P.o. box 211184 eagan mn 55121
There are 5 companies that have an address matching 3350 Highway 149 S., P.O. Box 21068 Eagan, MN 55121. The companies are P Y Lifeline 5 LLC, P Y Lifeline 3 LLC, P Y Lifeline 2 LLC, Lending Lifeline 6 LLC, and Lending Lifeline LLC. P & Y LIFELINE - 5, LLC. MINNESOTA LIMITED-LIABILITY COMPANY (DOMESTIC)P 800.288.2078 F Allied Benefit Systems, LLC P.O. Box 211651 Eagan, MN 55121 E [email protected] Group Number Employer Location (if applicable) Employee UID or SSN Flex Plan Year Address City State Zip Dental/Vision Provider's Signature (or attach receipt)
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Important contact information. AmeriHealth Administrators. Provider Services (Direct all inquiries or issues) directly to AmeriHealth Administrators. 1-800-841-5328. Email: [email protected]. Anti-Fraud and Corporate Compliance. Hotline.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 claims status on UHCprovider.com or call 844-368-6661 to speak with a specially trained Surest Provider Services representative.Providers must submit the applicable, completed and legible forms to: ElderServe Health, Inc. d/b/a RiverSpring Health Plans. PO Box 211465. Eagan, MN 55121. Providers may also submit and track paper claims through Smart Data Stream at no cost. To use this option, providers must register on the site with the following link:P.O. Box 211713 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191. Send us a request by fax to: All Providers 1-844-207-0334. Clinical Provider Appeals: Highmark Wholecare Attention: Provider Appeals DepartmentPO Box 211672 Eagan, MN 55121 1-888-468-2183 EDI Payer ID: 11271 Claim disputes or adjustments Healthplex Claim Appeals and Corrected Claims Healthplex, Inc. PO Box 211672 Eagan, MN 55121 1-888-468-2183 Provider services Phone: 1-888-468-2183 Dedicated Service Representatives • 8am - 5pm ESTDec 22, 2023 · PO Box 13652 Philadelphia, PA 19101-3652; Complete the Request for Reconsideration of Medicare Advantage Denial Online Submission Form; ... PO Box 211184 Eagan, MN 55121.Attn: Claims PO Box 21800, Eagan, MN 55121-0800 254-298-3000 or 800-321-7947 NOTICE: Possession of this card or obtaining precertification does not 6 guarantee coverage or payment for the service or procedure reviewed. 3 4 1 5 7 7 The ID card above is a sample. The exact location of certain elements may vary on your card.PO Box 211184. Eagan, MN 55121. For prescription drug claims (Part D):. Part D Payment Requests. PO Box 650287. Dallas, TX 75265-0287. WEBSITE www.ibxmedicare.P.O. Box 21146 Eagan, MN 55121. Our Premium Payment Address: Excellus BlueCross BlueShield - Group P.O. Box 5266 Binghamton, NY 13902-5266. Our Corporate Street Address: In the Central New York and Southern Tier Regions: Excellus BlueCross BlueShield 333 Butternut Drive Syracuse, NY 13214-1803.Paper Claims Submissions: Jefferson Health Plans, PO BOX 211123 Eagan, MN 55121. Claims Reconsiderations: www.healthpartnersplans.com/providers/provider-portals Or by Mailing to: Jefferson Health Plans Attn: Claims Reconsideration 1101 Market Street, Suite 3000 Philadelphia, PA 19107. Claims Inquiries: www.healthpartnersplans.com/providers ...PO Box 21531 Eagan, MN 55121. Providers Here are the options: 1) Fax:877-877-0078 2) Mail(Claims ONLY): PO Box 21531 Eagan, MN 55121 Electronic Payor ID:73066. ALL OTHER CORRESPONDENCE,PLEASE MAIL OR FAX TO: MedMutual Protect PO Box 26620 Oklahoma City, Oklahoma 73126-9958 Fax: 405.254.2111 or 1.877.877.0078 . …Eagan, MN 55121. You can also call the Member Services number on your ID card. If authorization is approved, the prescription will be filed and the appropriate cost share will be applied. ... PO Box 211424 Eagan, MN 55121 Members who need help submitting a dental claim can contact Member Services at 800.613.2624 (TTY: 711). All claims must be ...P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837I) Loop 2010AA NM108 = XX NM109 = NPI # Paper (UB-04) NPI # – Box 56 Q1P AmeriHealth NJ – POS, POS NG Q3A AmeriHealth PA – ERISA POS Q3B AmeriHealth PA – ERISA HMO Q3C AmeriHealth PA – HMO and Self-Funded HMO Q3P AmeriHealth PA – POS and Self-Funded POSPO Box 211342 Eagan, MN 55121-1342 Provider Portal my.FirstCare.com 1. Providers may complete a Provider Claims Redetermination Request Form. 2. Provider should attach any pertinent supporting documentation (i.e. retro authorization, proof of timely filing, surgical notes, office visit notes, pathology reports, and/or medical records. 