Box 968022 Schaumburg, IL 60196-8022 (855) 577-6516 Vision Superior Vision . Get Free Beacon Health Options Address Claims information about human disease and pathology, including diagnostics and treatments . Health (3 days ago) The preferred method to updated your provider profile is to select the "Update Demographic Information" option in ProviderConnect. Additional questions about PaySpan can be addressed by calling PayFormance Customer Service at 1-877-331-7154, Monday-Friday 7 a.m. 9 p.m. 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. . Claims Submission/ Address Reference the address on the member's identification card, as the address may vary based on payment location. 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. Attn: Health First Colorado Claims. Copyright 2022 Beacon Health Options. You can call, text, or email us about any claim, anytime, and hear back that day. To see a copy of the members benefits, you may use the secure provider Web site at www.emblemhealth.com. ATTN: Special Investigations Unit. 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. Grievances: EmblemHealth will be responsible for reimbursement of elective inpatient admissions that received prior approval and emergency room admissions for which there was appropriate notification to the plan commencing prior to the transition date and any other services rendered prior to the transition date; therefore, please submit claims with dates of service prior to the transition date to the EmblemHealth address indicated on the members ID card. Hicksville, NY 11802-1850. Box 1853 Hicksville, NY 11802-1853 This address is to be used for all paper claims submissions (new or corrected claims). Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. 200 State Street ET, Beacon Health Options Value Options: VALOP. Peer-to-Peer Peer-to-Peer Review Line: (516) 394-5790 Notification of Hospital Admissions Notify HCP of scheduled/emergency hospital admissions. 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. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program. With whom do I discuss the fee schedule? To report compliance, ethics or fraud waste and abuse concerns please call: 888-293-3027. [PDF] December 8, 2017 Web Announcement 1480 - Nevada Medicaid; 6.Nevada Medicaid Contact List If a member is admitted to an inpatient unit before the start date of the program, EmblemHealth/Magellan will adjudicate the claim(s). (Source). We encourage you to adhere to the instructions and processing time frames that were outlined in the letter. 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. ET, Monday through Friday. Free Account Setup - we input your data at signup. Lastly, EmblemHealth has sent correspondence to all its participating providers amending their contracts to meet current New York State regulatory and compliance standards. How does the transition affect my contract with Magellan Health Services? The Latham, N.Y. address is no longer valid for claims submissions. Unfortunately, no. All rights reserved. Providence Customer Service: Authorizations, Member Benefits, Eligibility . Electronic claim submissions can be made utilizing your current clearinghouse or through Availity Essentials, Beacon Health Options preferred multi-payer portal of choice. Box 52066 Phoenix, AZ 85072-2066. 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 . Please note: Billed lines are limited to 10 per claim form. My daily insurance billing time now is less than five minutes for a full day of appointments. 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. Labs Total Healthcare requires that labs be processed through Quest or any of the outpatient departments for facilities outlined in the spreadsheet below. Health (Just Now) Contact Us. These members also may, at their option, utilize the Beacon Health Options network. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. 2009/09/11. Box Function Beacon Health Options P.O. For services rendered before January 1, 2022, send all claims to: MHN Claims P.O. 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. Tel: 888-204-5581 The fee schedules were enclosed in the invitation to join the Beacon Health Options network. CMS 1500 and UB-04 electronic submissions are accepted according to guidelines contained in the Beacon Health Options EDI materials found on www.BeaconHealthOptions.com. Box 4080 Virginia Beach, VA 23454, The preferred method to updated your provider profile is to select the Update Demographic Information option inProviderConnect. For electronic claims submitted via a clearinghouse, refer directly to their website payer list. Be sure to include the Participant's name, mailing address and Social Security Number or OEID, the patient's name, relationship to the Participant and date of birth. As private practitioners, our clinical work alone is full-time. What are the prior approval requirements for outpatient services? Posted on August 29, 2022. 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. and claims status please visit Beacon Health Options. Tel: 888-204-5581 ET, Monday through Friday.. All rights reserved. Electronic Payment Solutions and Remittance Advice Please see the required fields listed above. Beacon Health Options (formerly ValueOptions, Inc.) P.O. Hicksville, NY 11802-1850. Where/how do I submit my claims to Beacon Health Options? New York Beacon Health Options. Attn: Claims They also have the option to use Beacon Health Options network providers. Chesapeake, VA 23320. As a reminder, please ensure that you have completed your required Cultural Competency training. 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 reimbursement schedules for inpatient services have been determined to be competitive with other companies with similar HMO business across the United States. Beacon Health Options / Value Options . Our phone lines are open 24 hours a day, 7 days a week and 365 days a year. ET. 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? What is the unique registration code number that PaySpan Health requests and how do I obtain it? Fax: 781-994-7600. Red ink forms should be used as these can be scanned, which expedites the claim entry into the claims system. Box 1850 Hicksville, NY 11802-1850. Can you explain these mailings and what I have to do? These notifications state that, in this affiliation, Beacon Health Options would administer the Emblem Behavioral Health Services Program. 