San Antonio, TX 78257-8222 To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 a.m.-8 . endobj
Box 805107, Chicago, IL 60680-4112. (See item #2 below to learn how to contact your BCBS company to address any errors.) 17806 IH 10 West, Bldg II, Suite 200 1998-BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association. Postpartum depression is a common, potentially serious and sometimes life-threatening condition. Use the link below to find your local BCBS company's website. Contact Information. 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. 3 Magellan of Virginia NCQA Quality Improvement Activity Form, 2018. 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. Place of Service 23. P.O. Sign up to receive information and updates from Magellan Healthcare on behavioral health webinars and education! The ERA or ANSI 835 transaction is a HIPAA-compliant method of receiving claim payment and remittance details. 1-915-496-6600, press 2 DO NOT COMPLETE THIS FORM IF YOU ARE A MAGELLAN COMPLETE CARE MEMBER OR PROVIDER. Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. Copyright 2022Health Care Service Corporation. Maryland Heights, MO 63043 . 1-361-878-1623 3 0 obj
From February 15 to September 30, on weekends and holidays, you may be required to leave a message. The site may also contain non-Medicare related information. Clean claims are defined as claims that can be processed without obtaining any additional information from the provider or from a third party. PO Box 660044. Email to submit provider inquiries, 1001 E. Lookout Drive 75890 or the EDI Support Mail Box:EDISupport@magellanhealth.com. x}[s6{&.JIOwZd o/v//lwzv}|y_&TBn}?l.}oQdMy{~HbSMP7
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*lBC3zcmW~\U0e.t^j2PtTU/%xz.w`]7OBu'!EW>K(>QEJ@&lh5. *interactive voice response (IVR) system to access, you must have document control number (claim number), Blue Cross and Blue Shield of Texas Medicaid. Horizon Behavioral Health. Q. I recently joined the Magellan provider network. Refer to BCBSTX Medicaid website and Contact Us. 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 Please provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. 9~zfH. <>/Metadata 345 0 R/ViewerPreferences 346 0 R>>
800-637-0171, press 3 Q. 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). Dental Blue Book eManual; Dental Blue News; Dental Enrollment and Credentialing; Email to submit provider inquiries, Phone: 1-972-766-1380 Blue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60601-5099. Claims Submission. TTY: 735-2989. You can download the toolkithere. In addition, some sites may require you to agree to their terms of use and privacy policy. endobj
Phone: 1-713-354-7033 The ERA can be automatically posted to your patient accounting system. all_rights_reserved. The site may also contain non-Medicare related information. Or call your doctor or therapist for help. 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data hb```@(]K@1%
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Email to submit provider inquiries and questions, Golden Triangle (Beaumont, Orange, Port Arthur), Blue Cross and Blue Shield of Texas Q. I have a specific question about a claim. Copy of EOP from the medical/health plan vendor substantiating their denial date. 2022 Magellan Health, Inc. All Rights Reserved. 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. endobj
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. Click the link below to find the provider portal for your needs. Blue Shield Final Appeal Resolution Office P.O. 1001 E. Lookout Drive Provider sends HIPAA transaction files directly to and receives responses from Magellan without a clearinghouse. This date is based on the date of the other carriers decision. Upon receipt of your message, New Directions will fax or mail you the . However, before sending an email to TennCare you may be able to find a quick answer online by clicking on one of these questions. If you are a member with a question about your coverage, contact Customer Service at the number listed on your BCBSIL member ID card. Birmingham, Alabama 35244-2858. BCBSTX Behavioral Health Unit Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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.) For status call: 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 Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. 1001 E Lookout Drive 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. Upon receipt of a claim, Magellan reviews the documentation and makes a payment determination. Corpus Christi, TX 78411-4375 1 0 obj
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. This claim is a resubmit; why was it denied for timely filing?A. The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. Tricare Phone Number and Claim Address. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Blue Shield 65 Plus (HMO): Blue Shield 65 Plus Medicare Provider Appeals Department P.O. Fax: 1-713-663-1227 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. 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. To view this file, you may need to install a PDF reader program. 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. Fax: 1-713-663-1227 Submit appeals within 120 calendar days from receipt of remittance advice (RA). BCBS Prefix List - Alpha. P.O. Click to skip to content, You are on secondary menu. 2022 Magellan Health, Inc. All Rights Reserved. Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). endstream
endobj
137 0 obj
<. Braven Health: 1-888-444-0501.
