Box 674416 Detroit, MI 48267-4416. Alternative Insurance Resources, Inc. 01066. Reconsiderations and Disputes All requests for claims reconsideration or adjustment must be received within 90 calendar days from the date of notification . 0 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Salt Lake City, UT 84130, Medica Advantage Solution H0798-002 (HMO I-SNP) Fact Sheet Once you've completed these four steps you will receive notification from OneHealthPort within 72 hours that your Organization and individual Digital ID have been activated and you can begin to use the Digital ID . 4 0 obj Version: 4.0.30319.42000 You'll be more efficient. Amerisure has been in business for more than 100 years and is consistently named among the best places to work in the industry and throughout the nation. endobj Infusion Therapies and Specialty Medication Clarification. BIN/PCN/Group # vary by product see member's ID card, Optum Chiropractic Insurer in Farmington Hill, Michigan. This field is for validation purposes and should be left unchanged. If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. Medica Quest Review the information in this section before contacting customer service. PO Box 30757 Submit all initial claims for adjucation through electronic claims submission or by mail to: If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. Elect Payer ID: 38259. Payer ID: IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable. hb```f`` @1V 0&>TY6@Sk~dp;I;Egki``Ft "UY63Leg,l9 3'C {&AQ730 XqQ? For Travel Claims: A written formal claims appeal may be sent to IMG requesting a review of previously processed claims. Learn more about Zelis. Meridian is currently accepting electronic claims from the following clearinghouses: IMPORTANT: Please refer to Member ID card for changes effective on April 1, 2022, as the Payer IDs are not interchangeable. PO Box 550, Farmington Hills, MI 48332-0550 Telephone: 855.731.9442 (toll-free) or 317.927.6825 (7:00 am - 9:00 pm EST) Fax: 855.731.9443 Email: PCcare@imglobal.com. Photo or scanned copies are not accepted. Cypress Benefits Administrators Po Box 880; Farmington; MI; 48331-0000 Delta Health Systems Po Box 780; Stockton; CA; 95201-0780 (800)418-5409 Register Provider Network Questions: For questions regarding our provider network, or to join the HealthSmart PPO Preferred network, contact HealthSmart Provider Relations at 800-687-0500. PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 CYPRESS BENEFIT ADMIN CBA03 88056 Cypress Benefit Administrators P.O. ZIP code: 48332-0880. @~c^A10 1 Your submission has been received! Confirm Registration - you will receive confirmation that you have been registered, and you will create your OneHealthPort password. PO Box 21993 Eagan, MN 55121 (800) 4534302 CDS AFMC CDS ADMINISTRATORS Five Gateway Center, Ste. d `T9@w#n Claims Billing Requirements: Box 2907 Milwaukee, WI 53201-2907 617-886-1234 deltadentalma.com Payer #04614 Michigan Delta Dental of Michigan P.O. Medica Individual Choice Want to learn more about becoming a Preferred Provider with Impact Health Sharing? 2 0 obj Postal address PO Box 4601, Carol Stream, IL 60197-4601 Farmington Hills MI 48331 United States. Copyright 2023 Meridian. Medica Pinnacle Payer ID. Delta Dental has affordable individual dental plans available for you. %PDF-1.5 % If you experience any problems receiving your mail order prescription, call Member Services at. BANKERS CLAIM SER. (Read more) First Name: Required Last Name: Required Company Name: Required Title: Email: Required Phone: Required Comments: Required Type of inquiry: Answer the question below: PO Box 9085 P.O. HOME; SHOP. North Memorial Acclaim by Medica Allwell PO Box 3060 Farmington, MO 63640-3800 ATTN: Medical Review Unit . Below you'll see the clearinghousesMeridian is currently accepting electronic claims from. Get paid fastersign up today for this free service. Corporate Address: Delta Dental of Minnesota . endstream endobj startxref 49438 advantage by bridgeway healthcare po box 3060 farmington mo 63640 8664753129 95327 adventist risk mgmt p.o. Contracted Enrollment Request Practitioner, Definition of Enrollment, Credentialing, and Contracting, Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission ofclaims to Meridian, Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10when