Will the timely filing standards be applied to claims I submitted prior to being a Magellan provider?A. Blue Cross Blue Shield of Arizona 2444 W Las Palmaritas Dr. Phoenix, AZ 85021 . Email to submit provider inquiries and questions, Blue Cross and Blue Shield of Texas 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 Children's Health Insurance Program (CHIP), plans covering employees of the state of Texas, school districts, and the University of Texas and Texas A&M systems. P O Box 660044 It is important that you review all EOPs promptly. Fax 877-361-7646, Claims submission address: What should I do? We encourage you to submit claims electronically, via www.MagellanProvider.com or through a clearinghouse. BlueCard . 4 0 obj General Information: 1-972-766-6900. One option is Adobe Reader which has a built-in reader. Fax: 713-663-1227 In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. Double-Check Details Check your new card to ensure details like the spelling of your name and the type of plan you selected are correct. 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. Health Coaching and Interventions: 1-800-672-7897 (toll free) Blue Cross and Blue Shield of North Carolina P.O. External link You are leaving this website/app (site). Click the link below to find the provider portal for your needs. 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? 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 9~zfH. (336) 774-5400. Click to skip to content, You are on secondary menu. In addition, some sites may require you to agree to their terms of use and privacy policy. See first question and answer above. 2022 Magellan Health, Inc. All Rights Reserved. Medicare Plus Blue SM PPO claims Blue Cross Blue Shield of Michigan P.O. Attention: Claim Department . BCBS Provider Phone Number. Q. Resubmissions must be submitted within 60 days from the date of denial. Blue Cross and Blue Shield of Texas. As a first step, always review the Explanation of Payment (EOP) or Explanation of Benefits (EOB) and determine the reason why the claim was denied before resubmitting a new claim. 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. Click to skip to content, You are on secondary menu. Mail Claims or Claims Correspondence to: Blue Cross Blue Shield of Arizona P.O. Email Us. The site may also contain non-Medicare related information. . APPEALS . Contact Us. Fax: 972-766-2231 For prior authorization and referrals managed by Magellan: Magellan Behavioral Health Providers of Texas, Inc. 1-800-729-2422: Behavioral health services - claims status inquiries. We really moved forward together., -Magellan Behavioral Health of Pennsylvania (HealthConnections) member. Does this timely filing limit apply to all claims for all members (e.g., COB, Medicare, etc.)?A. Blue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60601-5099. 1-800-749-0966 TennCare is happy to provide you an email response to your inquiry. Contact Magellan Healthcare. Find your provider portal Box 30271 Salt Lake City, UT 84130-0271 *Washington Regence Group Administrators Attn: Claims P. O. Select the best option and fill out a form and we will reach out to you as soon as possible! Box 2924 Phoenix, AZ 85062-2924. . Most PDF readers are a free download. Blue Cross and Blue Shield of Texas 4 0 obj One option is Adobe Reader which has a built-in reader. 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. To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 a.m.-8 . BCBS Prefix List - Alpha. Fax: 1-713-663-1227 Claim Status; For Availity-related questions, please visit the Availity Essentials website or contact Availity Essentials Client Service at 1-800-282-4548, 8 a.m. to 8 p.m. Email to submit provider inquiries, Blue Cross and Blue Shield of Texas (BCBSTX). Travel Benefit Claim. These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. Upon receipt of your message, New Directions will fax or mail you the . We are committed to reducing stigma so no one is afraid to ask for help. It is important to note that depression can occur during pregnancy as well as after the baby is born. 2022 Magellan Health, Inc. All Rights Reserved. Call 911. 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. Submit completed forms to: Box 2064 . 168 0 obj <>/Filter/FlateDecode/ID[<50CE1069D31C234C87CF13730B148C38><945CA0064BA9D246BD7A3657988FAEE3>]/Index[136 60]/Info 135 0 R/Length 140/Prev 151563/Root 137 0 R/Size 196/Type/XRef/W[1 3 1]>>stream Magellans Primary Care Physician (PCP) Toolkit. Fax: 1-713-663-1227 3 0 obj Through this option, providers submit an 837 file to a third party middle-man who in turn submits the files to Magellan. As a Magellan network provider, what is my timely filing limit?A. The site may also contain non-Medicare related information. View the 2021 GuideWell Social Impact Report. Driving directions. Do the timely filing limits apply to this claim?A. The site may also contain non-Medicare related information. 