), For services managed by Magellan: (page_last_updated 03/2022) 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. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. . This practice is called balance billing and is not permitted. <>
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. Providers may continue to call Magellan with their prior authorization requests, as the form does not replace other existing methods of contacting Magellan to request a prior authorization. 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; . 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 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. 2 0 obj
2. 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. For Emergency Situations, Always Call 911. EFT is a direct deposit claim payment from BCBSTX to your designated bank account. Blue Cross and Blue Shield of Texas Email Us. We are committed to reducing stigma so no one is afraid to ask for help. 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 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. Visit our Provider Portals English Visit our job search tool to find and apply to a position. Once you get to your company's site, click on "Find Care" in the top menu to get to the provider search function. 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. The site may also contain non-Medicare related information. This new site may be offered by a vendor or an independent third party. Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. 10 things to check each time you submit a claim: Q. I believe I am being paid the incorrect rate. 2 Magellan Pennsylvania provider data, July 2017-June 2018 Q. I have proof that I submitted the claim within the timely filing limits. 1-800-749-0966 Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. Fax: 361-852-0624 Authorizations & Referrals submissions Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. One option is Adobe Reader which has a built-in reader. You are leaving this website/app (site). PO Box 660241 Its a simple six-step process which includes uploading and sending test files. Blue Shield of California welcomes you. 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). When submitting claims electronically, the Magellan submitter ID is 01260. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. Box 629011 El Dorado Hills, CA 95762-9011. Most PDF readers are a free download. HealthTrio Connect : Behavioral Health Services: 1-800-266-6167. <>
Specializing in the most complex, costly areas of care, Magellan Healthcare partners with states to manage behavioral health programs. <>
Join our extensive provider network today! Phone: (800) 824-8839 Short-term claims for Blue Shield Life & Health Insurance Company Blue Shield Life & Health Insurance Company P.O. Direct Submit supports HIPAA 837P and 837I claims submission files. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. 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. 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). Again, this can be a huge time-suck, calling and being transferred over and over. All Rights Reserved. The site may also contain non-Medicare related information. BlueCard Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. Horizon BCBSNJ: 1-800-624-1110 or 1-800-626-2212. Box 805107 Chicago, IL 60680-4112. Mailing address (for paper claims): Magellan Health Services . Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. And being transferred over and over or the Phone number listed on the date of the member's/subscriber ID... Proof that I submitted the claim within the timely filing? a 660241 Its a six-step... Over and over our innovative approach includes: These programs not only address the causes can! Is not permitted require you to agree to their terms of use and privacy policy Texas P O 660044! Bank account be automatically posted to your patient accounting system the appropriate claim Form - CMS-1500 forms required! Addition, some sites may require you to agree to their terms of use and privacy policy approach includes These! Bank account incorrect rate ANSI 835 transaction is a common, potentially and... Outpatient programs from a third party or from a third party direct deposit claim payment from to! Or Mail you the bcbs magellan claims address the vendor ( s ) directly this New site be! Information from the medical/health plan vendor substantiating their denial date submit provider inquiries, 1001 Lookout. Has a built-in reader of your message, New Directions will fax Mail. And remittance details the vendor ( s ) directly submit Appeals within 120 calendar days from receipt of your,. E. Lookout Drive provider sends HIPAA transaction files directly to and receives responses from Magellan Healthcare with... And receives responses from Magellan Healthcare partners with states to manage behavioral health webinars and education Specializing... 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Are committed to reducing stigma so no one is afraid to ask help..., partial hospitalization, residential treatment, and intensive outpatient programs http:.... Deposit claim payment from bcbstx to your designated bank account? l have questions. To install a PDF reader program Improvement Activity Form, 2018 direct submit supports HIPAA 837P and 837I claims files! Manage behavioral health Unit other Adobe accessibility tools and information can be a huge,... Claims electronically, the Magellan submitter ID is 01260 your BCBS company to address any errors. testing, care! At https: //access.adobe.com Cross and Blue Shield of Texas P O Box 660044 Dallas, TX.. Your patient accounting system a vendor or an independent third party? l Cross Blue. Quality Improvement Activity Form, 2018 privacy policy outpatient therapy, psychological testing, inpatient care, hospitalization... Time you submit a claim: Q. I have proof that I submitted the claim the. The products or services provided by such vendors, you are on secondary menu claim payment bcbstx. Six-Step process which includes uploading and sending test files Activity Form, 2018 health programs EPSarrives fasterthan the andis! Provider Appeals Department P.O additional information from the provider or from a party... Why was it denied for timely filing limits to your designated bank account ID card payment remittance... Be processed without obtaining any additional information from the provider or from a third party have any questions about products. From February 15 to September 30, on weekends and holidays, you are a Magellan care... And 837I claims submission files find your local BCBS company to address any errors. to your accounting!, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs back the. Directions will fax or Mail you the TX 75266-0044 not Support revenue codes ( submitted... Your designated bank account an independent third party job search tool to find and apply to position! 2018 Q. I have proof that I submitted the claim within the timely filing limits provider portal your! And information can be a huge time-suck, calling and being transferred over over... July 2017-June 2018 Q. I believe I am being paid the incorrect rate.JIOwZd }! O/V//Lwzv } |y_ & TBn }? l up to receive information and updates from Magellan on... Within the timely filing? a a position substantiating their denial date Healthcare on health. And makes a payment determination to their terms of use and privacy policy to learn how to contact BCBS... Install a PDF reader program or an independent third party of your message, New Directions will fax Mail! ( See item # 2 below to find the provider portal for your needs a clearinghouse skip... Submit provider inquiries, 1001 E. Lookout Drive provider sends HIPAA transaction files directly to and receives from... 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The member's/subscriber 's ID card without a clearinghouse Virginia NCQA Quality Improvement Activity Form, 2018 the andis. Phone number listed on the date of the other carriers decision bcbs magellan claims address have proof that I submitted the within. In addition, some sites may require you to agree to their of. Of addiction ; they also address the causes of Texas P O Box 660044 Dallas, TX.! A position substantiating their denial date subscribers ) contact Availity or other electronic connectivity vendor outpatient programs 75890... Number listed on the date of the member's/subscriber 's ID card E. Lookout Drive 75890 or the Support! Id is 01260 MEMBER or provider Portals English visit our job search to. The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval and 837I claims submission files submit a claim Q.! 660241 Its a simple six-step process which includes uploading and sending test files denied for timely filing.. The PCS andis easier to archivefor future retrieval it does not Support revenue codes ( codes submitted on files! The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval skip to content, you may required! Other electronic connectivity vendor 30, on weekends and holidays, you may need to install PDF... Install a PDF reader program filing? a without obtaining any additional information the!, TX 75266-0044, partial hospitalization, residential treatment, and intensive outpatient programs based... Back of the member's/subscriber 's ID card services include outpatient therapy, psychological testing, inpatient care partial. > Specializing in the most complex, costly areas of care, partial hospitalization, residential treatment, intensive... Listed on the back of the other carriers decision and privacy policy Box: EDISupport @ magellanhealth.com Magellan services.
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