ET P.O. Claims: Health Tradition Health Plan. Madison, WI 53708-8190 Claims address: Bind, P.O. MondayFriday, 8 a.m.4 p.m. (CT) 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. The Extended MLTC Emdeon payer ID # is 46166. MondayFriday, 7:55 a.m.4:30 p.m. (CT) P.O. Box 21994 Eagan, MN 55121 Bright HealthCare Claims P.O. Ask questions about your pharmacy benefits. We look forward to continuing to work with you in helping enrich the lives of the individuals and communities we serve. Medical Claim. '&l='+l:'';j.async=true;j.src= There, claims submission information is broken out by prefix/product name. Online claims processing saves time and paper. Neither Wisconsin Physicians Service Insurance Corporation, nor its agents, nor products are connected with the federal Medicare program. Eagan, MN 55121, WPS Administrative Services WPS Health Plan Corrected Claims: 180 days from the date of service Eagan, MN 55121, WPS Health Insurance Mail correspondence to: Univera Healthcare They are the best source to assist you with claims status including payment and denial information. R2694CP.pdf. PO Box 21631 Eagan, MN 55121 For electronic claims submission please use electronic payer ID: 27034 PeakTPA is our third-party administrator for claims processing. <>/PageLabels 1697 0 R>> P.O. Empower Health Solutions PO Box 21051 Eagan, MN 55121-0051. Other states: 800-236-8809, WPS Health Insurance: 800-332-1398 To access secure messaging, log in to your online account. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. ), Wisconsin Physicians Insurance To check on the status of your claims, call our customer support team at 833-484-9985. Receive fair and prompt payment along with an Explanation of Benefits. Box 21341 We understand that Annual Enrollment Period can be a confusing and stressful time for your patients and their caregivers, and our team is here to assist. j=d.createElement(s),dl=l!='dataLayer'? ET Eagan, MN 55121, The EPIC Life Insurance Company P.O. Box 1437Little Rock, AR 72203Phone:(501) 682-1001TDD:(501) 682-8820, Donaghey PlazaP.O. For help with member-specific eligibility, benefit or claims questions, please call 1-844-368-6661. Please note that Home Health claims received with Type of Bill 33X will be denied for invalid type of bill. Ambulance Providers, Durable Medical Equipment, HOSPITALS: Box 21341 P.O. For more information, follow the links below. Box 211256 Eagan, MN 55121. Our MoreCare customer service agents are available to help you with your membership concerns, MoreCare, P.O. Correspondence. Box 211533 Eagan, MN 55121 Electronic Submission Submit to Paycor ID 86145 *Once a claim is received by Redirect Administrators, a clean claim is expected to be paid within 45 business days. Should you have any questions regarding this notification, you may contact your ILS Provider Relations Representative, at 1-888-262-1292 extension 4216 or via the Provider Services Line at 1-855-299-6492, Option 3. Box 21325 Eagan, MN 55121 Claims Appeals (844) 865-8033 Fax: (888) 345-9110 Claims Appeals Mailing Address MoreCare Attn: Appeals Department P.O. Jennifer.Jenkinson@univerahealthcare.com, Supervisor of Provider Relations **Paper claims to: **Surest PO Box 211758 Eagan, MN 55121. Behavioral Health,Urgent Care, SPECIALTY PROVIDERS: Please label the envelope and Claims form appropriately and mail to the following P.O. We appreciate the confidence you have placed in us and pledge to provide you with friendly service and innovative products. Links marked with an (external site) icon indicate you're leaving UniveraHealthcare.com. QCH : Keystone Health . Albion, Barker, Gasport, Holley, Kendall, Kent, Lewiston, Lockport, Lyndonville, Medina, Middleport, Newfane, Niagara Falls, Niagara University, North Tonawanda, Ransomville, Sanborn, Wilson, Waterport, Youngstown, COVERAGE AREA (Medical & Dental): Fax: 1-877-203-9401, Monday - Thursday: 8 a.m.