billing Meridian, Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment, Providers may also submit and check the status of claims electronically via the secure Meridian, Claim must be original, using national or state form types as applicable. po box 2839 farmington hills mi 48333 payer id. 0 Clear Value With Medica The following are the standard claims billing requirements for providers. Delta Dental PO Box 9089 Farmington Hills, MI 48333-9089 Call our customer service team at 800-524-0149 for member eligibility, benefits information and claims inquiries. Inspire by Medica 1 year ago Reply. Medica AccessAbility Solution / Special Needs Basic Care (SNBC) 4578-323-855 ( 711) . hbbd``b`+D b q@b@; "8A ,@; You will find current eligibility and plan information and you can track claims submissions. Medica Health Plan Solutions, BCBS AZ providers submit to payer ID 53589, Prior Authorization submitted via email and/or fax number provided on thecorresponding form, BIN/PCN/Group # vary by product seesee member's ID card, Claim Address (paper submission and correspondence), Zelis/Medica Learn the benefits of switching to electronic claims submission. Farmington Hills, MI 48333 . PO Box 9120 Farmington Hills, MI 48333 Phone: 1-800-448-3815. Next, the user will select the blue hyperlink "Commercial/Other" for more information. Amerisure is a leading provider of commercial property and casualty insurance solutions for U.S.-based construction, manufacturing and healthcare businesses. Farmington, MI 48331. Our clients are always compliant with HIPAA & COBRA requirements. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Known Addresses for Amerisure Insurance Company. We realize call wait times can sometimes be high this time of year. . Read more Cofinity Platform Migration Fully Migrated Payers The data in this PO Box 1938, Arlington. Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. Click Here. PO Box 30990 Automated system is available 24/7. PO Box 212 These plans make it easy to receive Delta Dental coverage and protect your health. Please follow these guidelines for claims submission to Meridian: For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. Can't find what you're looking for? Allwell PO Box 3060 Farmington, MO 63640-3801 ATTN: Returned Check . Learn more about claims procedures Click button below to return to the home page. Peace Corps has contracted with International Medical Group (IMG) to administer the Peace Corps healthcare program. PO Box P.O. PO BOX 75 MINNEAPOLIS, MN 55440 Each State will have their own payer ID for Blue Cross Blue Shield and in many instances, they will process their own Federal (FEP) claims. Any provider within the available networks (see applicable provider fact sheet below for directory). Note: documents in Powerpoint format (PPT) require Microsoft Viewer, download powerpoint. P.O. Search insurance providers in other Michigan cities: Allen Park; Ann Arbor; Battle Creek; Bay City; Berkley; Executives - Robert Bosch LLC (HQ) Buy the executives list from same sector. Can't find what you're looking for? Phone: 1-877-268-3384. Mail Paper HCFAs or UBs: Impact Health Sharing PO Box 3139 Farmington Hills, MI 48333. Something went wrong while submitting the form. Send an email to quotes@healthbenefitsconnect.com. Call, Puede obtener esta informacin en otros idiomas de manera gratuita. Before you start submitting your claims electronically, inform your software vendor. Farmington Hills, MI 48331. Delta Dental of Michigan is a part of Delta Dental Plans Association. Samara B. 3 0 obj Feb. Fax | 205.871.3259, 24/7 access to benefits and eligibility through the portals on this website or our automated response system (FaxBack) which can be reached by calling our office and following the prompts, EVERYTHING YOU WANTED TO KNOW ABOUT TPAS BUT WERE AFRAID TO ASK. It is important that you submit your appeal and any supporting documentation within ninety (90) days of the original claims determination. Pharmacy: Prescription drug benefits administered by Alluma Medica NurseLine: Access to a nurse by phone available 24 hours a day, seven days a week Box 59238 Minneapolis, MN 55459-0238 800-448-3815 deltadentalmn.org Payer #07000 Medica Advantage Solution PPO Fact Sheet Closed Mondays 8 9 a.m. for training. Limitations, restrictions, and patient pay amounts may apply. Farmington Hill. Meridian Related Posts. 