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. All rights reserved. Box 1853 Hicksville, NY 11802-1853 CMS-1500 Instructions CMS Place of Service Codes Explanation of Payment (EOP) Codes Free Medicare Consumer Workbook Frequently Asked Questions from the Member and 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. Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing. Box 1864 . 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. What is the process for continuing outpatient care? You free me to focus on the work I love!. GHI HMO ID cards: New ID cards will be issued to GHI HMO plan members in mid-December, 2011. Pre-certification is required for all elective inpatient services. 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. Title. If you are a member of the media interested in speaking with us, please contact tina.gaines@elevancehealth.com. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. 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. PO Box 1850 Hicksville NY 11802-1850. Health (6 days ago) . Box 211241 Eagan, MN 55121 Medical appeals 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. Members admitted to a medical floor are the responsibility of EmblemHealth. Contact Information. It also details best practices for interacting with our plans and helping our members navigate their health care. You can find additional contact information on the Provider section. Below is important information and links to resources to help behavioral health professionals manage their daytoday relationship with us. As a facility, how do I bill professional services? 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. United States. Until the transition occurs, Magellan Health Services administers behavioral health services for GHI HMO members. Copyright 2022 Beacon Health Options. Hicksville, NY 11802 On or after January 1, 2009 and before January 1, 2014: OptumHealth Behavioral Solutions . Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Beacon Health Options (BHO): PO Box 1850 Hicksville, NY 11802-1850. Contact Information. 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. Please visit us online at www.BeaconHealthOptions.com to check and review a claim status or call 1-888-447-2526. We are your billing staff here to help. All Rights Reserved. Providers are required to bill on standard CMS 1500 and UB-04 forms. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Nyeis Provider Login will sometimes glitch and take you a long time to try different solutions. Tel: 888-204-5581 Prior approval is not required for routine outpatient services. Beacon Health Options / Value Options / Beacon Health Stategies Claims Address PO Box 1850 Hicksville, NY 11802-1850 If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. Copyright 2022 Beacon Health Options. Box 1850 Hicksville, NY 11802 General Guidelines Complete the forms with the following tips in mind: Type or print all information. Beacon Health Options: VALOP. For issues not related to your fee schedule, please contact the Provider Service Line at 1-800-235-3149 and ask to speak with a Provider Service Representative. Beacon Health Options manages outpatient care via outlier management review. Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. (Beacon is responsible for inpatient stays which began prior to 2022.) As of 1/01/2022 Beacon Health Options is no longer providing Behavioral Health services for Affinity by Molina Healthcare. You can create your account here: https://www.beaconhealthoptions.com/providers/beacon/providerconnect/, For questions about setting up EDI claims with Beacon, you can reach them via email: e-supportservices@beaconhealthoptions.com, Or you can call Provider Connect by Beacon Health Options at: (888) 247-9311, Want to become in-network with Beacon Health Options? Regional Accountable Entity (RAE) Provider Contact Information. Fax: 781-994-7600. 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. Please call 877-872-4716, FAX 718-731-7281, or visit MHNYProviderServices@MolinaHealthcare.com . Let us handle handle your insurance billing so you can focus on your practice. Main Menu. The CMS 1500 form should be used for outpatient professional services. (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. 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. (4 days ago) Hicksville, NY 11802-1850. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.). PO Box 1850. (2 days ago) Beacon Health Options Pennsylvania Claims P.O. The detailed information for Nyeis System Log In is provided. Boston, MA 02109 Box 1862 . I do not participate in any of the Beacon Health Options networks. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. Also, Magellan Health Services will be communicating to providers in their network who have provided care to GHI HMO members. Once the transition occurs, your contract with HIP will become dormant. Suite 101. How does this impact me? Our providers are vital to the services we offer our 40 million members so they can live their lives to the fullest potential. Other accident? 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. (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. 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. 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. 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. Joining expertise, thought leadership, and personal first-hand stories from our colleagues, Beacon Lens presents a fresh, unique take on all things behavioral health. We strongly encourage providers to submit claims electronically for the efficiencies gained by both providers and in claims processing. Will members receive new ID cards or ID numbers? Use our script to do it, or hire our mental health billing service to handle all of this annoyance for you! Although paper claims are accepted, physicians, other health care professionals, and facilities are strongly encouraged to submit claims electronically. Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. Beacon Lens Beacon Lens is our expert-driven blog that focuses on the most pressing issues facing behavioral health care today. Members who have the Montefiore logo on the lower left corner of their ID cards and are being treated by a provider in the Montefiore network are not required to change providers. Beacon Health Options P.O. Health (9 days ago) . You can find more information about ProviderConnect onwww.BeaconHealthOptions.com. TheraThink.com 2022. With whom do I discuss the fee schedule? 2012/01/01. Provider Information Beacon Health Options of Pennsylvania. Non-authorized claims submitted by non-participating providers are subject to the members specific plan cost sharing (co-pays and/or coinsurance) and penalties. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. We strongly encourage providers to submit claims electronically for the efficiencies gained by both providers and in claims processing. LoginAsk is here to help you access Nyeis Provider Login quickly and handle each specific case you encounter. These include routine vision care and eyewear (EyeMed); behavioral health (Beacon Health Options); chiropractic, occupational and physical therapy (Palladian); and dental (DentaQuest). For any other electronic claims submission questions, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. Similarly, Medicare members using ConnectiCare's Medicare Choice Network (except Choice Dual plan members) will have access to the VIP Prime Network in New York. [FOR INPATIENT FACILITIES ONLY]. Beacon Health Options: VALOP. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. 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). Follow the instructions on How to Become a Provider Claims - General Information If you have questions about claims in general, call (800) 888-3944. Hicksville, NY 11802-1850 Attn: Metro Plus Claims Yes IHA e-Services Yes No BEACON963116116 Beacon Health Options PO Box 1850 Hicksville, NY 11802-1850 Attn: IHA Claims Yes Emblem Health Provider-Connect Yes (for CMS 1500 only) Yes FHC &Affiliates Beacon Health Options PO Box 1850 Hicksville, NY 11802-1850 Attn: Emblem Claims Yes This manual applies to all EmblemHealth plans and is an extension of your Provider Agreement. New Beacon Health Options P.O. Free Account Setup - we input your data at signup. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. 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 What are the operating hours of the Beacon Health Options Clinical Department? Where do I submit my claims prior to the effective date of the transition? Beacon Health Options Partnership HealthPlan Claims PO Box 1864 Hicksville, NY 11802-1864. Who we are Partnership HealthPlan of California (PHC) is a non-profit community based health care organization that contracts with the State to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high . Category: Health Show Health . Attn: Beacon Health Options PO BOX 1866 Hicksville, NY 11802-1866 Claims Customer Service For all claims-related inquiries please contact our Claims Customer Service team at: (800) 578-0775, option 3 Monday - Friday 8am-6pm EST Our local claims experts are here to assist you with all your medical and behavioral health claim-related needs. Yes, Beacon Health Options encourages electronic submission. Providence Customer Service: Beacon Health Options (BHO): PO Box 1850. Part D Drug Claims CareFirst BlueCross BlueShield Medicare Advantage c/o CVS Caremark P.O. Hicksville, NY 11802-1850. 5 tips to help someone struggling with an eating disorder, Equity leadership summit brings passion and policy recommendations to the table, Beacon and Kennedy-Satcher: advancing behavioral health equity, Improving outcomes for people with opioid use disorder, Increasing access to behavioral health care through public / private partnerships, Beacon Health Options Beacon Health Options My current Outpatient fee schedule is more favorable than Beacon Health Options. In 2015, Beacon Health Strategies and Value Options merged to form one insurance company: Beacon Health Options. For members seeing Beacon Health Options providers, nothing is required. If billing on paper, inpatient services and alternate levels of care (e.g., PHP and IOP) must be billed on a UB-04 form. Beacon Health Options P.O. Home; Who We Are; Members; Providers; Solutions; Contact; Helpful Links. Submit claims to Beacon. 200 State Street Beacon Health Options has issued correspondence to our participating providers with instructions regarding the CHCS IPA (HMO) Agreement and Beacon Health Options Agreements. 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. 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. Beacon Health Options EDI Help Desk: 1-888-247-9311 and press option 3, Monday thru Friday, 8 a.m. - 6 p.m. EST . The fee schedules detail the payments (by CPT code and licensure) that you will receive for providing services to the EmblemHealth membership. All submitters, providers and clearing houses, must be registered to submit claims electronically. Beacon Health Options accepts HIPAA compliant 837P and 837I formatted files directly from providers, and from some clearing houses. P.O. Box 1853 Hicksville, NY 11802-1853. IHA - New York Beacon Health Options. Beacon Lens is our expert-driven blog that focuses on the most pressing issues facing behavioral health care today. 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. Box 1853 Hicksville, . 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$. Enclosed with that correspondence was the CHCS IPA (HMO) Agreement. Behavioral Health Clinical Practice Guidelines Go to Behavioral Health Clinical Practice Guidelines Behavorial Health and Substance Use Health (4 days ago) Paper Claims Mailing Address: Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Who is responsible for members admitted to an inpatient medical unit who also have behavioral health issues that need to be treated? You can learn more about that process and begin your application at: (800) 397-1630. If a patient chooses to remain under the care of a non-participating provider after the transitional 90-day period, services will not be covered as in-network and your patient may be responsible for all or a portion of your charges, depending on the plan. 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