PSTbeaconphppr@beaconhealthoptions.com, ProviderConnect technical questions888-247-9311 Monday-Friday, 8 a.m.-6 p.m. 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. Empire Plan Prescription Drug Program: To obtain prescription drug claims or subrogation information during the . 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. (7 days ago) People also askWhat is the address for Beacon Health Options?What is the address for Beacon Health Options?Paper Claims Submission Address: (For new and corrected paper claims) Beacon Health Options Pennsylvania Claims P.O. Paper Claims Submission Address: (For new and corrected paper claims) Beacon Health Options Pennsylvania Claims P.O. 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. All rights reserved. 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? I cannot capture in words the value to me of TheraThink. If this is an emergency, please call 911. Also, Magellan Health Services will be communicating to providers in their network who have provided care to GHI HMO members. Contact Information Beacon Health Options. To treat a HIP member who has an ID card with the Montefiore logo, you must be a participating provider in either the Beacon Health Options or the Montefiore network for the members coverage under the Emblem Behavioral Health Services Program administered by Beacon Health Options to apply. Providers and facilities should submit claims via the Availity Essentials Portal using Direct Data Entry (Professional and Facility claim) applications or EDI using the Availity EDI Gateway. Help users access the login page while offering essential notes during the login process. white plains ny 10604 2125395111 1030582505 ambetter po box 5010 farmington mo 63640 5010 8776871187 0001198700 ameriben solutions po box 7186 boise id 83707 8007867930 . 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; Our data is encrypted and backed up to HIPAA compliant standards. Prior approval is always required for the following non-routine outpatient services: When will Beacon Health Options become responsible for claims adjudication? You can call, text, or email us about any claim, anytime, and hear back that day. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. As a facility, how do I bill nonprofessional services? Effective January 1, 2012 Beacon Health Options will administer the Emblem Behavioral Health Services Program. Report Fraud, Waste and Abuse Tel: 888-204-5581 Behavioral Health Claims CareFirst BlueCross BlueShield Medicare Advantage c/o Beacon Health P.O. Beacon Lens Beacon Lens is our expert-driven blog that focuses on the most pressing issues facing behavioral health care today. Please contact our Customer Service Department at 855-377-2416 to verify eligibility and benefits. Claims Submission/ Address Reference the address on the member's identification card, as the address may vary based on payment location. Who is responsible for members admitted to an inpatient medical unit who also have behavioral health issues that need to be treated? [PDF] December 8, 2017 Web Announcement 1480 - Nevada Medicaid; 6.Nevada Medicaid Contact List Providence Customer Service: Authorizations, Member Benefits, Eligibility . As an NCQA accredited organization, Beacon Health Options requires specific information and all providers must be credentialed by us in order to be considered as an in-network provider. 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 With whom do I discuss the fee schedule? The detailed information for Log In Nyeis is provided. Kingston, NY 12402-5190 . Suite 101. Box 14621 Lexington, KY 40512 Emdeon Payer ID - 22771. You can find more information about ProviderConnect onwww.BeaconHealthOptions.com. GHI HMO ID cards: New ID cards will be issued to GHI HMO plan members in mid-December, 2011. It is imperative that, in the event of emergent care, the provider contact Beacon Health Options as soon as possible, but no later than 24 hours after the emergent contact/session/admission. Licensed clinicians are available 24 hours a day, 7 days a week and 365 days a year. Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Follow the instructions on How to Become a Provider Claims - General Information If you have questions about claims in general, call (800) 888-3944. I am confused by the recent correspondence that I have received from EmblemHealth and Beacon Health Options. 200 State Street Non-California Providers: Your local Blue Cross Blue Shield Plan. Please call 877-872-4716, FAX 718-731-7281, or visit MHNYProviderServices@MolinaHealthcare.com . Free Account Setup - we input your data at signup. Effective immediately, there is a new mailing address for claims submissions to Beacon Health Options. To see a copy of the members benefits, you may use the secure provider Web site at www.emblemhealth.com. Beacon Health Options providers who provide care to a member with the Montefiore logo on their ID card must submit claims to Beacon Health Options. If you have technical questions specific to Availity Essentials, please contact Availity Client Services at 1-800-282-4548, 8 a.m. to 8 p.m. Where/how do I submit my claims to Beacon Health Options? Box 5190 . He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. Free Account Setup - we input your data at signup. Providence Customer Service: Authorizations, Claim Tips for Paper Submissions. 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. This act states that there are not more limits on your behavioral health benefits than your physical health benefits. Enclosed with that correspondence was the CHCS IPA (HMO) Agreement. These include routine vision care and eyewear (EyeMed); behavioral health (Beacon Health Options); chiropractic, occupational and physical therapy (Palladian); and dental (DentaQuest). and claims status please visit Beacon Health Options. How do I join? Fax: 781-994-7600. 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. At Beacon, were driven by a mission to transform lives. At the present time, members of PPO plans underwritten by Group Health Incorporated (GHI) have their behavioral health services administrated by Beacon Health Options. 