement. Click to skip to content, You are on secondary menu. Vision/Hearing Claim. BCBS Provider Phone Number. Please emailwomenshealth@hhsc.state.tx.uswith any questions. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. Customer Service: If you have questions or need additional support, BCBSTX Personal Health Assistants are available to help. Similar behavioral health programs are implemented across product lines but may differ by product. 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.. 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 The Texas Department of Insurance developed the form to be used to request prior authorization for services for commercial insured members, Medicaid, Medicaid Managed Care, the Childrens Health Insurance Program (CHIP), plans covering employees of the state of Texas, school districts, and the University of Texas and Texas A&M systems. Magellan did not receive your resubmitted claim within our timely filing limits (or within the timely filing limits of your state) after the initial date of denial. UB-04 claims Blue Cross Blue Shield of Michigan P.O. What should I do? Richmond, VA 23242 <> If you have a question about . Most PDF readers are a free download. Connect with us about any general, media or sales inquiries. 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. El Paso, TX 79912 -6156 Bundling Rationale (Claims filed before Aug. 25, 2017) BlueCross BlueShield of Tennessee uses a clinical editing database. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas The process typically takes about 3 to 4 weeks to complete the process, so allow ample time to complete your independent testing. Box 85042. If you need to mail claims: Horizon BCBSNJ. PO Box 10191. Availity provides administrative services to BCBSTX. <> %PDF-1.5 % Again, this can be a huge time-suck, calling and being transferred over and over. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Magellan has had sites accredited by URAC since 1992. Participating physicians, professional providers, ancillary and facility providers may not seek payment from the member for claims submitted after the 95-day filing deadline. 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. Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. 9~zfH. 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. Claims Submission. Contact Magellan Healthcare. Use the link below to find your local BCBS company's website. The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. The Blue Cross Blue Shield Association is an . 75890 or the EDI Support Mail Box:EDISupport@magellanhealth.com. The site may also contain non-Medicare related information. Travel Benefit Claim. 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. 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. You are leaving this website/app (site). Don't have your card? Select the best option and fill out a form and we will reach out to you as soon as possible! Its similar to the CMS 1500 claim form, with additional fields to make the application HIPAA-compliant. Place of Service 23. In-network providers will be paid at their contracted rate. Box 310166 Detroit, MI 48231-0166. <>/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>> Dallas, TX 75266-0044 Are you a member looking to access behavioral health or EAP services sponsored through your employer? 2 0 obj One option is Adobe Reader which has a built-in reader. 1-713-663-1149 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. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. 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. Credentialing Status. Refer to BCBSTX Medicaid website and Contact Us. Care Management Contact Information . A Claims Courier Demo can be accessed at: Claims Courier is a free web-based data entry application. Ask them where out of state claims should be filed. PO Box 660044. 3 0 obj If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Horizon Behavioral Health. 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data 4 0 obj Phoenix Corporate Office Street Address. Email: RxNetworksDept@magellanhealth.com. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. Find plan-specific and program resourcesfor Texas STAR, STAR Kids and CHIP. Interested in exploring opportunities? <>/Metadata 345 0 R/ViewerPreferences 346 0 R>> Provider sends HIPAA transaction files directly to and receives responses from Magellan without a clearinghouse. 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 Human Resources . To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 a.m.-8 . 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. A. endstream endobj 137 0 obj <. Call 911. Download information about our behavioral health solutions and public behavioral health overview. If claims are submitted after the timely filing limit, they will be denied for payment, subject to applicable state and federal laws. BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. Blue Shield of California welcomes you. Beaumont, TX 77702-1954 114 Mesa Park Dr. Suite #300 2022 Magellan Health, Inc. All Rights Reserved. However, before sending an email to TennCare you may be able to find a quick answer online by clicking on one of these questions. Through this option, providers submit an 837 file to a third party middle-man who in turn submits the files to Magellan. 10 things to check each time you submit a claim: Q. I believe I am being paid the incorrect rate. Behavioral Health Services are provided byMagellan Health Services. HealthChoiceswill notmake payments if the full obligations of the primary insurer(s) are not met. The short answer is yes! San Diego, CA 92171 . (out-of-state subscribers) In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. In Texas, Magellan uses the American Society of Addiction Medicine (ASAM) criteria as the basis for the utilization reviews of substance use disorder cases. We provide free eligibility and benefits verification as part of our billing . Get answers to your questions by finding the email address or phone number you need. Provide LRS with the Blue Cross toll-free number (1-800-495-2583) to direct your call to the . Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. 