Entries should be in black ink. Empire Plan Prescription Drug Program: To obtain prescription drug claims or subrogation information during the . EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.). If the members plan does not have out of network benefits, non-participating provider claims may be denied. Providence Customer Service: Authorizations, Member Benefits, Eligibility . Contact Information. How does the transition affect my contract with HIP? Health (3 days ago) Reports of fraud and abuse, or suspicions thereof, can be made in writing to: Mailing Address: Beacon Health Options. With PaySpan Health, you stay in control of bank accounts, file formats, and accounting processes. Claim Tips for Paper Submissions. Hicksville NY 11802. All other ID cards: New ID cards will be issued to all other plan members as groups renew throughout the year. All Other Questions . All requests for 2022 services should go to Affinity. Once the transition date is effective, EmblemHealth will no longer be contracting directly with behavioral health providers. Kompass Business Directory - Beacon Health Options. Although paper claims are accepted, physicians, other health care professionals, and facilities are strongly encouraged to submit claims electronically. You can learn more about that process and begin your application at: (800) 397-1630. Providers that have children with Beacon Health Options (formerly Value Options) for which the claims address used to be PO Box 1800 in Latham, NY, the address has now changed, so please select Beacon Health 600475 in NYEIS with the P.O. Beacon Health Options, INC - Attn: Claims and Correspondence PO Box 1870 Hicksville, NY 11802-1870 Hours: Monday - Friday, 8 a.m. - 7 p.m. What are the fee schedules for the Emblem Behavioral Health Services Program administered by Beacon Health Options? Payment depends on a number of factors including member eligibility, provider contract status, and benefit limits at the time care is rendered and the claim is processed. Behavioral Health Claims CareFirst BlueCross BlueShield Medicare Advantage c/o Beacon Health P.O. Beacon Health Options Partnership HealthPlan Claims PO Box 1864 Hicksville, NY 11802-1864. Who we are Partnership HealthPlan of California (PHC) is a non-profit community based health care organization that contracts with the State to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high . We deliver a proven range of expert benefit solutions that are easy to administer and service, so you can focus on growing your business confidently. IMPORTANT information on behavioral health claims processing for Core Medicaid As a reminder, there are certain behavioral health services that should be directly billed to the state for payment through the Medicaid feeforservice program. PSTbeaconphppr@beaconhealthoptions.com, ProviderConnect technical questions888-247-9311 Monday-Friday, 8 a.m.-6 p.m. I am confused by the recent correspondence that I have received from EmblemHealth and Beacon Health Options. When utilizing a clearinghouse, please visit their payer ID page and utilize the value identified for Beacon Health Options, as this may vary payer to payer. For members seeing an EmblemHealth or Magellan Health Services provider who is not joining the Beacon Health Options network, a 90-day transition benefit is allowed if the provider accepts EmblemHealths or Magellan Health Services (as applicable) fee schedule and continues to follow their policies and procedures. Providers. What do I have to do? Yes, Beacon Health Options encourages electronic submission. You can find more information about ProviderConnect onwww.BeaconHealthOptions.com. What will happen if I have a Beacon Health Options CHCS IPA (HMO, Medicare and/or Medicaid) Agreement but elect not to sign a Beacon Health Options Practitioner or Facility Agreement? Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Submit claims to Beacon. 2012/06/06. The fee schedules were enclosed in the invitation to join the Beacon Health Options network. Health (9 days ago) . Hicksville, NY 11802-1850. Behavioral Health Clinical Practice Guidelines Go to Behavioral Health Clinical Practice Guidelines Behavorial Health and Substance Use Beacon Health Options accepts CMS 1500 and UB-04 electronic submissions according to guidelines contained in the Beacon Health Options EDI materials found on www.BeaconHealthOptions.com. PO Box 915 Owings Mills, MD 21117. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program. Note: If you recently received a payment from Beacon Health Options, your unique registration code will be located on the check stub after the marketing caption. We encourage you to adhere to the instructions and processing time frames that were outlined in the letter. Effective March 1, 2022, Availity Essentials is the preferred portal for verifying eligibility and benefits, claim status and other secure transactions for Beacon Health Options. Behavioral Health Claims: Beacon Health Options (ATTN: Claims) PO Box 1870 Hicksville, NY 11802 Hearing Claims: 20/20 Hearing Care Network 2900 W Cypress Creek Rd, STE 4 Ft. Lauderdale, FL 33309 Acupuncture & Chiropractic Claims: American Specialty Health PO Box 509002 San Diego, CA 92150 Prescription Drug Claims: OptumRx PO Box 650287 Box 1850 . ET, Monday through Friday.. It includes detailed information about your administrative responsibilities, and contractual and regulatory obligations. Box 1864 Hicksville, NY 11802-1864 Appeals Grievances Provider Dispute Resolution (PDR) Autism Documentation (except for claims) Medical Records, Utilization Management Documents and Case Management (REACH) Prior Authorization Requests Beacon Health Options P.O. Electronic Payment Solutions and Remittance Advice ATTN: Special Investigations Unit. Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. [PDF] Provider Services Quick Resource Guide | NextLevel Health; 5. Paper Claims Submission Address: (For new and corrected paper claims) Beacon Health Options Pennsylvania Claims P.O. July 29, 2022 Beacon Health Options' Online Client Service ClientConnect Provider Inquiries National Provider Service Line: 800-397-1630 (Monday through Friday, 8 a.m. to 8 p.m.) You can find additional contact information on the Provider section. Box 968022 Schaumburg, IL 60196-8022 (855) 577-6516 Vision Superior Vision . In general, the inpatient reimbursement schedules are non-negotiable. Primary Insurance Explanation of Benefits (EOB) Please mail all correspondence regarding claims questions to: Beacon Health Options Pennsylvania Claims P.O. Beacon Health Options utilizes Availity Essentials verifying eligibility and benefits, claim status and other secure transactions. and claims status please visit Beacon Health Options. Please note that utilization management functions for behavioral health services for these members, including prior approval, will continue to be performed by Montefiore. Box 1853 Hicksville, NY 11802-1853. Beacon Health Options (BHO): PO Box 1850 Hicksville, NY 11802-1850. EIBilling . Box 1850, Hicksville, NY 11802-1850. If a patient chooses to remain under the care of a non-participating provider after the transitional 90-day period, services will not be covered as in-network and your patient may be responsible for all or a portion of your charges, depending on the plan. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. Attn: Health First Colorado Claims. Beacon Health Options / Value Options . Outpatient Services: Beacon Health Options is responsible for adjudicating claims for dates of service on or after the start date of the program. Denny and his team are responsive, incredibly easy to work with, and know their stuff. Regional Accountable Entity (RAE) Provider Contact Information. We are here to help you understand and address their health care needs. Billing for Noncovered Services. The fee schedules that apply to our HMO client benefit plans in New York are included as Exhibit A of that Agreement. discover Beacon Health New York. Radiation Therapy Program Update: October 2022. What is the transition benefit plan for members whose providers are not credentialed/contracted with Beacon Health Options and/or CHCS IPA (HMO) network prior to the transition date? Beacon Health Options will first become responsible for adjudicating claims for the members care post-discharge or transfer to an alternate level of care. My daily insurance billing time now is less than five minutes for a full day of appointments. Providers that have children with Beacon Health Options (formerly Value Options) for which the claims address used to be PO Box 1800 in Latham, NY, the address has now changed, so please select Beacon Health 600475 in NYEIS with the P.O. No, authorization of services is not a guarantee of payment. The UB-04 Form can only be used for inpatient and alternative levels of care for mental health and substance abuse, not outpatient professional mental health services. If you have any questions, please contact the Provider Service Line at 1-800-235-3149 and ask to speak with a Provider Service Representative. Providence Customer Service: Authorizations, Peer-to-Peer Review Speak with an HCP Medical Director to discuss an authorization denial or for a consultation about a patient's medical condition. Health (4 days ago) Paper Claims Mailing Address: Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Provider Manual - EmblemHealth: Health Insurance Information . 1400 Crossways Blvd. Tel: 888-204-5581 Box 14621 Lexington, KY 40512 Emdeon Payer ID - 22771. Let us handle handle your insurance billing so you can focus on your practice. ET, Monday through Friday. Beacon Health Options fee schedules for outpatient services are reviewed routinely and at present are determined to be competitive with that of other companies with similar HMO business across the United States. All rights reserved. Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Quick Links. Beacon Health Options Pennsylvania Claims P.O. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Free Account Setup - we input your data at signup. Claims for dates of service in the psychiatric or substance abuse unit should be submitted to Beacon Health Options. Providence Health Plan Beacon Health Options. Box 211241 Eagan, MN 55121 Medical appeals TheraThink provides an affordable and incredibly easy solution. Can you explain these mailings and what I have to do? Contact Information. Provider Information Beacon Health Options of Pennsylvania. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. Our providers are vital to the services we offer our 40 million members so they can live their lives to the fullest potential. The EmblemHealth contract will apply until the Emblem Behavioral Health Services Program administered by Beacon Health Options goes into effect. National Provider Service Line at 800-397-1630 from 8 a.m. - 8 p.m. Eastern Time Monday through Friday. PaySpan Health is a multi-payer adjudicated claims settlement service that delivers electronic payments and electronic remittance advices based on your provider preferences. For members seeing Beacon Health Options providers, nothing is required. Box 1853 Hicksville, NY 11802-1853 CMS-1500 Instructions CMS Place of Service Codes Explanation of Payment (EOP) Codes Free Medicare Consumer Workbook Frequently Asked Questions from the Member and Provider Service Representative Please see the required fields listed above. (4 days ago) Hicksville, NY 11802-1850. Kingston, NY 12402-5190 . (2 days ago) Beacon Health Options Pennsylvania Claims P.O. The Latham, N.Y. address is no longer valid for claims submissions. I do not participate in any of the Beacon Health Options networks. Lastly, EmblemHealth has sent correspondence to all its participating providers amending their contracts to meet current New York State regulatory and compliance standards. