All claims must be submitted within 12 months from the This list contains only 5-digit ZIP codes. Call or write us! If you have any questions, please contact provider services at (702) 892-7313, option 2. endobj The difficulty comes in designing an affordable plan that meets both the needs of your organization and your employees. gg*HAvr~-qxG1qb[-~xxp(K3%Qlexubmdt6G=vxpvvqI7I:Sb I$3I$; ]\N1M*JCIQ. P.o. Dental care providers Phone number P.O. Box 21155 Eagan, MN 55121. Box 293 Bedford Park, IL 60499-0924. Serving as a Third-Party Administrator (TPA), we use industry-leading technology to create and administer self-funded health plans. 3 0 obj Box 211595 Eagan, MN 55121 What is Claims should be submitted to PO Box 211681, Eagan, MN 55121 or electronically using payer ID 45564. If you have any claims-related questions or concerns, please call our Provider Services Department at 702-892-7313 option #2. Group ID remains the same: 2008ALC. EDI Payor ID: 41147 Mail claims to: PreferredOne P.O. Customer Service for Members. 55120, 55121, 55122, 55123. Argus Dental & Vision, Inc. Claims Department PO Box 211276 Eagan, MN 55121 Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, Attachment/Appeal Fax# 952-992-3024 . Box 1527 Minneapolis, MN 55440-1527 Fax: (269) 349-3275 . Use our zip code lookup by address feature to get the full 9-digit (ZIP+4) code. P.O. Medical Directors. US ZIP Codes Minnesota Eagan Eagan, MN ZIP Code Zip codes of Eagan, Minnesota 55120, 55121, 55122, 55123 box and Payer ID will be forwarded to the correct location for the time being. Phone: (269) 343-2611 . Sales & Product Inquiries. NEA: 451001. x\[s8~w)&n955u2wudhXeH9AJ D! P.O. Electronic Funds Transfer (EFT) New registration will be handled via Change Healthcare. Payer ID: ARGUS. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300 Box 37200 Albuquerque, NM 87176 Call us Monday 8am to 6pm EST | Tues-Friday 8am to 5pm EST. Box 211256 Eagan, MN 55121 . Box 211184. Have questions? Box 21670 Eagan, MN 55121-0670 PreferredOne. For questions or updates related to billing, email: P.O. Sincerely, 2 0 obj Home Member. Find A Doctor; Forms Travel Insurance; PO Box 19040 . Get in touch. Argus Dental & Vision, Inc. Claims Department PO Box 211276 Eagan, MN 55121 Contact Varipro with any questions or comments. PO Box 211083 Eagan, MN 55121 TRANSPORTATION Phone: (702) 444-0408 MON - FRI | 7:15 A.M. - 5:00 P.M. Quick Reference Guide 2019 Prior Authorizations, Prescription Meds, Claims & Appeals Eective January 1, 2019 MEMBER SERVICES For any questions related to claims, Mutual of Omaha: Claims. Medica PO Box 211435 Eagan, MN 55121. Provider Services: (855) 979-5194. Claims. Culinary Health Fund P.O. Box 211471 Eagan, Minnesota 55121 EDI Payer ID: 59144 Box 211473, Eagan, MN 55121 Note: Your participation in SOMOS IPA does not affect your relationship with Preferred Health Professionals/HPK. Box 211221, Eagan, MN 55121. Claims mailing address The network features One Health Nebraska providers as Tier 1 and Midlands Choice providers as Tier 2. Corporate Offices: 1401 W. Capitol Avenue Suite 430 Little Rock, AR 72201 To get provider specific information and service, call 844-732-3415. Medical Claim. Member ID remains the same: ACZ8300XXXXX-XX. If CHA is doing the Utilization Management, then CHAs telephone numbers are printed on the reverse side of the identification card: (800) 301-1824 and (574) 647-1824. Important Phone Numbers approved EDI vendor, or mail paper claims to: SOMOS IPA, LLC, P.O. Submit all claims to: EDI Payer ID: 66701 Group Marketing Services, Inc. PO Box 21044 Eagan, MN 55121. Box 211597 Eagan, MN 55121 Wisconsin Family Care c/o WPS Health Insurance P.O. endobj Eagan, MN 55121. PO Box 2839 Farmington Hills, MI 48333. All paper claims for Federal Employee Health Benefits members must be submitted to: True Health New Mexico P.O. For precertification, to confirm eligibility, verify benefits, or check claim status, contact Centivo at 844-993-3165. PO Box 202316 Austin, TX 78720 Claim Submission Address: Beacon Health P.O. P. O. Address for Claim Appeals . Box 6090, De Pere, WI 54115-6090. Box 21367 Eagan, MN 55121; If you have any other plan: Fax: 1-877-234-9988; Mail: Devoted Health PO Box 211037 Eagan, MN 55121 The following address should be used for claims related to outer counties: Outer County Claims Lehigh, Lancaster, Northampton, and Berks County. Toll-free: 877.832.1823. endobj Blackhawk Claims Service 100 Decker