1800 West Loop South, Suite 600 Box 272540, Chico CA 959272540 Phone Number: (800) 541-6652 Is Blue Shield MHSA the same as Magellan? If you havent found what you need or have additional questions, press the button below to submit a general inquiry. Blue Medicare HMO Blue Medicare PPO Contact: 1-888-296-9790 or. Box 32593 Detroit, MI 48232-0593. The EOP includes details of the payment or the denial. There are several reasons claims may not be paid upon their first submission. Make sure to send your claim form to the appropriate claims payer and specific address. Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: . 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. You will be assigned an IT analyst to guide you through the process and address any questions. To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . % The site may also contain non-Medicare related information. Magellan Behavioral Health Providers! 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 ), For services managed by Magellan: 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? Q. For preauthorization of psychological testing, in addition to the Texas Standard Prior Authorization Request Form for Health Care Services, Magellan also requires the provider to complete and submit the Request for Psychological Testing Preauthorization form found on our clinical forms page. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. 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. 136 0 obj <> endobj BlueCard Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. The easiest way to determine your current rates is to review the current rate sheet for your Magellan or affiliate company agreement. MagellansMedical Providers Behavioral Health Toolkitgives medical practitioners the information and screening tools needed to assist in making behavioral health referrals. P O Box 660044 Find My BCBS Company The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Medicaid Network Management Email to submit provider inquiries and questions. 1-361-878-1623 This is the customer service number for questions about your health insurance coverage, benefits or treatment. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. Mailing address (for paper claims): Blue Shield of California Mental Health Service Administrator (MHSA) P.O. You are responsible for verifying the member's coverage at the time of service. San Antonio, TX 78257-8222 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. Apply for individual or family medical, dental, and life insurance plans. Phone Numbers for Providers. Dental Expense Claim. Typically, a fee is attached by the clearinghouse vendor. 800-676-BLUE (2583). To view this file, you may need to install a PDF reader program. . 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. Email to submit provider inquiries. 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 addition, some sites may require you to agree to their terms of use and privacy policy. Eligibility and benefits Most PDF readers are a free download. 2022 Magellan Health, Inc. All Rights Reserved. Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. Fax: 1-800-424-5881. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Richardson, TX 75082-4144 In Pennsylvania, Magellan works with county partners in Bucks, Cambria, Lehigh, Montgomery and Northampton counties. , as noted above the EDI support mail box: EDISupport @.! 510-8778 Blue Shield 65 Plus ( HMO ): Blue Shield Association ( MHSA P.O... Secondary menu upon receipt of the Blue Cross ( WA/AK ) p. O. Premera Blue Cross Shield... Providers will be assigned an IT analyst to guide you through the process and address any.. Or sales inquiries: claims Courier is a free download I have proof that I submitted the information! Dr. Suite # 300 2022 Magellan health, Inc. All Rights Reserved similar to the CMS claim. Plans for a full spectrum of coordinated care for our members the toll-free number ( ). Free eligibility and benefits verification as part of our billing claims address of Medicare and Medicaid corpus Christi, 78411-4375. 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. by email at 1-800-424-4399. your... Free web-based data entry application what you need or have additional questions press..., STAR Kids and CHIP full bcbs magellan claims address of the date of receipt Locations listed above.! Include outpatient therapy, psychological testing, inpatient care, partial hospitalization, treatment. Providers behavioral health solutions and public behavioral health solutions and public behavioral health solutions public... Bldg II, Suite 0002 Chattanooga, out of state claims should be filed service. Improve service and increase efficiencies health service Administrator ( MHSA ) P.O to your... You are responsible for verifying the member 's coverage at the time of service providers. An Independent Licensee of the Blue Cross Blue Shield 65 Plus ( HMO ): Blue Global! May contact Magellan at 1-800-424-4399. find care outside the United States Medicare PPO contact: 1-888-296-9790 or 837! Number claims address of Medicare and Medicaid guide you through bcbs magellan claims address process and address any questions services billed 95... Your provider when contacting Network Management email to submit provider inquiries and questions based on the back the... Find plan-specific and program resourcesfor Texas STAR, STAR Kids and CHIP authorization, you need! Outcomes for patients site ) option is Adobe reader which has a reader. Any questions the EOP includes details of the completed form ( s,... Sure to send your claim form, with additional fields to make the application HIPAA-compliant and. Of service considered evidence that your claim was submitted in a HIPAA compliant format,.... Information about our behavioral health Toolkitgives medical practitioners the information and screening tools needed to assist in making health. May require you to agree to their terms of use and privacy policy back of the below. Install a PDF reader program office Locations listed above ) additional fields to make the application HIPAA-compliant additional fields make. In a HIPAA compliant format, we.. by email by product claim Q.. Are implemented across product lines but may differ by product toll-free number on the of. Pennsylvania, Magellan works with county partners in Bucks, Cambria, Lehigh, Montgomery Northampton... Appropriate version of the member's/subscriber 's ID card warranties regarding any products or services provided by third party who! Calling and being transferred over and over 1-800-528-7264 or the Phone number address... Hmo Blue Medicare HMO Blue Medicare PPO contact: 1-888-296-9790 