document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); You can call, text, or email us about any claim, anytime, and hear back that day. Members who have the Montefiore logo on the lower left corner of their ID cards and are being treated by a provider in the Montefiore network are not required to change providers. Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing. Claims Submission/ Address Reference the address on the member's identification card, as the address may vary based on payment location. Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. . EmblemHealth announced its affiliation with Beacon Health Options to its network providers through letters, Web postings and the summer 2011 edition of their provider newsletter, News&Notes. Contact Information. Regional Accountable Entity (RAE) Provider Contact Information. Beacon Health Options has online services to provide added convenience for our members and providers. P.O Box 1850 Hicksville, New York 11802-1850. Free Account Setup - we input your data at signup. You will only be considered a network provider for HMO, Medicaid Managed Care, Family Health Plus, Child Health Plus and Medicare Advantage lines of business. Prior approval is always required for the following non-routine outpatient services: When will Beacon Health Options become responsible for claims adjudication? To correctly bill your clients insurance, call up the phone number on the back of the clients insurance card and verify their eligibility and benefits. 200 State Street Beacon Health Options EDI Help Desk: 1-888-247-9311 and press option 3, Monday thru Friday, 8 a.m. - 6 p.m. EST . Box 4080 Virginia Beach, VA 23454, The preferred method to updated your provider profile is to select the Update Demographic Information option inProviderConnect. Members admitted to a medical floor are the responsibility of EmblemHealth. Boston, MA 02109 TheraThink provides an affordable and incredibly easy solution. Box 1850, Hicksville, NY 11802-1850. Kingston, NY 12402-5190 . Starting early next year, members of GHI HMO plans and of plans underwritten by HIP Health Plan of New York (HIP) and HIP Insurance Company of New York (HIPIC), as well as ASO members managed by Vytra Health Management Systems (VHMS) will have their behavioral health services administered by Beacon Health Options. Members who are in active treatment with a provider who has declined network participation or has not completed the necessary application, credentialing and contracting processes with Beacon Health Options, may elect to continue treatment with the provider for a period up to 90-days provided that the provider accepts EmblemHealths or Magellan Health Servicess (as applicable) fee schedule and continues to follow their policies and procedures. For any other electronic claims submission questions, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. 0001000800 alta health stratagies-1 po box 450450 atlanta ga 30345 0450 8006638081 0001193700 alternative insurance resource po box 660787 birmingham al 35266 2058713229 . 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. Which EmblemHealth members are affected by the transition to Beacon Health Options? Home; Providers Home; Provider Alerts; Provider Manual; Provider Forms; Provider Information; Provider Training; Ordering, Referring and Prescribing (ORP) Medical Necessity Criteria; Currently Open Network Services; ET, Beacon Health Options Beacon Health Options: VALOP. If you feel these rights have not been upheld, you can call the Behavioral Health Ombudsman at 303-866-2789, Email them at: ombuds@bhoco.org, or go online at: bhoco.org. Box address Paper claims Miami Children's Health Plan P.O. Contact Information. Value Options (Beacon Health Options): (800) 397-1630, Beacon Health Stategies Claims Hotline: (888) 249-0478, Beacon Health Stategies EDI Hotline: (888) 204-5581 (For ERA enrollment), Beacon Health Options allows providers to connect with their electronic billing system called Provider Connect. Mailing Address: Claims and Claims Appeals Beacon Health Options. What is the unique registration code number that PaySpan Health requests and how do I obtain it? 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 . From clinical innovations to personal stories, our expert-driven blog Beacon Lens brings todays behavioral health issues to the forefront. Then file the claims via their online portal ProviderConnect, or have us at TheraThink take care of all of this hassle for you, aka outsource your mental health insurance billing. (2 days ago) Beacon Health Options Pennsylvania Claims P.O. Attn: Beacon Health Options PO BOX 1866 Hicksville, NY 11802-1866 Claims Customer Service For all claims-related inquiries please contact our Claims Customer Service team at: (800) 578-0775, option 3 Monday - Friday 8am-6pm EST Our local claims experts are here to assist you with all your medical and behavioral health claim-related needs. These members also may, at their option, utilize the Beacon Health Options network. You should call Emblem Behavioral Health Services Program administered by Beacon Health Options at the number listed on the back of the members health insurance card to review the clinical information and available services. Attn: Claims Get Free Beacon Health Options Address Claims information about human disease and pathology, including diagnostics and treatments . Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Call (800) 810-BLUE (2583) for mailing . Putting people at the center, we built a strong network of doctors, nurses, advocates, and mentors filling members' health needs. Join Our Mailing List. Beacon Health Options P.O. The detailed information for Log In Nyeis is provided. EmblemHealth will be sending the behavioral health providers in their HIP and GHI HMO networks additional information that will include the effective date of the transition. The cards will include the updated Emblem Behavioral Health Services Program Customer Service phone number: 1-888-447-2526. In spite of this, networks still vary across states so your, or your clients, Beacon insurance plan might still be a Beacon Health Strategies plan. As an individual practitioner billing outpatient services, do I need to include the provider number on my claims? Nyeis Provider Login will sometimes glitch and take you a long time to try different solutions. As a result of the contract award, we sent invitation packets to EmblemHealths providers to expand our network. 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. *For Mental Health & Substance Abuse, please see Beacon Health Options. For issues not related to your fee schedule, please contact the Provider Service Line at 1-800-235-3149 and ask to speak with a Provider Service Representative. Will members receive new ID cards or ID numbers? Palladian Muscular Skeletal Health PO Box 366 Lancaster, NY 14086. . Be sure to include the Participant's name, mailing address and Social Security Number or OEID, the patient's name, relationship to the Participant and date of birth. Beacon Health Options / Value Options / Beacon Health Stategies Payer IDs. Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. You can find additional contact information on the Provider section. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. EDI: Contact Beacon Health Options. Providence Customer Service: Below is important information and links to resources to help behavioral health professionals manage their daytoday relationship with us. Box 1850, Hicksville, NY 11802-1850. All requests for 2022 services should go to Affinity. Home; Who We Are; Members; Providers; Solutions; Contact; Helpful Links. 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. Boston, MA 02109 (4 days ago) Hicksville, NY 11802-1850. Until the transition occurs, Magellan Health Services administers behavioral health services for GHI HMO members. Hicksville, NY 11802-1850. We are here to help you understand and address their health care needs. If you utilize the services of a third party vendor, please ask them if they are registered. Call the company. Box 1850 Hicksville, NY 11802 General Guidelines Complete the forms with the following tips in mind: Type or print all information. Beacon Health Options / Value Options . I am confused by the recent correspondence that I have received from EmblemHealth and Beacon Health Options. Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. 5 tips to help someone struggling with an eating disorder, Equity leadership summit brings passion and policy recommendations to the table, Beacon and Kennedy-Satcher: advancing behavioral health equity, Improving outcomes for people with opioid use disorder, Increasing access to behavioral health care through public / private partnerships, Beacon Health Options 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. Please call 877-872-4716, FAX 718-731-7281, or visit MHNYProviderServices@MolinaHealthcare.com . Patients name as it appears on their ID Card, Patients address, city, state, zip code and telephone number, Insureds address, city, state, zip code and telephone number, Other Insureds name, if there is other coverage. 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