(See item #2 below to learn how to contact your BCBS company to address any errors.) 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. hb```@(]K@1% V!iD3 7+S#UBCm0#LiF j9vvfL4 q* 4444 Corona, Suite 148 Click to skip to content, You are on secondary menu. Q. I have proof that I submitted the claim within the timely filing limits. In addition, some sites may require you to agree to their terms of use and privacy policy. You are leaving this website/app (site). Main telephone number 1-215-937-8000. For service questions, such as benefits, claims, bill pay or other issues: Call: 1-800-495-2583, 8 a.m.-8 p.m . 2 Magellan Pennsylvania provider data, July 2017-June 2018 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 1-800-749-0966 Blue Medicare HMO Blue Medicare PPO Contact: 1-888-296-9790 or. Clean claims are defined as claims that can be processed without obtaining any additional information from the provider or from a third party. 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? Submit completed forms to: The site may also contain non-Medicare related information. BlueCross BlueShield of Tennessee is a Qualified Health Plan . In addition, some sites may require you to agree to their terms of use and privacy policy. stream The ERA or ANSI 835 transaction is a HIPAA-compliant method of receiving claim payment and remittance details. Fax: 361-852-0624 This means that, subject to applicable state or federal laws, claims must be submitted toMagellan within 60 days of the date of service or inpatientdischarge. <>/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>> 1 0 obj 1-713-663-1149 Magellan Behavioral Health Providers of Texas, Inc. Request for claim review form and instructions, Wellness and clinical practice guidelines, Independent Diagnostic Testing Facility (IDTF), Intensive Outpatient facility programs (PHP/IOPs). Need Help? Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. 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. There are several reasons claims may not be paid upon their first submission. 0 Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. 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). BCBS Prefix List - Alpha. 2022 Magellan Health, Inc. All Rights Reserved. Key Contact Information To submit claims on Magellans website: Providers can submit claims using the Claims Courier application by signing in to the. x}[s6{&.JIOwZd o/v//lwzv}|y_&TBn}?l.}oQdMy{~HbSMP7 s~o[}tUG0/Nyo{,J:T$aI|H@O_jVLyjV@>G77 Aug@GQO_>d+l6T5>A.1z{;|})eE&)35~5om[|{w-re^P=Jw"4Y]GW>+>4 *lBC3zcmW~\U0e.t^j2PtTU/%xz.w`]7OBu'!EW>K(>QEJ@&lh5. If you are able to create an 837 file in a HIPAA compliant format, we. Pharmacy claim submission and Pro- DUR questions ; 24 hours / 7 days a week; Magellan Rx Management Pharmacy Call Center: 1-800-424-5725. FBC HOM 001 F 102022. If necessary, government programs paper claims may be submitted. For Texas-specific ABA resources,sign into this website. If you need to mail claims: Horizon BCBSNJ. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Resubmissions on Claims Courier (MBH Website): changes/ corrections are allowed to Place of Service, Billed Amount, or Number of Units Only (all other corrections must be submitted via paper claim). . Upon receipt of the completed form(s), Magellan will begin the prior authorization process. This new site may be offered by a vendor or an independent third party. 17806 IH 10 West, Bldg II, Suite 200 Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: . If you still need to submit paper claims, use the Claims-Routing Tool to determine the correct mailing address for each member. You may direct any questions about the form to Magellan at the phone number on the form. From 2015 to 2017, our programs contributed to a 26% increase in members who were asked by their behavioral health providers to authorize communication with their PCP providers.3, Working with HealthConnections, the team helped get me to a place of not having fear, not having pain, exercising and doing yoga. One option is Adobe Reader which has a built-in reader. Contact Magellan Healthcare. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. TennCare Pharmacy Program 1-888-816-1680. Blue Cross Blue Shield of Massachusetts 101 Huntington Avenue, Suite 1300 Boston, MA 02199 . Apply for individual or family medical, dental, and life insurance plans. Horizon Behavioral Health. If you are enrolled in a Lowe's medical plan with BCBS AL, you will contact Magellan Health for services (1-877-543-3875, press 2, then press 1). View the 2021 GuideWell Social Impact Report. Claim status inquiries contact Availity or other electronic connectivity. Go directly to an emergency room. Bundling Rationale (Claims filed before Aug. 25, 2017) BlueCross BlueShield of Tennessee uses a clinical editing database. To verify eligibility or obtain authorization, you may contact Magellan at 1-800-424-4399. . Box 629011 El Dorado Hills, CA 95762-9011. Call 911. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. 2022 Magellan Health, Inc. All Rights Reserved. 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 1998-BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association. Credentialing Status. 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, MBH-Northampton, PO Box 2065, Maryland Heights, MO 63043. San Diego, CA 92171 . Eligibility and benefits 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. This new site may be offered by a vendor or an independent third party. Blue Cross and Blue Shield of . Visit our Provider Portals English Human Resources . Member Questions Blue Cross Blue Shield members, please contact your BCBS company if you have specific questions about your plan, coverage and more. Read about our progress in the 2021 GuideWell Social Impact Report. Participating physicians, professional providers, ancillary and facility providers may not seek payment from the member for claims submitted after the 95-day filing deadline. 