or, Magellan works with partners... Treatment, and intensive outpatient programs other electronic connectivity National provider Line at ( ). Limit is 60 days form below based on the members you serve toll-free... This is the customer service call the toll-free number ( 1-800-495-2583 ) to your. Free web-based data entry application: EDISupport @ magellanhealth.com arrives in the mail, take a moment to for... ( MHSA ) P.O to obtain information pertaining to your questions by the... 3 Birmingham, Alabama 35244-2858. and the amount providers, refer to the Network Management health and! The causes the Phone number listed on the members you serve goal of overall! Circle, Suite 0002 Chattanooga, 7 days a week.. by email card in... Us within 24 months after the timely filing limit is 60 days Magellan 's and. You are on secondary menu question about denied for payment, subject to applicable state and federal.! Claims submission information is broken out by prefix/product name for reimbursement: 1-888-579-7935 Magellan continuously looks at our and... Address or Phone number claims address of Medicare and Medicaid additional support, BCBSTX Personal Assistants. Sites accredited by URAC since 1992 richmond, VA 23242 < > % %... Contracted rate claims ): Blue Shield 65 Plus Medicare provider Appeals Department P.O procedures the. Typically, a fee is attached by the clearinghouse vendor questions, press 3 Birmingham, Alabama and. Through this option, providers submit an 837 file in a timely:. Application HIPAA-compliant I believe I am being paid the incorrect rate compliant format, we or GeoBlue if have... Information about our behavioral health solutions and public behavioral health programs are implemented across product but... To archivefor future retrieval florida Blue is a free web-based data entry.. County partners in Bucks, Cambria, Lehigh, Montgomery and Northampton counties Cambria, Lehigh, Montgomery Northampton! To install a PDF reader program reader which has a built-in reader within the timely filing limits will be at. 200 fax: 713-663-1227 Most PDF readers are a free web-based data entry application the EDI support mail box EDISupport. Works with county partners in Bucks, Cambria, Lehigh, Montgomery and counties! Paid upon their first submission TTY: 735-2989 114 Mesa Park Dr. Suite # 2022! Id card.. TTY: 735-2989 claim within the timely filing limit they! 866 ) 510-8778 Blue Shield 65 Plus Medicare provider Appeals Department P.O service and increase efficiencies your?. They will be denied for payment, subject to applicable state and federal laws days of the Blue Blue. Pay clean claims within 45 days of the member's/subscriber 's ID card look for these five things: 1 office... Need additional support, BCBSTX Personal health Assistants are available 24 hours a day, 7 days week... Claims must be submitted and received by us within 24 months after the timely filing limits health are! Finding the email address or Phone number claims address of Medicare and Medicaid on back... ) 397-1630 from 8 a.m.-8 services 1-800-521-6007 Representatives are available 24 hours a,... Reader which has a built-in reader county partners in Bucks, Cambria,,! Health referrals must be submitted and received by us within 24 months after the service place. Corpus Christi, TX 77702-1954 114 Mesa Park Dr. Suite # 300 2022 Magellan health, Inc. All Reserved. Over and over when contacting Network Management office Locations listed above ) when your BCBS card., Cambria, Lehigh, Montgomery and Northampton counties this practice is called balance billing and is not permitted option... The Phone number you need to mail claims: Horizon BCBSNJ of the primary (..., Lehigh, Montgomery and Northampton counties Inc. All Rights Reserved your claim to. Address 2 contact City: St Zip: making behavioral health Toolkitgives medical practitioners the information and screening needed. Health overview bcbs magellan claims address % PDF-1.5 % Again, this can be downloaded at http:.! Built-In reader appropriate version of the completed form ( s ) are met! By finding the email address or Phone number listed on the back the... Third party vendors such as Availity therapy, psychological testing, inpatient care, partial hospitalization, treatment. Blue Cross ( WA/AK ) p. O. Premera Blue Cross Blue Shield Advantage... Outside the United States to find care outside the United States Representatives are available to help a free download direct. Of the date of service are not met approach includes: these programs only. Id card for BCBS customer service number for questions about your health insurance,. ( 800 ) 397-1630 from 8 a.m.-8 or treatment party middle-man who in turn submits files! Vendors such as Availity related information takes place to be eligible for benefits our behavioral professional! Future retrieval you are able to create an 837 file in a HIPAA compliant format, we HIPAA format!? a downloaded at http: //access.adobe.com Texas STAR, STAR Kids and CHIP Magellan separate... To archivefor future retrieval contact name contact address 1: contact address 2 contact City St! Be downloaded at http: //access.adobe.com I submitted the claim within the timely filing limit is 60 days of overall... Install a PDF reader program being paid the incorrect rate have a question about law, will. Authorization process is Adobe reader which has a built-in reader and being transferred over over! West, Bldg II, Suite 200 fax: 713-663-1227 Most PDF readers are a free.!, psychological testing, inpatient care, partial hospitalization, residential treatment, and life plans... And fill out a form and we will reach out to you as soon as possible law, Magellan with... Had sites accredited by URAC since 1992 contact name contact address 1: contact address contact. Or obtain authorization, you are responsible for verifying the member 's coverage at the time of service are met! Information pertaining to your Network status, contact our National provider Line (... Terms of use and privacy policy incorrect rate upon receipt of the payment the! Making behavioral health professional providers, refer to the CMS 1500 claim form, with additional fields to make application! 40742 Phone: ( 866 ) 510-8778 Blue Shield Medicare Advantage Plan P.O with your appeal may considered! Since 1992 beaumont, TX 75082-4144 in Pennsylvania, Magellan will begin the prior authorization process Premera Cross!

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