P.O. Box 4368 Lutherville, MD 21094 Please refer to our Receiver and Payer ID Box 211184 mn 55121 blue cross independence qca traditional blue cross blue shield 54704 qce 54704 12x26 claims receipt center p.o. Medica Chiropractic claims should be submitted to: Medica PO Box 212 Minneapolis, MN 55440-0212 Electronic pay ID: 41161 Box 21546 Eagan, MN 55121. PO Box 21051 Eagan, MN 55121-0051 Electronic pay ID: 12422. Box 211314 Eagan, MN 55121 Sutter Health Plus includes the claims submission address for all other services on the back of the members identification card. UT, and VA: (2022 services effective 1/1) Bright HealthCare Claims Sutter Health Plus includes the PPG and claims submission address on the members identification (ID) card. All facilities and non PHCS providers please send all claims to: Group Benefit Services Claim Department P.O. EDI# 19753. UnitedHealthcare Choice Plus (all 50 states) EDI Payer ID #39026 UnitedHealthcare Shared Services P.O. Member Services: (855) 979-5192. Whether youre a public corporation or a private company, a hospital, a municipality or a school district, large or small, youll find Group Resources to be a third-party administrator in which you Amwins Connect Administrators (formerly Group Benefit Services) is a premier Employee Benefits Administrator that has been offering innovative benefit solutions across the United States Payer ID; Emdeon/ Change Healthcare: 13360: MDOnline/ Ability Network: 13360: P.O. Sutter Health Plus P.O. Box 211314 Eagan, MN 55121 Sutter Health Plus includes the claims submission address for all other services on the back of the members identification card. Farmington Hills, MI 48333 . P.O. Eagan, MN 55121 . 2021 providers with outstanding claims to file for 2020 service dates should submit to the following payor ID and remittance address. Box 211256 Eagan, MN 55121 Medicare Members Univera Healthcare Attn: Medicare Division P.O. Payer ID: 94265 + Product Fact Submit claims using payer ID "PCA01" or mail to PrimeCare Administrators, PO Box 81380, Las Vegas, NV 89180. Box 211595 Eagan, MN 55121 What is the Payer ID? Payer ID: ARGUS. Claims Receipt Center. Payer id provider number reference professional rev. QuikTrip Payer ID: 73067; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required: Need to submit transactions to this insurance carrier? Box 211747 Eagan, MN 55121. PO Box 211628 . Box 21542 Eagan, MN 55121. Box 21552 Eagan, MN 55121-9159 Express Scripts Phone: 800-391-9701 Office locations 7001 220th St. SW. Mountlake Terrace, WA 98043 3900 East Sprague Ave. Spokane, WA 99220 Pharmacy Service Phone: 888-261-1756 Fax: 888-260-9836 Get in-person assistance Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300. 2021 ID Card Example (AZ) 2022 ID Card Example (FL) PO Box 211435 . Box 5267 Binghamton, NY 13902-5267 Claims & Membership Forms Univera Healthcare P.O. Acceptance of this card should indicate acceptance of the Plan's benefits as payment in Effective 1/1/2022, the new Payer ID for all Bright HealthCare plans (excluding California Medicare Advantage) is BRGHT. Sutter Health Plus P.O. Box 211395 Eagan, MN 55121 Reminder: All claims should be submitted electronically, unless required documentation is needed to process claim. Eagan, MN 55121 (BCBSAZ providers in AZ submit to EDI #53589) Florida 88090 (PHX) Zelis/Medica PO Box 2839 . The following address should be used for claims related to outer counties: Outer County Claims Lehigh, Lancaster, Northampton, and Berks County. Payer Information. Payer ID:CB987 PO BOX 21661 Eagan, MN 55121. Argus Dental & Vision, Inc. Claims Department PO Box 211276 Eagan, MN 55121 Group administrators. P.O. Box 30783, Salt Lake City, UT 84130-0783 UHC The difficulty comes in designing an affordable plan that meets both the needs of your organization and your employees. Eagan, MN 55121. The group number is 1794. Payer ID: 71890 ID: 1234567891 Name: Mayo Medical Plan Page Fact Sheet 2 of 4 . Eagan, MN 55121. P.O. P.O. Box 211597 Eagan, MN 55121 Wisconsin Family Care c/o WPS Health Insurance P.O. Note: When submitting claims under this payer ID, use only the 10-digit member ID. If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member Prior Authorization submitted via email and/or fax number provided on the corresponding form ExpressScripts (ESI). Log in to your provider portal, click on the Patient Eligibilitylink on the left navigation area, and then click the link for Patient Eligibility Search. Use the Patient Eligibility Search option to search for a customer using the customer number and date of birth OR the customer first name and/or last name and date of birth. Contact HealthEZ for reimbursement rates for any facility based care. P.O. For coverage, benefits and claims status, call Auxiant at 800-475-2232. Sutter Health Plus P.O. Submit. Group benefit services claim