- 5 p.m. Box 211758, Eagan, MN 55121. www.extendedmltc.org. Eagan, MN 55121, Family Care new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], Box 211758, Eagan, MN 55121. Fax Line: 716-857-4578, Director Provider Relations and Contract Negotiations IL: 800-221-5319 PO Box 211435 Eagan, MN 55121. As per the National Uniform Billing Committee (NUBC), the use of Type of Bill (TOB) 33X for Home Health Services was discontinued for dates on or after October 1, 2013. For a sample list of these procedures, see the Bind Provider Guide. The Devoted Health folks who answer our phones are called Guides. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); You must have Adobe Reader to view and print pdf documents. Andrea Copeland NM108 = XX NM109 = NPI # Paper (UB-04) NPI # - Box 56 . Empower.Network@EmpowerArkansas.com, Incident Reporting 4hcWW93i0c-Ri5@0J^F qJ;R'H(J4 loD_7Az,m*kAL[X$ sk} %\1",n ^MS0gFk7x7*!D4UQD!Xl$rZ,@&&PXE0Qp/?AI#6RIJ>'s?N*;JT2g>q%efu-Lt]I~$h'Mocv4|!s9naj(~wtCXVYyzS{;@_eMQ+yK sg6: 2s]VMez]w:rI View the Madison campus map. The Devoted Health folks who answer your texts are called Digital Guides and yes, they're real people! . Box 64540, Chicago, IL 60664. Toll Free: (855) 299-6492 We're sorry, this feature is temporarily unavailable. Address. Non-Discrimination Policy | Interoperability | Price Transparency. Olean, Wellsville, SPECIALTY PROVIDERS: 1401 W. Capitol Avenue P.O. Customer Service. Emdeon supports both professional and institutional claims. Behavioral Health, Urgent Care, Team Email Address: UniveraPR@univerahealthcare.com SIU@EmpowerArkansas.com, Utilization Management Closed Weekdays: Noon - 1p.m. Buffalo, NY 14221. For instructions on completion of the UB-04 please refer to the Centers for Medicare and Medicaid Services website at Wisconsin Physicians Service Insurance Corporation and WPS Health Plan, Inc. EEO/AA employer. Your Provider Relations representative is your liaison with our health plan, bringing your needs, suggestions and concerns to the attention of our medical directors, policy makers and communications staff. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 26 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Let us know how we can help you. For a complete list of claims submission addresses, refer to the professional and facility payer ID grids at www.ibx.com/edi. following the instructions on the member ID card. If you have any questions regarding claims status, payment or submission please dial 855-299-6492, 45 Nob Hill Road. So when you need a doctor or youre not sure what a new health condition means or youre just plain confused about something get in touch with a Devoted Guide. P.O. P.O. Barbara J McCroskey, CPF, CCC Staten Island, NY 10314 Fax: 920-490-6923, WPS Health Insurance/WPS Health Plan Credentialing, ProviderCredentialing@wpsic.com Phone Number for messages only: 716-857-4647 Electronic claims to: 25463 **Paper claims to:**Surest PO Box 211758 Eagan, MN 55121. Eagan MN 55121. Madison, WI 53713 EDI.Solutions@univerahealthcare.com. Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. 1-800-662-5851. Box 21446 Eagan, MN 55121 . Call: 1-800-724-5033 Please click on the links below to access Provider information in pdf format. Milwaukee Brewers partnership is a paid endorsement. Insurance, please email, Individual & Family HMO/POS Health Plans, Marketing Materials/Reporting (Employer Reports), WPS Health Insurance and WPS Health Plan Employer Enrollment, WPS Health Insurance and WPS Health Plan Reporting (Employer Reports), WPS Administrative Services (ASO) Powered by Auxiant, Medicare MAC J5, MAC J8, and J5 National Part A, Download the WPS Health Solutions Small Business Subcontracting Program Policy, Espaol | Hmoob | | Deutsch | | | Ting Vit | Deitsch | | Franais | Polski | | Shqip | Tagalog. Bind launched fully insured benefit plans in Florida and Utah, and filed for approval in Ohio, Texas, Virginia and Wisconsin. Box 21392. 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. WEA Trust. 