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. Putting people at the center, we built a strong network of doctors, nurses, advocates, and mentors filling members' health needs. (GHI and HIP are EmblemHealth companies. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Make sure you ask which payer ID they use and which claims address to file to. Box 7830 Burbank, CA 91510-7830. (4 days ago) Hicksville, NY 11802-1850. As private practitioners, our clinical work alone is full-time. Posted on August 29, 2022. Beacon Health Options (formerly ValueOptions, Inc.) P.O. Revised 01/2022. Also, Magellan Health Services will be communicating to providers in their network who have provided care to GHI HMO members. Auto accident? Copyright 2022 Beacon Health Options. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. To submit the information noted in this paragraph, please see below. Call the company. Labs Total Healthcare requires that labs be processed through Quest or any of the outpatient departments for facilities outlined in the spreadsheet below. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! ID numbers: There will be no change to any member ID numbers. As a result of the contract award, we sent invitation packets to EmblemHealths providers to expand our network. Who is responsible for members admitted to an inpatient medical unit who also have behavioral health issues that need to be treated? Copyright 2022 Beacon Health Options. Palladian Muscular Skeletal Health PO Box 366 Lancaster, NY 14086. . Health (3 days ago) The preferred method to updated your provider profile is to select the "Update Demographic Information" option in ProviderConnect. Please visit us online at www.BeaconHealthOptions.com to check and review a claim status or call 1-888-447-2526. Fax +1 501 707-0940. In 2015, Beacon Health Strategies and Value Options merged to form one insurance company: Beacon Health Options. PO Box 1850 When will Beacon Health Options become the benefit administrator for Emblem Behavioral Health Services? Which EmblemHealth members are not affected by the transition? Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. We are your billing staff here to help. Box 4080 Virginia Beach, VA 23454, The preferred method to updated your provider profile is to select the Update Demographic Information option inProviderConnect. Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing. The detailed information for Log In Nyeis is provided. Tel: 888-204-5581 Please note: Billed lines are limited to 10 per claim form. Home; Who We Are; Members; Providers; Solutions; Contact; Helpful Links. Effective immediately, there is a new mailing address for claims submissions to Beacon Health Options. Grievances: The expanded relationship with Beacon Health Options will not impact this program. The new address is: Beacon Health Options P.O. P.O Box 1850 Hicksville, New York 11802-1850. In addition, please visit www.BeaconHealthOptions.com for a complete list, instructions for completing the CMS 1500 form, and more information on proper billing procedures. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program, Claim Submissions (Direct Data Entry Professional and Facility Claims) applications or EDI using the Availity EDI Gateway, All other LOBs others 503-574-7500, 800-878-4445, Main Healthcare Service Medical Management 800-638-0449, option 5. Box 1850, Hicksville, NY 11802-1850. Fax: 781-994-7600. Beacon Health Options / Value Options / Beacon Health Stategies Claims Address PO Box 1850 Hicksville, NY 11802-1850 Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. Beacon Health Options Box 1850 Hicksville, NY 11802-1850. What are the prior approval requirements for outpatient services? To see a copy of the members benefits, you may use the secure provider Web site at www.emblemhealth.com. ET Monday through Friday. All rights reserved. Our phone lines are open 24 hours a day, 7 days a week and 365 days a year. For 30 years, we have focused on behavioral health care and its natural extensions, such as EAPs and Work/Life services. Physicians/suppliers billing: name, address, zip code and telephone number. Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. Hicksville, NY 11802-1850. All submitters, providers and clearing houses, must be registered to submit claims electronically. Claims Submission for EmblemHealth Patients. You free me to focus on the work I love!. Use our script to do it, or hire our mental health billing service to handle all of this annoyance for you! If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. These notifications state that, in this affiliation, Beacon Health Options would administer the Emblem Behavioral Health Services Program. *For Mental Health & Substance Abuse, please see Beacon Health Options. Boston, MA 02109 Beacon Health Options reimbursement schedules for inpatient services have been determined to be competitive with other companies with similar HMO business across the United States.
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