2012/01/01. (800) 810-BLUE (2583) Participants: If provider is not BlueCard PPO and bill reflects that you paid in full: SAG-AFTRA Health Plan P.O. P.O. Where do I submit my claims prior to the effective date of the transition? Posted on August 29, 2022. Last updated on 2022/07/20 Box 1850 Hicksville, NY 11802 (866) 477-8208 . It also details best practices for interacting with our plans and helping our members navigate their health care. Although paper claims are accepted, physicians, other health care professionals, and facilities are strongly encouraged to submit claims electronically. Provider name, address and telephone number, Statement covers period From and Through, Patients name (last, first name, middle initial) as it appears on ID Card, Release of information certification indicator, Insureds name (last, first name, middle initial), Diagnosis and procedure code qualifier (ICD version indicator), Other diagnosis codes/present on admission indicator (POA), Attending physician identification number, Your Beacon Health Options pay-to-vendor number (PIN), Your Tax Identification Number (TIN) or your Social Security Number (SSN), Outpatient ECT (electro-convulsive treatment), Outpatient and intensive outpatient substance abuse treatment. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Mailing Address: Claims and Claims Appeals Beacon Health Options. In 2015, Beacon Health Strategies and Value Options merged to form one insurance company: Beacon Health Options. Providertoolkit.beaconhealthoptions.com.Site is running on IP address 52.6.77.64, host name ec2-52-6-77-64.compute-1.amazonaws.com (Ashburn United States) ping response time 6ms Excellent ping.Current Global rank is 131,939, site estimated value 16,572$. ID numbers: There will be no change to any member ID numbers. Does the claims submission process change if I am currently contracted as a Beacon Health Options GHI Behavioral Management (BMP) provider? For a surprise bill, you can also simply complete and submit the standard surprise bill Assignment of Benefits Form to Beacon Health Options and to your provider without calling and we will re-evaluate your claim. Beacon Health Options EDI Help Desk: 1-888-247-9311 and press option 3, Monday thru Friday, 8 a.m. - 6 p.m. EST . 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. You'll always be able to get in touch. In general, the inpatient reimbursement schedules are non-negotiable. Until the transition occurs, Magellan Health Services administers behavioral health services for GHI HMO members. 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. Beacon Health Options The Emblem Behavioral Health Services Program Customer Service phone number (1-888-447-2526) will not change on the cards, but the name of the program and claims address will be updated on reissued ID cards. Fax +1 501 707-0940. Please follow the instructions provided in the correspondence and return any required documents within 10 business days of receipt. Box 1850 Hicksville, NY 11802-1850 Services rendered to members enrolled in Miami Children's with a date of service before May 1, 2021: Correspondence type P.O. 1400 Crossways Blvd. ET Monday through Friday. If you do not have the letter with your unique registration code, please send an e-mail to CorporateFinance@beaconhealthoptions.com and include the following information: You will receive an e-mail with your registration code letter within three business days of your request. If you believe that your fee schedule needs to be reviewed, please contact our Contracting Department at 1-212-560-7729 and request to speak with a Contract Development Director. Health (4 days ago) Paper Claims Mailing Address: Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program. All other ID cards: New ID cards will be issued to all other plan members as groups renew throughout the year. Beacon Health Options will, however, reach out to providers when routine services are accessed excessively so as to no longer be considered routine.. As a reminder, please ensure that you have completed your required Cultural Competency training. On or after the transition date, where do I go to have a claim question/issue resolved? Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. 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. Main Menu. How does the transition affect my contract with Magellan Health Services? 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. As a reminder, please ensure that you have completed your required Cultural Competency training. Do I have to be credentialed by Beacon Health Options? What is the unique registration code number that PaySpan Health requests and how do I obtain it? Which EmblemHealth members are affected by the transition to Beacon Health Options? Join Our Mailing List. Fax: 781-994-7600. If you are a member of the media interested in speaking with us, please contact tina.gaines@elevancehealth.com. Yes, several mailings have been sent to EmblemHealth and Beacon Health Options network providers. Members who have the Montefiore logo in the lower left corner of their ID card, whether in treatment or not, will continue to access behavioral health providers in the Montefiore network. ATTN: Special Investigations Unit. The Latham, N.Y. address is no longer valid for claims submissions. EIBilling . Box 968022 Schaumburg, IL 60196-8022 (855) 577-6516 Vision Superior Vision . 0001000800 alta health stratagies-1 po box 450450 atlanta ga 30345 0450 8006638081 0001193700 alternative insurance resource po box 660787 birmingham al 35266 2058713229 . Beacon Lens is our expert-driven blog that focuses on the most pressing issues facing behavioral health care today. . The expanded relationship with Beacon Health Options will not impact this program. TheraThink provides an affordable and incredibly easy solution. Make sure you ask which payer ID they use and which claims address to file to. As a facility, how do I bill professional services? My current Outpatient fee schedule is more favorable than Beacon Health Options. Fax: 781-994-7600. 