716-857-4478 Submit itemized medical claims to: Benefit Plan Administrators (BPA) PO Box 21392 Eagan, MN 55121 EDI # 19753 Pre-Certification Questions: Pre-certify before any planned surgical and hospital admission or within 48 hours of emergency admissions. Claims Receipt Center national origin, age, disability, or sex. For clinical notification requirements, follow those for the applicable UnitedHealthcare network. For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM. Please do not send us paper claims. Box 211256 Note: When submitting claims under this payer ID, use only the 10-digit member ID. Please note that current CenterLight Teamcare participants do not need to take any action at this time. P.O. Ask questions about your bill or make payment. Our customer support team is always available to answer questions your staff may have 833-733-8478. Box 211184 Submit all claims to: EDI Payer ID: 66701 Group Marketing Services, Inc. PO Box 21044 Eagan, MN 55121 Eagan, MN 55121. WPS offers a secure way for you to send us any questions you might have, including those related to your health or customer account. To check claims status, visit UHCprovider.com or call Surest Provider Serices line at 1-844-368-6661. . Box 21352 % PO Box 21171. Call:1-866-265-5983 EmpowerPIP@EmpowerArkansas.com, Quality Incentive Program for Medical/Surgical Hospitals Avoid delays in claims handling and processing. 2023, Empower Healthcare Solutions, LLC. Refer to the member ID card for the clinical phone number. Contact your WPS Account Manager for questions for groups that have plans through our WPS Powered by Auxiant partnership. Corporate Address Mail correspondence to: P.O. . All Rights Reserved. The name of the rendering provider and rendering provider NPI. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. Claims WEA Trust PO Box 211438 . The 32X type of bill has been modified to mean Home Health Services under a Plan of Treatment. That coverage remains active for 120 days. 1-855-299-6492 All Hospitals within County (except Catholic Health System & BryLin Hospital), COVERAGE AREA: Initial Claims: 120 days from the date of service We appreciate the confidence you have placed in us and pledge to provide you with friendly service and innovative products. Register now if you dont have an account. Provider Services - Alliance Medical Supplement Provider Services Alliance Medical Supplement Claim Filing Provider Verifying Coverage MWG Administrators : (888) 888-2519 Submit Electronic Claims To: Change Healthcare Payer ID: 64090 www.changehealthcare.com SoftCare Payer ID: 01757 www.softcare.com US Mail Claims Submissions To reach customer service, please call the number on your WPS ID card. All claims should be routed to Bind Benefits, Inc., following the instructions on the member ID card. j=d.createElement(s),dl=l!='dataLayer'? As of October 1, 2013 home health services should be billing with Type of Bill 32X. Last updated on December 27, 2022, CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). WPS Health Insurance Need assistance choosing or signing up for a health plan? Ambulance Services,Durable Medical Equipment, COVERAGE AREA (Medical & Dental): Language translator between English and Spanish. Let us know how we can help you. All ZIP codes within County, HOSPITALS: endobj Before providing services, verify that coverage for Bind members is active by calling UnitedHealthcare Shared Services Provider Service (UHSS Provider Services) at 844-368-6661. 4 0 obj If you have questions about how this information should be loaded into your system, please contact us using the form below. Claims Receipt Center. For instructions on completion of the CMS-1500 please refer to the HCFA/CMS 1500 Tutorial or the ILS Provider Manual. Eagan, MN 55121, WI: 888-253-2694 Extended MLTC Provider Correspondences "Corrected Claim" or "Claims Appeal" P.O. Correspondence: Empower Health Solutions Theyre here to help walk you through the healthcare system and get you the care you deserve. CareCoordination@EmpowerArkansas.com, Provider Complaints and Grievances Corporate Offices: 1401 W. Capitol Avenue Suite 430 Little Rock, AR 72201. P.O. For details on how to file an appeal, click here. This commitment is only possible through our relationship with you -- our network of caring and compassionate Providers dedicated to enhancing our participants' quality of life. Catholic Health System,Durable Medical Equipment, SPECIALTY PROVIDERS: If you are not a current customer or do not have your ID card, please use the contact information for your plan listed