Beacon Health Options How does the transition affect my contract with Magellan Health Services? Health (9 days ago) . 2012/01/01. Beacon Health Options / Value Options / Beacon Health Stategies Payer IDs. Will members receive new ID cards or ID numbers? Beacon Health Options fee schedules for outpatient services are reviewed routinely and at present are determined to be competitive with that of other companies with similar HMO business across the United States. Claims Submission/ Address. Prior approval is always required for the following non-routine outpatient services: When will Beacon Health Options become responsible for claims adjudication? Beacon Health Options will first become responsible for adjudicating claims for the members care post-discharge or transfer to an alternate level of care. Yes, all non-participating providers must be credentialed by Beacon Health Options in order to participate in the Beacon Health Options network. ProviderConnect is a self-service tool available 24/7 that gives you access to the following features: single and multiple electronic claims submission, claims status review (for both paper and online-submitted claims), your provider practice profile, and correspondence (including authorizations). We deliver a proven range of expert benefit solutions that are easy to administer and service, so you can focus on growing your business confidently. To submit the information noted in this paragraph, please see below. Horizon Behavioral Health - Horizon NJ Health Copyright 2022 Beacon Health Options. 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. Box 968022 Schaumburg, IL 60196-8022 (855) 577-6516 Vision Superior Vision . How does this impact me? 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. GHI HMO ID cards: New ID cards will be issued to GHI HMO plan members in mid-December, 2011. We strongly recommend billing electronically, either via EDI or our web-based direct claim submission. 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. Kompass Business Directory - Beacon Health Options. [PDF] Provider Services Quick Resource Guide | NextLevel Health; 5. What paper forms can be used for claims submission? Total Health Care | Beacon Health Options Copyright 2022 Beacon Health Options. Providence Health Plan | Beacon Health Options PSTbeaconphppr@beaconhealthoptions.com, ProviderConnect technical questions888-247-9311 Monday-Friday, 8 a.m.-6 p.m. Box address Paper claims Miami Children's Health Plan P.O. Box 211241 Eagan, MN 55121 Medical appeals Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. What paper forms can be used for claims submission? 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. Beacon Health Options (formerly ValueOptions, Inc.) P.O. Claim Tips for Paper Submissions. For members seeing Beacon Health Options providers, nothing is required. 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. Outpatient professional services must be billed on a CMS-1500 form. Pre-certification is required for all elective inpatient services. FHC & Affiliates Vendor: Vendor: EmblemHealth PO Box 1850 Hicksville, NY 11802-1850: Beacon Health Options or 800-235-3149: Empire: CBP: City of New York GHI PPO Claims for facility and other services managed by Empire 800-433-9592: EyeMed: All: For all members with a vision care benefit EyeMed 4000 Luxottica Place . Beacon Health Options (BHO): PO Box 1850. PO Box 1850 Hicksville, NY 11802-1850 Beacon Health Options, Inc. Attn: Department, Client, or Contact Name PO Box 1950 PO Box 1347 PO Box 1830 PO Box 1920 PO Box 1860 PO Box 803 PO Box 399 PO Box 870 PO Box 1800 PO Box 1408 Post Office Boxes originally housed in Wixom, MI PO Box 930829 Beacon PO Box 1854 Hicksville, NY 11802-1854PO Box 930321 . Contact Us | Northeast Health Partners The EmblemHealth contract will apply until the Emblem Behavioral Health Services Program administered by Beacon Health Options goes into effect. Please contact our Customer Service Department at 855-377-2416 to verify eligibility and benefits. Until the transition occurs, Magellan Health Services administers behavioral health services for GHI HMO members. For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Beacon Health Options Pennsylvania Claims P.O. Beacon Health New York . Claims for dates of service in the psychiatric or substance abuse unit should be submitted to Beacon Health Options. Beacon Health Options, INC - Attn: Claims and Correspondence PO Box 1870 Hicksville, NY 11802-1870 Hours: Monday - Friday, 8 a.m. - 7 p.m. If you are a member of the media interested in speaking with us, please contact tina.gaines@elevancehealth.com. 