100 Garden City Plaza, Suite 110Garden City, NY 11530. Ambetter from Meridian, Michigan Complete, Clearinghouse Enrollment for Atypical Providers. Box 880 Farmington, MI 48331 www.cypressbenefit.com APPLETON, WI: 877-236-0844 Overnight payments for Blue Care Network groups JPMorgan Chase Blue Care Network Lockbox 33608 1 Village Center Drive Medica Elect and Medica Essential Heights, IL 60006-1938 AMERICAN HEALTHCARE ALLIANCE. PO Box 4020. Regional President, Diesel Systems North America. 0 the original pancake house 0 customer relationship resume 0. Browse reviews, directions, phone numbers and more info on Robert Hund Inc. Rate Report. Find plans to balance costs, manage chronic conditions and encourage employee engagement. Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. HOW DO I BECOME A PREFERRED PROVIDER? IBA | Privacy Policy | Terms of Use | Site by Lightmatter. Medica with MU HealthCare box 7186 boise id 83707 8007867930 10079 abs po box 30570 phoenix az 85046 6238897200 . Language Assistance & Notice of Nondiscrimination, Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission ofclaims to Meridian, Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10when billing Meridian, Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment, Providers may also submit and check the status of claims electronically via the secure Meridian, Claim must be original, using national or state form types as applicable. If either the provider or chosen clearinghouse has questions about the process of enrolling as an atypical provider, you can contact the Client Services team at 1-800-Availity. We will send you a notice before we make a change that affects you. Box 553912 Detroit, MI 48255-3912 . Detroit, MI 48226. This evolution allows us to grow and add quality services to our platform of solutions for self-insured employers and covered members. Box 9000 Johnston, IA 50131-9000 800-544-0718 www.deltadentalia.com Payer #CDIA1 Or, you may call DASI 24/7 at 800-462-7283 to check the status of claims, including those submitted electronically. Procedure Codes that Require X-ray or Document Submission Here you can submit referrals, check the status of authorizations, verify patient benefits and more. The claim information must be typed, with no hand-written information other than applicable signatures. PO Box 2060 Farmington, MI 48333 26777 Halsted Rd Farmington, MI 48331 Detroit, MI 48226 26777 Halsted Rd Farmington Hills, MI 48331 Mutual Building Detroit, MI 48226. hbbd```b``6kA$bv &A$0"YL`6ED2 $LUl/0$3m` 7l Read more Lucent Health Completes Brand Transition of Cypress Benefit If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): Lucent Provider Portal Please email CA.ITHelpDesk@lucenthealth.com if you have forgotten your username or need to have your password reset. The correct address for all claims, paper and electronic, for Delta Dental of Michigan, Ohio, and Indiana: Delta Dental PO Box 9085 Farmington Hills, MI 48333-9085 For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. PO Box 9120 Farmington Hills, MI 48333 Phone: 1-800-448-3815. Keeping your smile healthy is an important part of keeping your body healthy. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available . Sorry, the page you are looking for doesn't exist. Thank you for your message. Self-funded (or self-insured) health plan is one in which the employer assumes some or all of the risk for providing health care benefits to his employees. You can also submit claims for payment through the mail: After 1/1/2021, please use the following address for mailed claims: MeridianCompleteATTN: Claims DepartmentPO Box 3060Farmington MO 63640. Schedule an Appointment with a licensed insurance agent. endstream endobj startxref Contact information for corporate headquarters. Minneapolis, MN 55440-0212, Authorizations/treatment plans are not required, 2020 Medica Provider Service Center: 1-800-458-5512, 2021 Medica Behavioral Health (MBH): 1-800-848-8327, Medica Behavioral Health The rejection for a missing NPI will be received by your chosen clearinghouse and it will be their responsibility to enroll.
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