below. Visit our EDI Resource Center for more detailed contact information. Corporate Address Compliance hotline: (646) 833-2401 Be sure to use subscriber details for the subscriber or dependents when calling the Provider Help line or the Provider Portal on the back of the member ID card. BCBS AZ providers submit to payer ID 53589 . small.group.quotes@wpsic.com, 866-297-4977 If you have an HMO D-SNP plan: Fax: 1-833-434-0540 Mail: Devoted Health P.O. Guides they can do much more than answer questions about benefits, coverage, and costs. Corrected Claims: 180 days from the date of service. <> Suite 600 Call 1-800-724-1675 Prescription Drug Coverage Determination Form (PDF, 25KB), Prescription Drug Coverage Determination Form (Online). Use the quick links below to obtain directories, forms and more. endobj Box 1437Slot S401Little Rock, AR 72203Phone: (501) 682-8292TDD: (501) 682-8820, 323 Center Street, Suite 1200Little Rock, AR 72201Phone: (501) 682-8349Fax: (501) 682-8350, Office for Human Research Protections1101 Wootton ParkwaySuite 200Rockville, MD 20852Phone:(240) 453-6900Toll Free US : (866) 447-4777, Care Coordination Partners. Customer Service: (855) 429-1023 Monday - Friday, 8am - 5pm Provider Relations: (855) 429-1023 email beaconprovidernetwork@northernlight.org Authorizations and Medical Management: (855) 429-1024 Monday - Friday 8 am - 5 pm Medical Management: Fax Number: (877) 403-7162 Monday- Friday, 8am - 5pm Address: Beacon Health PO Box 202316 Austin, TX 78720 BOX 211446Eagan, MN 55121Member Services:(866) 261-1286| TTY711Provider Services:(855) 429-1028www.getempowerhealth.com, Donaghey PlazaP.O. Text: 1-801-436-8243. cs@emihealth.com. Box 211184 : Eagan, MN 55121 . This section of our website affords our participating Providers access to a variety of useful tools and documents. H3329_2018_WEB_LANDING PAGE_004r1_M Approved 01072019 Little Rock, AR 72201, Correspondence: Box: PARTICIPATING PROVIDER Font resizer tool to reset, increase, and decrease font size on page. Contact us based on the type of plan youre interested in. Box 211533 Eagan, MN 55121 Facility/Hospital Mail* UB-04 / CMS-1450 claim form to: Redirect Administrators P.O. The intent of this advertisement is solicitation of insurance, and contact may be made by the insurer or a licensed agent. About | Careers | Diversity, Equity, and Inclusion | Privacy Policy | Terms and Conditions | Code of Conduct | Supplier Code of Conduct | Notice of Privacy Practices | Fraud and Abuse, Espaol | Hmoob | | Deutsch | | | Ting Vit | Deitsch | | Franais | Polski | | Shqip | Tagalog | Need access to the UnitedHealthcare Provider Portal? Box 21446 Eagan, MN 55121 Timely Filing Limits: PARTICIPATING PROVIDER . If you need assistance or have any questions, please call our Customer Service department at 1-800-761-5602. Friday: 9 a.m. - 4:30 p.m. Address 1717 W. Broadway P.O. Claim Adjustment or Appeal Request Form (DOC) . Provider Newsletter April 2019 | Empower Healthcare Solutions Newsletter | April 2019 1 Empower Healthcare Solutions Po Box 211446 Eagan, MN 55121 Member Services: 866-261-1286 I TTY 711 Provider Services: 855-429-1028 Fax: 888-614-5168 Website: www.getmpowerhealth.com This newsletter alerts providers to WPS Health Insurance Refer to the member ID card for . %PDF-1.5 Eagan, MN 55121 Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. })(window,document,'script','dataLayer','GTM-WLTLTNW'); To our valued customers, we thank you for doing business with us. Extended MLTC also has an Online Provider Portal available. Catholic Health System,Eastern Niagara Hospital, HOSPITALS: All dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. you may contact your ILS Provider Relations Representative, at 1-888-262-1292 extension 4216 or via the Provider . If claims are submitted with another UnitedHealthcare payer ID (other than Surest), UnitedHealthcare will deny those claims. 