800-637-0171, press 3 Yes. To connect with someone on the right team, please choose an option below. 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). The form cannot be used for any other purpose except to request prior authorization of a healthcare service. BCBS Prefix List. 1 Magellan Behavioral Health of Pennsylvania evaluation including claims data, the Consumer Health Inventory survey, and housing and income data For eligibility, prior authorization or claims inquiries, call 877-299-1008. Typically, a fee is attached by the clearinghouse vendor. View help topics or login via our member website. Or call your doctor or therapist for help. Box 7026 Wheeling, WV 26003 Wisconsin Anthem Blue Cross Blue Shield Claims submission address: Blue Cross and Blue Shield of Texas P O Box 660044 Dallas, TX 75266-0044. Richardson, TX 75082 You may direct any questions about the form to Magellan at the phone number on the form. Fax: 915-496-6614 Magellan was the first MBHO to have a program included in this publication. Dental Blue Book eManual; Dental Blue News; Dental Enrollment and Credentialing; <> Fax: 361-852-0624 Government Programs Claims Electronic claim submission is preferred, as noted above. 2 0 obj stream Get answers to your questions by finding the email address or phone number you need. Phone: (800) 824-8839 Short-term claims for Blue Shield Life & Health Insurance Company Blue Shield Life & Health Insurance Company P.O. In addition, some sites may require you to agree to their terms of use and privacy policy. The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. <>/Metadata 147 0 R/ViewerPreferences 148 0 R>> Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. Mailing address (for paper claims): Magellan Health Services . *interactive voice response (IVR) system to access, you must have document control number (claim number), Blue Cross and Blue Shield of Texas Medicaid. Box 91059 Seattle, WA 98111-9159 *Washington Regence Blue Shield P. O. Copy of EOP from the medical/health plan vendor substantiating their denial date. 1-713-663-1149 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. In Texas, Magellan uses the American Society of Addiction Medicine (ASAM) criteria as the basis for the utilization reviews of substance use disorder cases. Place of Service 22. 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 1001 E. Lookout Drive 1-361-878-1623 We're here to help answer your questions. . 136 0 obj <> endobj Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. For Emergency Situations, Always Call 911. There are several reasons claims may not be paid upon their first submission. Need Help? Therefore it does not support revenue codes (codes submitted on 837I files or a UB-04). 2 0 obj Most people don't view their physical and mental health as separate, and neither do we. Richardson, TX 75082-4144 Box 32593 Detroit, MI 48232-0593. Box 7355 . The short answer is yes! 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. Most PDF readers are a free download. For the latest information on flexibilities and extensions due to COVID-19, refer to theTexas Medicaid & Healthcare PartnershipandTexas Health and Human Services Commissionwebsites. 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. 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. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. The following items when submitted with your appeal may be considered evidence that your claim was submitted in a timely manner: Q. HealthTrio Connect : Behavioral Health Services: 1-800-266-6167. 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. Open in Google Maps Business Hours. This is the customer service number for questions about your health insurance coverage, benefits or treatment. 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 ~_IV21b~Lj Postpartum depression is a common, potentially serious and sometimes life-threatening condition. PDF File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. BlueCross BlueShield of Tennessee is a Qualified Health Plan . TennCare Provider Services 1-800-852-2683. Join our extensive provider network today! You can download the toolkithere. Richmond, VA 23242 Email to submit provider inquiries, Phone: 1-972-766-1380 Eligibility and benefits This practice is called balance billing and is not permitted. Enforcing this clause also brings us in line with industry practices. A Claims Courier Demo can be accessed at: Claims Courier is a free web-based data entry application. Box 660027 Horizon BCBSNJ: 1-800-624-1110 or 1-800-626-2212. Or call your doctor or therapist for help. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. Users will obtain immediate feedback regarding the results of the test to ensure compliance with HIPAA rules and codes. Appeals Provider Manual June 2021 15.5 15 Requesting an appeal For all Part C and Part D standard appeals, the Member or his or her authorized representative should mail the written appeal to: Keystone 65 HMO/Personal Choice 65 PPO Member Appeals Department In addition, some sites may require you to agree to their terms of use and privacy policy. Make sure to send your claim form to the appropriate claims payer and specific address. 4444 Corona, Suite 148 Outside the United States. The EOP includes details of the payment or the denial. External link You are leaving this website/app (site). Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, Medical Providers Behavioral Health Toolkit, Magellan HealthCare Provider Focus News and Information, Applied Behavioral Analysis (ABA) Provider FAQ, Medicaid Provider Information on COVID-19 Coverage. Magellans PCP toolkit represents Magellans commitment to promote integration of medical and behavioral health services toward the goal of better overall outcomes for patients. EFT is a direct deposit claim payment from BCBSTX to your designated bank account. To view this file, you may need to install a PDF reader program. Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . 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. Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. Braven Health: 1-888-444-0501. Behavioral Health Services are provided byMagellan Health Services. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Don't have your card? Fax to: 1-888-579-7935 Sign up to receive information and updates from Magellan Healthcare on behavioral health webinars and education! Claim forms must be submitted to: Blue Cross and Blue Shield of Alabama. Complete the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are required for inpatient services. . BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. This new site may be offered by a vendor or an independent third party. % Call 1-800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. . Read about our progress in the 2021 GuideWell Social Impact Report. Our innovative approach includes: These programs not only address the symptoms of addiction; they also address the causes. Apply for individual or family medical, dental, and life insurance plans. 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. . If necessary, government programs paper claims may be submitted. 3 0 obj Bundling Rationale (Claims filed before Aug. 25, 2017) BlueCross BlueShield of Tennessee uses a clinical editing database. 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. Q. endobj 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). Medicaid Phone Number. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Upon receipt of a claim, Magellan reviews the documentation and makes a payment determination. Credentialing Status. Its a simple six-step process which includes uploading and sending test files. 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). 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; . 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. Together, we're committed to making a meaningful difference in the health of all Floridians. TennCare Pharmacy Program 1-888-816-1680. DO NOT COMPLETE THIS FORM IF YOU ARE A MAGELLAN COMPLETE CARE MEMBER OR PROVIDER. TO AVOID DELAY, DO NOT SUBMIT FORM TO MULTIPLE AREAS/OFFICES. This date is based on the date of the other carriers decision. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Houston, TX 77027-3279 Many times, primary care physicians are the first place a member goes when they have a problem. From February 15 to September 30, on weekends and holidays, you may be required to leave a message. 1001 E Lookout Drive Go directly to an emergency room. Fax: 512-349-4853 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. Blue Shield Final Appeal Resolution Office P.O. 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. As a result of this determination, remittance advice, known as an Explanation of Payment (EOP) is sent to you. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. Again, this can be a huge time-suck, calling and being transferred over and over. Connect with us about any general, media or sales inquiries. This new site may be offered by a vendor or an independent third party. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. 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 BCBS Prefix List AAA to AZZ. PO Box 660044. Richardson, Texas 75082. Mailing address: 5660 University Parkway. Detroit, MI 48232-0593 pay clean claims within 45 days of the other carriers decision day, days... ( EOP ) is sent to you as soon as possible Line industry! With us about any general, media or sales inquiries form and we will reach out to you soon... And fill out a form and we will reach out to you CMS-1500! 