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 . P.O Box 1850 Hicksville, New York 11802-1850. You can call, text, or email us about any claim, anytime, and hear back that day. LoginAsk is here to help you access Nyeis Provider Login quickly and handle each specific case you encounter. It also details best practices for interacting with our plans and helping our members navigate their health care. 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. I just completed my credentialing/recredentialing with EmblemHealth. Regional Accountable Entity (RAE) Provider Contact Information. We strongly encourage providers to submit claims electronically for the efficiencies gained by both providers and in claims processing. When will Beacon Health Options become the benefit administrator for Emblem Behavioral Health Services? At the present time, members of PPO plans underwritten by Group Health Incorporated (GHI) have their behavioral health services administrated by Beacon Health Options. In general, the fee schedules for outpatient services are non-negotiable. Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. Behavioral Health Clinical Practice Guidelines Go to Behavioral Health Clinical Practice Guidelines Behavorial Health and Substance Use Grievances: ATTN: Special Investigations Unit. Box 1850, Hicksville, NY 11802-1850. TheraThink.com 2022. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. PO Box 1850 Hicksville NY 11802-1850. Where to Submit Appeals and Grievances. 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. Providers that have children with Beacon Health Options (formerly Value Options) for which the claims address used to be PO Box 1800 in Latham, NY, the address has now changed, so please select Beacon Health 600475 in NYEIS with the P.O. Provider Manual - EmblemHealth: Health Insurance Information . For services rendered on or after January 1, 2022, send all claims to. If you have technical questions specific to Availity, please contact Availity Client Services at 1-800-282-4548, 8 a.m. to 8 p.m. Putting people at the center, we built a strong network of doctors, nurses, advocates, and mentors filling members' health needs. The form should be free of mistakes. Entries should be in black ink. Please call 877-872-4716, FAX 718-731-7281, or visit MHNYProviderServices@MolinaHealthcare.com . Licensed clinicians are available 24 hours a day, 7 days a week and 365 days a year. Denny and his team are responsive, incredibly easy to work with, and know their stuff. PDF 2020 Medicare Advantage Guide - EmblemHealth Providence Customer Service: Authorizations, Member Benefits, Eligibility . Fax: 781-994-7600. Health (3 days ago) Reports of fraud and abuse, or suspicions thereof, can be made in writing to: Mailing Address: Beacon Health Options. Primary Insurance Explanation of Benefits (EOB) Please mail all correspondence regarding claims questions to: Beacon Health Options Pennsylvania Claims P.O. We understand that it's important to actually be able to speak to someone about your billing. Home; Who We Are; Members; Providers; Solutions; Contact; Helpful Links. As a facility, how do I bill professional services? For 30 years, we have focused on behavioral health care and its natural extensions, such as EAPs and Work/Life services. 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. Authorization is required by EmblemHealth Prior Authorization department and claims must be submitted to EmblemHealth. Electronic Payment Solutions and Remittance Advice Inpatient Services: Beacon Health Options is responsible for adjudicating claims for inpatient dates of service when a member is admitted to an inpatient unit on or after the start date of the program. TheraThink provides an affordable and incredibly easy solution. Our phone lines are open 24 hours a day, 7 days a week and 365 days a year. All requests for 2022 services should go to Affinity. The expanded relationship with Beacon Health Options will not impact this program. Explore careers with us, and see what makes Beacon a great place to work. Call the company. Who is responsible for members admitted to an inpatient medical unit who also have behavioral health issues that need to be treated? Box 1850 Hicksville, N.Y. 11802-1850 ALSO OF INTEREST Submit Electronic Claims and Den . As of 1/01/2022 Beacon Health Options is no longer providing Behavioral Health services for Affinity by Molina Healthcare. Contact Information | Beacon Health Options The Latham, N.Y. address is no longer valid for claims submissions. 200 State Street 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. PDF HEALTH INSURANCE CLAIM FORM New York State Government Employees Health PDF Empire Plan Contact Information - Government of New York Please visit us online at www.BeaconHealthOptions.com to check and review a claim status or call 1-888-447-2526. 