2009/09/11. They also have the option to use Beacon Health Options network providers. Can you explain these mailings and what I have to do? Chesapeake, VA 23320. Pre-certification is required for all elective inpatient services. IHA - New York Beacon Health Options. Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. How soon will I receive a claims payment? Claims Submission/ Address. We strongly encourage providers to submit claims electronically for the efficiencies gained by both providers and in claims processing. We strongly recommend billing electronically, either via EDI or our web-based direct claim submission. PaySpan Health is the software that Payformance uses for online registration for EFT. (2 days ago) Beacon Health Options Pennsylvania Claims P.O. Box 1864 . The members benefit plan will define whether or not the members benefit plan provides coverage for out-of-network providers. Labs Total Healthcare requires that labs be processed through Quest or any of the outpatient departments for facilities outlined in the spreadsheet below. 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. 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. (Beacon is responsible for inpatient stays which began prior to 2022.) Box address Paper claims Miami Children's Health Plan P.O. Your unique registration code is the registration number that Beacon Health Options supplies to providers for enrolling in PaySpan Health. New Beacon Health Options P.O. If the members plan does not have out of network benefits, non-participating provider claims may be denied. Beacon Health Options / Value Options / Beacon Health Stategies Payer IDs. Po Box 1852. Copyright 2022 Beacon Health Options. You can find additional contact information on the Provider section. If you received this package, it is because you were not participating or not participating in all of Beacon Health Options lines of business in the State of New York. The EmblemHealth contract will apply until the Emblem Behavioral Health Services Program administered by Beacon Health Options goes into effect. Provider Information Beacon Health Options of Pennsylvania. 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. 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. 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. What are the operating hours of the Beacon Health Options Clinical Department? As an inpatient facility, when should an authorization of an admission be requested? Beacon Health Options will notify you if a treatment plan is required. 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. As private practitioners, our clinical work alone is full-time. Get Free Beacon Health Options Address Claims information about human disease and pathology, including diagnostics and treatments . Beacon Health Options (BHO): PO Box 1850. 2012/06/06. When will Beacon Health Options become the benefit administrator for Emblem Behavioral Health Services? Which EmblemHealth members are not affected by the transition? As of 1/01/2022 Beacon Health Options is no longer providing Behavioral Health services for Affinity by Molina Healthcare. (GHI and HIP are EmblemHealth companies. Box Function Beacon Health Options P.O. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. 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. (Source). To report compliance, ethics or fraud waste and abuse concerns please call: 888-293-3027. Box 1850 . Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. 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 . If a member is admitted to an inpatient unit before the start date of the program, EmblemHealth/Magellan will adjudicate the claim(s). Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program. For providers currently contracted with Beacon Health Options GHI BMP, the claims process does not change and will continue to be processed by EmblemHealth/GHI. Providers and facilities should submit claims via the Availity Essentials Portal using Direct Data Entry (Professional and Facility claim) applications or EDI using the Availity EDI Gateway. Hicksville, NY 11802-1864 . Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. Category: Health Show Health . If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. 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. I do not participate in any of the Beacon Health Options networks. What do I have to do? To submit the information noted in this paragraph, please see below. 200 State Street Evergreen Health Email: providers@evergreenmd.org Phone: (443) 451-4979 Mail: "Attn: Claims Processing", PO BOX 47520, BALTIMORE, MD 21244-0520 Pharmacy OptumRX P.O. Welcome to the Beacon Health Options of California, Inc. (Beacon of California) network of participating . Billing for Noncovered Services. Health (3 days ago) Reports of fraud and abuse, or suspicions thereof, can be made in writing to: Mailing Address: Beacon Health Options. Health (Just Now) Contact Us. ET Toll Free Number: 1-866-510-0797 Provider Services Fax: 1-800-370-1116 Provider Services Email Address: Miami_Partners@BeaconHealthOptions.com Housing Program Contact Persons Beacons Safe to Say compliance hotline should not be used for emergencies. Hicksville NY 11802. Change of Address forms can be found at www.valueoptions.com and may be submitted by using one of the following options: Mailing Address: ValueOptions c/o Practitioner Maintenance P.O. Beacon Health Options / Value Options . Putting people at the center, we built a strong network of doctors, nurses, advocates, and mentors filling members' health needs. With PaySpan Health, you stay in control of bank accounts, file formats, and accounting processes. Insureds date of birth if there is other coverage, Diagnosis or nature of illness or injury ICD-9 diagnosis code(s) use HIPAA-compliant codes, Procedures, services or supplies use HIPAA Compliant CPT/HCPCS codes, Procedures, services or supplies modifier, Signature of physician or supplier, including degrees or credentials, Name and address of facility where services were rendered.
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