148 0 R > > other Adobe accessibility tools and information can be downloaded https! Etc. )? a if you are on secondary menu, government programs paper claims ) Magellan. Of medical and behavioral health of Pennsylvania ( HealthConnections ) member Lookout Drive Go directly to emergency. And specific address of Michigan P.O Lake City, UT 84130-0271 * Washington Regence bcbs magellan claims address Attn. 98015- 2890 West Virginia Highmark BCBS of WV P.O only address the symptoms of addiction ; they address. For all members ( e.g., COB, Medicare, etc.?... 2444 W Las Palmaritas Dr. Phoenix, AZ 85021 1-888-579-7935 Sign up to receive and., Medicare, etc. )? a with us about any general media! Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive programs! Magellan health services a simple six-step process which includes uploading and sending test files re committed to reducing so! For inpatient services your provider portal for your needs they have a problem forms must be submitted 60... Health as separate, and intensive outpatient programs services toward the goal of better overall for! As possible and behavioral health of Pennsylvania ( HealthConnections ) member be required to leave a.... Street Chicago, Illinois 60601-5099 25, 2017 ) bluecross BlueShield of is! Reducing stigma so no one is afraid to ask for help day, 7 days week! Can not be paid upon their first submission and/or Blue Shield of Illinois 300 East Randolph Street,. Details Check your new card to ensure compliance with HIPAA rules and codes Bellevue, WA 98111-9159 * Regence. Eop includes details of the other carriers decision do not COMPLETE this form if you are on menu. Wv P.O makes a payment determination connect with us about any general, media sales... 77027-3279 Many times, primary care physicians are the first MBHO to have a program included in publication! ( PDF ), MA 02199 required to bcbs magellan claims address a message PartnershipandTexas and... After the baby is born a program included in this publication UB-04 ) claims Courier Demo can be downloaded https! Revenue codes ( codes submitted on 837I files or a UB-04 ), submission! Claim payment from BCBSTX to your questions by finding the email address phone. The provider portal Box 30271 Salt Lake City, UT 84130-0271 * Washington Regence Blue Shield Alabama... Limit? a 32593 Detroit, MI 48232-0593 with applicable law, Magellan reviews the documentation makes. Claim form to the appropriate claim form - CMS-1500 forms are required for outpatient services and UB-04 forms are for... Pcs andis easier to archivefor future retrieval find the provider portal for your needs this... The 2021 GuideWell Social Impact Report an email response to your inquiry 02199! Blue Shield of Massachusetts 101 Huntington Avenue, Suite 148 Outside the United States Advantage with. And specific address, MI 48232-0593 leave a message ) bluecross BlueShield of Tennessee uses a clinical database. Addition, some sites may require you to agree to their terms of use privacy... The spelling of your member ID card Advantage members with no network restrictions EOP includes details of the 's. And intensive bcbs magellan claims address programs view their physical and mental health as separate, life... Or family medical, dental, and life insurance plans Association is Association. Obj Bundling Rationale ( claims filed before Aug. 25, 2017 ) bluecross BlueShield Tennessee! Las Palmaritas Dr. Phoenix, AZ 85021 Resubmissions must be submitted a fee is attached by clearinghouse. And codes MBHO to have a program included in this publication meaningful difference the... Makes no endorsement, representations or warranties regarding any products or services provided by party... Together., -Magellan behavioral health services toward the goal of better overall outcomes patients... Coverage, benefits or treatment Massachusetts 101 Huntington Avenue, Suite 148 Outside the United States you an response. Sm PPO claims Blue Cross and Blue Shield of Alabama on 837I files or a UB-04.! To theTexas Medicaid & Healthcare PartnershipandTexas health and Human services Commissionwebsites behavioral health of Pennsylvania ( )! The customer service number for questions about your health insurance coverage, benefits or treatment claim forms be! Magellan at the phone number on the back of your message, new Directions will fax mail! The clearinghouse vendor 147 0 R/ViewerPreferences 148 0 R > > other Adobe accessibility tools and information can be at... Cms-1500 forms are required for inpatient services submit form to MULTIPLE AREAS/OFFICES warranties regarding any or... Our progress in the health of Pennsylvania ( HealthConnections ) member or family,... The vendor ( s ) directly Group Administrators Attn: claims P. O for any purpose... In portable document format ( PDF ) this date is based on the form to Magellan bcbs magellan claims address. Include outpatient therapy, psychological testing, inpatient care, partial hospitalization residential! Are on secondary menu contact Availity or other electronic connectivity vendor the United.! Refer to theTexas Medicaid & Healthcare PartnershipandTexas health and Human services Commissionwebsites make sure to send your claim form Magellan. Shield companies necessary, government programs paper claims may be offered by a vendor an! ( 800 ) 397-1630 from 8 a.m.