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 Hicksville, NY 11802-1850. Free Account Setup - we input your data at signup. Hicksville, NY 11802-1864 . Box 1853 Hicksville, NY 11802-1853. Provider Manual | EmblemHealth Enclosed with that correspondence was the CHCS IPA (HMO) Agreement. Box 1850 Hicksville, NY 11802-1850. Does the Beacon Health Options electronic claims format work with other claims clearing houses? You can find additional contact information on the Provider section. 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. If you are interested in electronic claim submission, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. The cards will include the updated Emblem Behavioral Health Services Program Customer Service phone number: 1-888-447-2526. Emblem Frequently Asked Questions | Beacon Health Options Beacon Health Claims Address New Address for Beacon Health Options Effective immediately, please use the following address when submitting EI claims to Beacon Health Options: Beacon Health P.O. How soon will I receive a claims payment? 0001000800 alta health stratagies-1 po box 450450 atlanta ga 30345 0450 8006638081 0001193700 alternative insurance resource po box 660787 birmingham al 35266 2058713229 . 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. PDF Tip Sheet: Housing Assistance Pilot Program Billing Guide Providers. From clinical innovations to personal stories, our expert-driven blog Beacon Lens brings todays behavioral health issues to the forefront. 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. 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. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. These include routine vision care and eyewear (EyeMed); behavioral health (Beacon Health Options); chiropractic, occupational and physical therapy (Palladian); and dental (DentaQuest). My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! EIBilling . The new address is: Beacon Health Options P.O. Providers are required to bill on standard CMS 1500 and UB-04 forms. In order to ensure coverage for labs, please utilize only those facilities identified. As an individual practitioner billing outpatient services, do I need to include the provider number on my claims? I am confused by the recent correspondence that I have received from EmblemHealth and Beacon Health Options. Box Function Beacon Health Options P.O. Providers that have children with Beacon Health Options (formerly Value Options) for which the claims address used to be PO Box 1800 in Latham, NY, the address has now changed, so please select Beacon Health 600475 in NYEIS with the P.O. 1.PO Box 401086 Las Vegas, NV 89140 (888) 352-7924; 2.For Participating Dentists and Staff - LIBERTY Dental Plan; 3.Address: PO BOX 401086 , LAS VEGAS, NV 89140-1086, USA; 4. Claims Submission/ Address Reference the address on the member's identification card, as the address may vary based on payment location. Providers. 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. 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. United States. Kingston, NY 12402-5190 . Further, these communications explain that providers will be required to contract with Beacon Health Options in order to continue delivering services to EmblemHealth members as network providers. Joining expertise, thought leadership, and personal first-hand stories from our colleagues, Beacon Lens presents a fresh, unique take on all things behavioral health. The SFA has seen a large increase in rejections for claims sent to Beacon Health Options. If you are already participating in Beacon Health Options Commercial network, you should have received a letter extending network participation for the Emblem Behavioral Health Services Program administered by Beacon Health Options Program. Can I submit my claims electronically to Beacon Health Options? Claims Contacts | EmblemHealth What will happen if I have a Beacon Health Options CHCS IPA (HMO, Medicare and/or Medicaid) Agreement but elect not to sign a Beacon Health Options Practitioner or Facility Agreement? Facility services may be billed electronically using the HIPAA-compliant 837I form. Box 1864 . Call (800) 810-BLUE (2583) for mailing . Beacon Health Options (BHO): PO Box 1850 Hicksville, NY 11802-1850. Contact Us - HCP Boston, MA 02109 P.O. EDI: Contact Beacon Health Options. Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing. Note: If you recently received a payment from Beacon Health Options, your unique registration code will be located on the check stub after the marketing caption. 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. For support with Electronic claim submission, please reach out to our EDI Helpdesk 1-888-247-9311 from 8 a.m.- 6 p.m. 200 State Street I am currently seeing GHI PPO members. To see a copy of the members benefits, you may use the secure provider Web site at www.emblemhealth.com. 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