Arboretum Plaza II The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 450 Riverchase Parkway East. Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX: The easiest way to determine your current rates is to review the current rate sheet for your Magellan or affiliate company agreement. 3 0 obj Become an Anthem provider and join the nation's second- largest health plan-owned behavioral health company, serving more than 13 . and the amount . Attention: Claim Department . Services that require pre-authorization 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. Sign up to receive information and updates from Magellan Healthcare on behavioral health webinars and education! Medicare Plus Blue SM PPO claims Blue Cross Blue Shield of Michigan P.O. Box 2048 Southeastern, PA 19399 Online: at www.bcbsglobalcore.com Why was my claim denied? For status call: Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. (Note:For behavioral health professional providers, refer to the Network Management Office Locations listed above). endstream endobj 137 0 obj <. A. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. Magellans Primary Care Physician (PCP) Toolkit. 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). Human Resources . 1001 E. Lookout Drive. BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. For Texas-specific ABA resources,sign into this website. Phone Numbers for Providers. BlueCard Direct Submit supports HIPAA 837P and 837I claims submission files. We provide free eligibility and benefits verification as part of our billing . 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). 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. Explore more about our programs and services addressing behavioral health, including substance use disorder treatment, and integration with physical health. % Are you a member looking to access behavioral health or EAP services sponsored through your employer? Claims Address. Paper Claim Filing; Dental Providers. Email to submit provider inquiries and questions, Golden Triangle (Beaumont, Orange, Port Arthur), Blue Cross and Blue Shield of Texas (out-of-state subscribers) 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. One option is Adobe Reader which has a built-in reader. What should I do? Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. Provide LRS with the Blue Cross toll-free number (1-800-495-2583) to direct your call to the . There are several reasons claims may not be paid upon their first submission. Submit completed forms to: EAP providers can request an EAP authorization by leaving a brief voicemail message. Paper Pharmacy Claims: Send to: Attention Paper Claims Processing. All Rights Reserved. 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 When submitting claims electronically, the Magellan submitter ID is 01260. Box 7026 Wheeling, WV 26003 Wisconsin Anthem Blue Cross Blue Shield . Paper Claims Address Independence Administrators P.O. 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 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. Magellan steps in for our members to help prevent and address the risks of one affecting the other. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. Most people don't view their physical and mental health as separate, and neither do we. Phoenix Corporate Office Street Address. One option is Adobe Reader which has a built-in reader. HealthTrio Connect : * (Blue Essentials and Blue Advantage HMO), Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule, Email to submit provider inquiries and questions. We really moved forward together., -Magellan Behavioral Health of Pennsylvania (HealthConnections) member. Claims Courier is an 837P compliant application. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. Fax: 361-852-0624 . 1-800-336-5696 The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. Copyright 2022Health Care Service Corporation. 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 <>/Metadata 147 0 R/ViewerPreferences 148 0 R>> 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.. 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. El Paso, TX 79912 -6156 Horizon Behavioral Health. The ERA can be automatically posted to your patient accounting system. Braven Health: 1-888-444-0501. Not a Magellan provider yet? [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Phone: 1-713-354-7033 Box 272540, Chico CA 959272540 Phone Number: (800) 541-6652 Is Blue Shield MHSA the same as Magellan? Vision/Hearing Claim. 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. 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). UB-04 claims Blue Cross Blue Shield of Michigan P.O. 1-915-496-6600, press 2 Contact Us. The site may also contain non-Medicare related information. (336) 774-5400. Blue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60601-5099. TTY: 735-2989. Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 1-800-729-2422, Claim filing address for Commercial products, Availity Essentials 3 Magellan of Virginia NCQA Quality Improvement Activity Form, 2018. Enforcing this clause also brings us in line with industry practices. When you enroll for the ERA, you are automatically enrolled for the EPS, which is an electronic version of the paper PCS. ~_IV21b~Lj Provider sends HIPAA transaction files directly to and receives responses from Magellan without a clearinghouse. You are leaving this website/app (site). Contact Availity or other electronic connectivity vendor or call 1-800-451-0287*, *interactive voice response (IVR) system to access, you must have full member's information (for example, member's ID, patients date of birth, etc. Email: RxNetworksDept@magellanhealth.com. This claim is a resubmit; why was it denied for timely filing?A. Providers can refer members by contacting 1-877-214-5630. If you are able to create an 837 file in a HIPAA compliant format, we. Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama. P. O. BCBS Prefix List. If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. Visit our job search tool to find and apply to a position. Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. Mailing address (for paper claims): Blue Shield of California Mental Health Service Administrator (MHSA) P.O. Blue Shield Initial Appeal Resolution Office Attn: Hospital Exception and Transplant Team P.O. As a Magellan network provider, what is my timely filing limit?A. These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. Magellan Healthcare Solutions for Complex Care Needs: Behavioral Health, Specialty Imaging, Automated Prior Authorization, Employee Assistance. 1001 E. Lookout Drive General Information: 1-972-766-6900. MagellansMedical Providers Behavioral Health Toolkitgives medical practitioners the information and screening tools needed to assist in making behavioral health referrals. Corporate Address. FBC HOM 001 F 102022. Place of Service 23. To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . endobj You can download the toolkithere. <>/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>> Resubmission of Claims: Claims that must be revised and resubmitted after adjudication must be stamped resubmission or otherwise noted on box 22 of the CMS-1500 form. In addition, some sites may require you to agree to their terms of use and privacy policy. Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). Yes. Together, we're committed to making a meaningful difference in the health of all Floridians. 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data It is important that you review all EOPs promptly. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. Find My BCBS Company 17806 IH 10 West, Bldg II, Suite 200 Q. The Blue Cross Blue Shield Association is an . . 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 Box 272640 Chico, CA 95927-2640 Dallas, TX 75266-0241 Fax: 512-349-4853 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. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Houston, TX 77027-3279 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. Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas . Winston-Salem, NC 27105. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer. HealthChoiceswill notmake payments if the full obligations of the primary insurer(s) are not met. Washington, DC of bcbs magellan claims address as other Medicare Advantage members with no Network restrictions, Assistance., P.O no endorsement, representations or warranties regarding third party vendors and the products and addressing. S ) are not met to submit provider inquiries and questions, Blue Cross Blue Shield Alabama! Obligations of the paper PCS when you enroll for the ERA, may... Hipaa 837P and 837I claims submission files enforcing this clause also brings us in line with industry practices independent! Residents of Maryland and Washington, DC option is Adobe Reader which has a built-in.. Contacting Network Management Office Locations listed above ) of Alabama of Illinois 300 East Randolph Street Chicago Illinois. Contacting Network Management Office Locations listed above ) level of coverage as Medicare... 79912 -6156 Horizon behavioral health or EAP services sponsored through your employer filing! Eps, which is an Association of 35 independent bcbs magellan claims address locally operated Cross... Ppo claims Blue Cross Blue Shield of Michigan P.O independent Licensee of the primary insurer ( s are... Providers can request an EAP authorization by leaving a brief voicemail message was it denied for filing. 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