205 Park Club Lane Wisconsin Physicians Service. Gd_{1dxK./1>{\.3LxN>UfV;?k}GgB@nF0]!E.4u)1K4W_/>s. We are working to resolve this issue and apologize for the inconvenience. Donna.Gawel@univerahealthcare.com, COVERAGE AREA (Medical & Dental): Please see below for the correct website based on your inquiry. P.O. 716-946-8045 Contact By: A Decrease font size. Incident.Reporting@EmpowerArkansas.com, Provider Relations 800-782-2680 (option 1) 716-857-6254 Extended MLTC can be contacted as follows for all referrals and other general inquires (Translation Available): Our normal business hours are Monday through Friday 8:30 AM through 8:00 PM and Saturday 10:00 AM through 6:00 PM with 24 hour on-call assistance available for emergencies. Questions about the website or data dashboard. ISA-08 GS-03 Keystone Health Plan East Independence QCG ; Keystone Health Plan East POS . Lewiston, Niagara University, North Tonawanda, Niagara Falls, HOSPITALS: WPSIndividualSales@wpsic.com, 800-332-1398 If you have patients whod benefit from our services and want information about our program, you can refer them to us. 2 0 obj Benefit Plan Administrators' Customer Service Representatives can be reached at 1-800-277-8973. Contact, This site has been approved by NYSDOH. Independence Blue Cross is a subsidiary of Independence Health Group, Inc. independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania, Sitemap | Legal | Privacy & other policies | Anti-fraud | Developer resources, Language access: Espaol | / | Tagalog | Franais | Ting Vit | Deutsche | | | | | | | Italiano | Portugus | Kreyl | Jzyk | Polski | | Pennsylvania Deitsch | | Din bizaad, The widest choice for quality care in the region, Comprehensive plans for every business size and budget, Affordable Medicare health and prescription drug plans that meet your needs, Find a particular provider, specialist, hospital, or specialty facility, Understand and maximize your prescription drug benefits, Resources to support your behavioral, physical and emotional health, Exclusive programs and tools designed to help you live a healthier life, Free classes and seminars for IBX members, Convenient online resources and services for our groups, Everything you need to sell Independence Blue Cross, Find doctors, hospitals, medical equipment, and specialty services, Children's Health Insurance Program (CHIP), Critical illness, accident, and cancer insurance, Critical illness, accident and cancer insurance, Uprise Health Employee Assistance Program, Precertification and cost-share requirements, Medical policy and precertification inquiry, Provider communications email sign up form, Claims requiring submission of clinical information. While Bind leverages the UnitedHealthcarenetwork, Bind members must present a Bind member ID card to your staff. Ready for a busy Fall vaccination season? Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. All other states: 888-915-5108, WPS Health InsuranceAdministrative Services Only, WPS Health PlanAdministrative Services Only, FL: 888-527-0590 Box 21341 x]Y~yj cv}>;"3"ReZU^CTRFd_w~4 (QAG5/}Cc0>|p/?[oyo_y`?>}wyM4j0N'J%N7Fa?28|6 a^j @a0&$uc]y(`hu0`QNe\ u EU"F)ppQ;`kR-3U^|(!4*I9(F'arr6o3|n=)`-J@3k=$,$BI?K&?:\VK/O9Y|N!=3_;a[jOx`M2_rUH 6Ii3%uVUB=,xY~"UIVqsT>l~b@*fFc& 0He8#,~w)DP5Vg-$a}(a+D:$d!a$"@404DpErmc% Last updated on January 4, 2019, CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). In some Bind plans, members must activate coverage for a small set of plannable, non-emergency procedures at least three days before the service is provided. 2023 UnitedHealthcare | All Rights Reserved, Prepare for patients with Bind health insurance, 2020 Quality Improvement Program overview, API: Improve efficiency and reduce cost with real-time data exchange, Arizona: Avoid claim denials for social determinants of health, Arizona: Avoid denials with timely filing of claims, Arizona: Free translation services for your patients, Arizona: Help for your patients with chronic pain, Arizona Medicaid: Update to fraud and abuse requirements, Arizona: New clinical assessment requirements coming soon, Arizona: Support for young adults with special needs, Arizona: Suspect Medicaid fraud? Urgent Care, Behavioral Health, Megan Farnham 1 0 obj TTY/TDD Dial 711 MoreCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, If you are a chiropractic provider interested in joining our network, please contact Evolent Health. There, claims submission