Ct, Suite 250 Irving, TX 75062 866-910-6166 Outreach@blackhawktpa.com. P.O. Box 21943 Eagen, MN 55121 EDI# 35193. Box 4368 Lutherville, MD 21094. % All claims should be routed to Bind Benefits, Inc., following the instructions on the member ID card. Bind Benefits, Inc., may be entered as the insurance carrier (dependent on your system). Box 21116 Eagan, MN 55121 Pharmacy Department: (Geisinger) (800) 988-4861 or (570) 271-5673 Fax: (570) 271 <> PO Box 211757 Eagan, MN 55121 Claims & Forms. Box 211471 Eagan, Minnesota 55121 Phone: 702-733-9938 Provider reconsiderations and additional claim information. Group Marketing Services Group insurance that benefits small business. PO Box 211457 Eagan, MN 55121. P.O. Local: 608.395.6594. Innovative Health Plan (IHP ll) offers providers a variety of tools and resources to assist with patient care. Box 21670 Eagan, MN 55121-0670. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 18 0 R 21 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Culinary Health Fund P.O. Box 211471 Eagan, MN 55121 The EDI payer ID has changed to: Unite Here Health (dba Culinary Health Fund) Payer ID: 59144 Claims submitted to the prior P.O. P.O. Contact Member Services at 800.730.7219 (TTY: 711) if you need help submitting a medical claim. Providers currently enrolled in EFT prior to 07/01/20 will not have to re-register with Change Healthcare. Box 211256 Eagan, MN 55121 Univera Healthcare P.O. 4 0 obj %PDF-1.7 PO Box 202316 Austin, TX 78720 Claim Submission Address: Beacon Health P.O. For Providers Submitting A Claim: Box 21341 Eagan, MN 55121 WPS Health Plan P.O. NEA: 451001. P.O. For submitting medical claims. Box 211758, Eagan, MN 55121. Prescriptions Claim. Box 211408 Eagan, MN 55121 payer ID: 25059 MultiPlan ember Group: SUIT Name: JOHN SAMPLE ID: SMPLOOOI Division: 001 P an Rx Group: 99992763 Rx Bin: 610020 PCN: PDMI Southern Ute Tribal Member Health Benefits Plan Members: For help finding a provider or for claim and Eligibility questions please contact Customer Service at (BOO) 960-5479 or PPO HealthEOS by MultiPlan, P.O. Box 6090, De Pere, WI 54115-6090 All other claims (non-Badger Care Plus and non-PPO) Quartz, P.O. Box 211221, Eagan, MN 55121 Claims Receipt Center. Payer ID: ARGUS. All other claims (Badger Care Plus and non-PPO) Quartz, P.O. Box 21681, Eagan, MN 55121 Fax (972) 335-1349 . P.O. For reimbursement of covered prescription drug claims. Claims address: Bind, P.O. Box 211468 Eagan, MN 55121. Box 5267 Binghamton, NY 13902 BrightVision, powered by Davis Vision. 1 0 obj Please note that logos for ID cards are subject to change depending on how each group is contracted and/or set up. PO Box 81380 Las Vegas, NV 89180. Claim Adjustment or Appeal Eagan, MN 55121. PO Box 211342 Eagan, MN 55121-0800 Electronic Claims The Availity Payor ID will be 94999. Box 211747 Eagan, MN 55121. At Group Benefit Services (GBS), we help employers do just that. The following address should be used for claims related to outer counties: Outer County Claims Lehigh, Lancaster, Northampton, and Berks County. Kalamazoo, MI 49019 . P.O. P.O. Members P.O. Managed Medical Assistance: 844-406-2396 (TTY 711) Florida Healthy Kids: 844-405-4298 (TTY 711) Long-Term Care: 877-440-3738 (TTY 711) Box 21352 Eagan, MN 55121 Bureau of Childrens Services CLTS Waiver c/o WPS Health Insurance P.O. Box 21116 Eagan, MN 55121 Pharmacy Department: (Geisinger) (800) 988-4861 or (570) 271-5673 Fax: (570) 271-5610 Monday Friday, 8am 5pm <> All facilities and non PHCS providers please send all claims to: Group Benefit Services Claim Department P.O. EDI Payor ID: 42011 Mail claims to: American Republic Insurance Company P.O. Box 211184. Member Services: (855) 979-5192. stream Dental claim form. 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 . Varipro is a TPA (Third Party Administrator) with the look and feel of a fully insured plan. More : for Mutual of Omaha members. Also note. PPO HealthEOS by MultiPlan, P.O. After a claim has been submitted, quickly check To learn more about benefits, visit our educational resources page. Claims Receipt Center. Medicare Members Univera Healthcare Attn: Medicare Division P.O. Dental claim form. Important details about this arrangement: Paper Claims Mailing Address. <>/Metadata 122 0 R/ViewerPreferences 123 0 R>> PT Mini-Claim Form. PO Box 211472. , WI 54115-6090 all other claims ( non-Badger Care Plus and non-PPO ),... 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