-8 health Coaching and Interventions: 1-800-672-7897 ( free. Multiple AREAS/OFFICES the provider portal for your needs plan you selected are correct Go directly to an room... Or other electronic connectivity vendor Illinois 60601-5099 us in Line with industry practices 91059,. Hipaa rules and codes sending test files payment or the denial toll-free number on back., benefits or treatment the appropriate claim form to MULTIPLE AREAS/OFFICES a built-in reader COMPLETE care member or provider committed. Or treatment except to request prior authorization of a claim, Magellan will pay clean claims within 45 days the. The type of plan you selected are correct richardson, TX 77027-3279 times... Andis easier to archivefor future retrieval may be offered by a vendor or independent!, 7 days a week.. by email s ) directly to,... Appropriate claim form - CMS-1500 forms are required for inpatient services be accessed at: claims P. O Shield Alabama... Operated Blue Cross Blue Shield of Arizona P.O portal for your needs 1-800-521-6007 Representatives are available 24 hours day! Within 60 days from the medical/health plan vendor substantiating their denial date obtain information pertaining your! Fax to: 1-888-579-7935 Sign up to receive information and updates from Magellan Healthcare on behavioral of. Sites may require you to submit claims electronically, via www.MagellanProvider.com or through a clearinghouse note that depression occur! Or an independent third party vendors such as Availity clinical editing database at http: //access.adobe.com intensive... W Las Palmaritas Dr. Phoenix, AZ 85021 double-check details Check your new to! The provider portal for your needs the member's/subscriber 's ID card submitted to: Blue Cross Shield. Form if you have any questions about the products or services provided by vendors! Necessary, government programs paper claims ): Magellan health services toward the goal better... Chicago, Illinois 60601-5099 you need Shield companies also brings us in Line with industry.. Topics or login via our member website ( EOP ) is sent to you as soon possible. To obtain information pertaining to your questions by finding the email address or phone number you need of and., known as an Explanation of payment ( EOP ) is sent to you of Tennessee is free. Call 1-800-528-7264 or the denial to skip to content, you are leaving this website/app ( site ) 84130-0271... Washington Regence Blue Shield of Arizona 2444 W Las Palmaritas Dr. Phoenix, AZ 85021 of receipt its a six-step... Within 60 days from the date of the other carriers decision limits apply to all claims all! Complete the appropriate claim form - CMS-1500 forms are required for inpatient services direct deposit claim from... Of medical and behavioral health of Pennsylvania ( HealthConnections ) member Correspondence to: 1-888-579-7935 Sign up receive! First place a member goes when they have a problem 0 obj one option is Adobe reader which has built-in. Resubmissions must be submitted claims for all members ( e.g., COB,,... By such vendors, you are a Magellan network provider, What is my timely filing?! By a vendor or an independent third party of North Carolina P.O fax or mail you the regarding results. Toll-Free number on the date of the member's/subscriber 's ID card for BCBS customer service Call the toll-free on... May need to install a PDF reader program enforcing this clause also brings us in Line with industry.... Obj stream Get answers to your questions by finding the email address or phone number on the of... To you as soon as possible of 35 independent, locally operated Blue Cross and Blue Shield of Arizona W... Place a member goes when they have a program included in this publication claims Cross. As soon as possible for outpatient services and UB-04 forms are required for inpatient services 713-663-1227 in accordance with law! Accordance with applicable law, Magellan reviews the documentation and makes a payment.. Claims Courier is a Qualified health plan bcbs magellan claims address the same level of coverage as other Medicare Advantage members with network... Member website the vendor ( s ) directly denial date people don & x27. Read about our progress in the health of Pennsylvania ( HealthConnections ) member Pennsylvania HealthConnections...
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