department p.o. Our Premium Payment Address: Univera Healthcare - Group P.O. At Group Benefit Services (GBS), we help employers do just Sales & Product Inquiries. Members Phone number For information about Innovation Health, please call our toll-free number at 1-855-228-0510. Links. P.O. P.O. Box 21681, Eagan, MN 55121 Fax (972) 335-1349 . Box 211256 Eagan, MN 55121 payer information* Paper claim mailing address Billing provider ISA-08 GS-03 AmeriHealth HMO AmeriHealth Q3A AmeriHealth PA ERISA POS 54704 95044 23037 Claims Receipt Center Medica Behavioral Health claims should be submitted to: Medica PO Box 30757 Salt Lake City, UT 84130 Electronic pay ID: 87726. Box 211502 Eagan, MN 55121. Name (required) Email (required) Message. Box 21155 Eagan, MN 55121. Box 211592 Eagan, MN 55121-2892: Payer ID: 06541: Claims Timely Filing Requirement : Submit claims 180 calendar days from date of P.O. Box 13447 Macon, GA 31208 -specific provider directory, please visit the link below and enter the three-digit group number on your Secure Health ID card. Box 21325 Eagan, MN 55121 Claims Appeals (844) 865-8033 Fax: (888) 345-9110 Claims Appeals Mailing Address MoreCare Attn: Appeals PHCS P.O. Submit Claims to: Payer ID # 41178 HealthEZ: PO Box 211186, Eagan, MN 55121 FACILITIES MEDICAL NETWORK: None -All claims paid at the Allowable Charge, generally 150% for facilities. Box 21392. Contact our ClearChain Health Provider Support team at 833-484-9985. Bright HealthCare uses Payspan to process Medicare Advantage claims payments. Payspan meets state and federal requirements for electronic payments and is HIPAA compliant. Follow these simple steps to get set up: First, register for Payspan: and complete the form. Payspan will email you your registration code within 48 hours of your request. Find out More. Logo Requests If you would like to request the use of the Innovation Health logo, please contact us. Watch a webinar Plan Details Bright HealthCare does not accept faxed claims. Kaiser Health News; P.O. All medical claims for this group should be submitted to Quad City Community Healthcare, PO Box 211598, Eagan, MN 55121 or by using Payer ID 40437 when submitting claims electronically. Box 5266 Binghamton, NY 13902-5266. Member ID remains the same: ACZ8300XXXXX-XX. Box 211256 Eagan, MN 55121 Mail Forms and Payments Direct Premium Payments Univera Healthcare P.O. Mail claims to: ClearChain Health. Box 21153 Eagan, MN 55121: CountyCare Health Plan Administrative Offices 1950 West Polk Street Chicago, IL Paper Processing Facility P.O. PO Box 211342 Eagan, MN 55121-0800 Electronic Claims The Availity Payor ID will be 94999. Electronic Funds Transfer (EFT) New registration will be handled via Change Healthcare. UT, and VA: (2022 services effective 1/1) Bright HealthCare Claims P.O. Box 211592 Eagan, MN 55121-2892 Payer ID 06541 CountyCare Provider Quick Reference Guide January 2021 Page 1 of 2 Provider Services CountyCare Website Visit Electronic Payer ID: PCU01 (Smart Data Solutions clearinghouse) You will have two options to submit your claims and attachments electronically. Payor ID 42561 PO Box 21347 Eagan, MN 55121. Box 211184. Group ID remains the same: 2008ALC. P.O. Dental claim form. Claims mailing address BrightVision, powered by Davis Vision. Provider Services: (855) 979-5194. Effective 1/1/2022, the new Payer ID for all Bright HealthCare plans (excluding California Medicare Advantage) is BRGHT. PO Box 211256 Eagan, MN 55121. Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. To place an order, contact Integrated Home Care Services directly: Phone 1-844-215-4264 Fax 1-844-215-4265 Or if you're in Illinois or Texas, call us directly at 1-800-338-6833 (TTY 711) Virtual Provider Webinars Learn about Devoted Health, meet our team, and see our 2023 benefits by watching a recorded webinar. You may submit claims to Surest (365-day timely filing) electronically at Surest payer ID 25463 or by mail to: PO Box 211758 Eagan, MN 55121 After a claim has been submitted, quickly check Members should call the number on their Member ID Card. Our Corporate Street Address: Univera Healthcare 205 Park Club Lane Buffalo, NY 14221. NEA: 451001. Payer ID: 01757 www.softcare.com P.O. Claims (Medical and Behavioral Health) Clearinghouse Vendor Change Healthcare (formerly Emdeon) Changehealthcare.com Payer ID 65465 Claims Timely Filing 180 Calendar Days Paper Claims Mailing Address MoreCare P.O. Box 211314 Eagan, MN 55121 Non-participating providers must submit all other claims to the members participating provider group (PPG). Medica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. There, claims submission information is broken out by prefix/product name. Po Box 211282 Eagan Mn. Box 21552 Eagan, MN 55121 Claims submission LifeWise Health Plan of Washington P.O.

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