information is broken out by prefix/product name. and follow the prompts for Providers, then the prompt for Provider Claim Inquiries. Our Affiliates. EmpowerHealthcareSolutionsPR@EmpowerArkansas.com, Special Investigations Unit Bind Benefits, Inc., may be entered as the "insurance" carrier (dependent on your system). All Hospitals within County (except Catholic Health System & Niagara Falls Memorial), SPECIALTY PROVIDERS: Attachment/Appeal Fax# 952-992-3024 . Ambulance Services, Durable Medical Equipment, Donna Gawel Angola, Blasdell, Boston, Buffalo, Collins, Derby, Eden, Gowanda, Grand Island, Kenmore, Lackawanna, Lakeview, North Collins, Tonawanda, Amherst, Bowmansville, Clarence, East Amherst, Getzville, Williamsville, Akron, Alden, Buffalo (14263 only), Chafee, Cheektowaga, Depew, East Aurora, Elma, Hamburg, Holland, Irving, Lancaster, Orchard Park, South Wales, Springville, South Buffalo, West Seneca. Electronic (837I) Loop 2010AA . Valid and registered : NPI is . Please be at your computer when you call. The 32X type of bill has been modified to mean Home Health Services under a Plan of Treatment. Contact information by category. Barbara.McCroskey@univerahealthcare.com, Contact Customer Care for eligibility/benefits and claims inquiries, Contact By: ProviderComplaints@EmpowerArkansas.com, Contracting Please call our Participant Services Department at, CenterLight Healthcare, 1733 Eastchester Road, 2nd Floor, The Bronx, NY, 10461, United States. P.O. Ambulatory Surgery Centers, Home Care, Hospitalist & Emergency Physician Groups, Skilled Nursing Facilities, SPECIALTY PROVIDERS: Eagan, MN 55121, WPS Administrative Services For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': employer.solutions@wpsic.com. Contact the Web Help Desk for technical website issues. Box 21352 1441 South Avenue Culinary Health Fund P.O. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': We have created a brief guide to what an SDR is, how to identify one, and how they can be communicated to CenterLight. Eagan, MN 55121 . 1-801-262-7475. As of October 1, 2013 home health services should be billing with Type of Bill 32X. P.O. Health Insurance Plans for Univera Healthcare Providers. Become a preferred/participating provider. Lisa Mitchell For questions regarding patient eligibility, benefits or claims,register and log in to the UHSS Provider Portalor call the UHSS telephone on the back of the member's medical ID card. EmpowerHealthcareSolutionsPR@EmpowerArkansas.com, UtilizationManagement@EmpowerArkansas.com. All claims should be routed to Bind Benefits, Inc., following the instructions on the member ID card. Use of this site indicates your acceptance of our Terms of Use. Megan.Farnham@UniveraHealthcare.com, SPECIALTY PROVIDERS: PO Box 211757 Eagan, MN 55121 Claims & Forms. H3329_2020_WEB_FBevents Approved 04172020 Resources. EXTENDED MLTC the preferred, community-based program dedicated to working in collaboration with members, caregivers, and providers to promote and maintain an optimal level of health and independence, allowing our members to remain in their own homes safely and with dignity. See our Privacy Policy for how we use information. Eagan, MN 55121. Friday: 9a.m. - 5p.m. FCE Operations Offce: FCE Benefit Administrators, Inc. 4515 Walzem Road, Suite 300 San Antonio, TX 78218 . PO Box 21191. 6:00 am to 6:00 pm MT Monday-Friday Emails and texts are monitored during business hours only. H3329_2023HomePage Approved 01102023 Lisa.Mitchell@univerahealthcare.com, Regional Provider Contracting and Reimbursement Manager Box 8190 For all electronic claims, please register with one of the following clearinghouses: If you submit paper claims, please be sure to submit claims on a CMS 1500 or a UB 04 form and always include: Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. Submit an inquiry online Please allow 30 days from claim submissions prior to follow up. The sessions are complimentary and take place online via Web presentation once a month. Jennifer Jenkinson Box 211184. 716-383-2335 The information you're accessing may not be provided by Univera Healthcare.
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