2 0 obj Braven Health: 1-888-444-0501. Magellan was the first MBHO to have a program included in this publication. PO Box 660044 Dallas, TX 75266-0044 Fax: (325) 794-2926 Claims, medical and mental health: Send Claims Form to: Blue Cross and Blue Shield of Texas PO Box 660044 Dallas, TX 75266-0044 Learn more about submitting claims. If necessary, commercial paper claims may be submitted as follows: Mail original claims to BCBSIL, P.O. In addition, some sites may require you to agree to their terms of use and privacy policy. 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, National Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual, Independent Review Organization (IRO) and EMR Provider Training, Interpreting the PLB Segment on the 835 ERA Guide. The process typically takes about 3 to 4 weeks to complete the process, so allow ample time to complete your independent testing. Services billed beyond 95 days from the date of service are not eligible for reimbursement. One option is Adobe Reader which has a built-in reader. BCBSTX Behavioral Health Unit stream Note: For the requests below, utilize the indicated links: All other inquiries submit an email by selecting the office closest to your location and provide the Tax Identification Number, NPI, and if applicable, Medicare Numbers for your provider when contacting Network Management. A. % BCBS Prefix List. Keystone First 200 Stevens Drive Philadelphia, PA 19113. Florida Blue is a part of the GuideWell family of companies. endobj The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Visit our job search tool to find and apply to a position. Box 629010 El Dorado Hills, CA 95762-9010. Does this timely filing limit apply to all claims for all members (e.g., COB, Medicare, etc.)?A. Attn: Predetermination Dept. endobj Please note: as these requirements can be subject to change, thegrid may not contain a complete list of exceptions. BCBS Prefix List AAA to AZZ. There, claims submission information is broken out by prefix/product name. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 24 0 R 25 0 R 26 0 R 27 0 R 30 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Magellan Behavioral Health Providers! External link You are leaving this website/app (site). BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. APPEALS . Fax: 512-349-4853 Premera Blue Cross (WA/AK) P. O. Utilization Management/Medical Management/Case Management. Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. Box 52890 Bellevue, WA 98015- 2890 West Virginia Highmark BCBS of WV P.O. Find My BCBS Company Claims Submission. Corpus Christi, TX 78411-4375 and the amount . It is important to note that depression can occur during pregnancy as well as after the baby is born. 1999-2022 commercial_footer_copyright_magellan_link. What is the appeals process? Claims Courier is an 837P compliant application. Email: RxNetworksDept@magellanhealth.com. 2 0 obj Magellan's quality improvement program to reduce inpatient mental health readmissions was selected by NCQA for inclusion in its benchmarking publication, Quality Profiles. It is important for you to stay current with your specific state and/or plan/program requirements. Providers can refer members by contacting 1-877-214-5630. %PDF-1.7 BCBS Provider Phone Number. 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. Availity EFT & ERA Enrollment User Guide. Phone: 1-713-354-7033 Copyright 2022Health Care Service Corporation. 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. See first question and answer above. Phone: (800) 824-8839 Short-term claims for Blue Shield Life & Health Insurance Company Blue Shield Life & Health Insurance Company P.O. EFT is a direct deposit claim payment from BCBSTX to your designated bank account. 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). BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer. 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. Magellan continuously looks at our processes and procedures to improve service and increase efficiencies. 4 0 obj As a result of this determination, remittance advice, known as an Explanation of Payment (EOP) is sent to you. In accordance with applicable law, Magellan will pay clean claims within 45 days of the date of receipt. Q. Box 2291 Durham, NC 27702-2291 . Beaumont, TX 77702-1954 You can download the toolkithere. Box 32593 Detroit, MI 48232-0593. Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. Join our extensive provider network today! Get answers to your questions by finding the email address or phone number you need. 195 0 obj <>stream Box 211184 Eagan, MN 55121 Magellan steps in for our members to help prevent and address the risks of one affecting the other. Box 710400, San Diego CA 921710400 Phone Number: (877) 263-9952 Blue Shield of CA: Payer ID: BS001 Claims Address: P.O. Services include outpatient therapy, psychological testing, inpatient care, partial hospitalization, residential treatment, and intensive outpatient programs. 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. Service and increase efficiencies links to consumer health and wellness sites is an Association of 35 independent, locally Blue! Family medical, dental, and intensive outpatient programs claims submission information is broken out by name! Questions ; 24 hours a day, 7 days a week.. by email accordance with applicable law, will... Related information into the Availity provider Portal, select Payer bcbs magellan claims address from the provider or a... 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