3.Seven Corners, Inc. Attn: Claims. PO Box 211760. Eagan, MN 55121. EMAIL. [email protected]. Customer Service, Chats/Texts, and WhatsApp are supported Mon - Fri, 8:00 a.m. – 9:00 p.m. ET. *By sending a text to this number, you are opting in to receive messages from Seven Corners. You can text STOP at any time to …P.O. Box 211471 Eagan, Minnesota 55121 Culinary Health Fund P.O. Box 211471 Eagan, Minnesota 55121 EDI Payer ID: 59144 Phone: 702-733-9938: Phone: 702-733-9938: Billing To ensure claims are paid in a timely manner, please be sure to bill correctly. ...PO Box 21482 Eagan, MN 55121 Payer ID (for EDI claims): SX110. What if I disagree with the way my claim is paid? You may request a review of any adverse claim decision by following the claims review procedure, as outlined in the Provider Handbook. What portion is the insured responsible for paying?Florida Health Administrators. P.O. Box 21426. Eagan, MN 55121. Phone: (866) 236-2673. Fax: (954) 901-2711. Did you find what you were looking for? If not, email us at [email protected]. We welcome your feedback. Learn more about TAF's resources for providers.P.O. Box 21013. Eagan, MN 55121. 610.933.4122 (Fax). 610.933.0800 (Phone). Student Health Services at · Loyola Marymount University. Claims administered by A-G ...PO Box 21688. Eagan, MN 55121. Instructions for completing the CMS-1500 and UB-04 claim forms can be obtained from the following websites: Centers for Medicare & Medicaid Services www.cms.gov. Florida Hospital Association www.fha.org. National Uniform Billing Committee www.nubc.org. National Uniform Claim Committee www.nucc.org.AmeriHealth post-service appeals and grievances (Pennsylvania) ClaiPO Box 211083 Eagan, MN 55121 TRANSPORTATION If you are unable to submit your claim electronically, you can email, fax or mail your completed claim form (“Medical, Wellness and Vision Claim Form”, Pages 2 through 4) and copies of supporting documentation. Submit claims by: Email: Fax: Mail: [email protected] +1.949.271.2330 Global Benefits Group. PO Box 211008, Eagan, MN 55121.To file the Request for Claim Review Form , mail or fax to: Mail: Fallon Health. Attn: Request for Claim Review/Provider Appeals. PO Box 211308. Eagan, MN 55121-2908. Fax: 1-508-368-9890. For more information about the collaborative, visit www.hcasma.org . If you have any questions, call us at 1-866-275-3247, prompt 4. P.O. Box 211395 Eagan, MN 55121. Reminder: All claims should be subm The implementation of ICD-10 results in more accurate coding, which improves the ability to measure health care services, enhance the ability to monitor public health, improve data reporting, and reduce the need for supporting documentation when submitting claims.p.o. box 211184 eagan, mn 55121 . to be completed by patient . patient information: 1. patient's name (last) (first) (middle initial) 2. patient's address (street) (city) (state) (zip code) 3. member identification number 4. pati ent's ho e numb r ( ) area code . 5. pa tient's birth date 6. patient's sex 7. pa ie nt's r latio sh p 8. P.O. Box 211184 Eagan, MN 55121 Valid and re
P.O. Box 211713 . Eagan, MN 55121 . PA Medicare (medical and behavioral health claims): Claims Administrator . P.O. Box 211164 . Eagan, MN 55121 . Paper claims submitted to the old address will be forwarded until July 16, 2023. Paper claims submitted after that date will not be forwarded and can result in denials for timely filing.P.O. Box 211342 Eagan, MN 55121-1342. Claims refunds address. Baylor Scott & White Health Plan ATTN: Claims Review Dept. P.O. Box 840523 Dallas, TX 75284-0523. Paper claims address. Baylor Scott & White Health Plan c/o Smart Data Solutions 960 Blue Gentian Road Eagan, MN 55121-1500 .The Builders Group 2919 Eagandale Boulevard Suite 100 Eagan, MN 55121-1214 Phone Toll Free: (888) 824-3923 Main Line: (651) 389-1140 Fax: (651) 389-1141 Website by Hooker and CompanyP.O. BOX 211154 EAGAN, MN 55121 Rev. 02/2021 . Author: Ileana Vazquez Created Date: 5/12/2021 10:50:41 AM ...
Mail: P.O. Box 21164, Eagan, MN 55121 Email: [email protected] Fax: 1-888-240-7243 OON providers should submit requests to: Mail: P.O. Box 21672, Eagan, MN 55121 Email: [email protected] Fax: 1-732-412-9706 Y0129_FX070Q Patient Information Patient Name: Member ID: CP AttachmentsP.O. Box 21406 Eagan, MN 55121 I Address Change: _____ _ IMPORTANT: EVERY ITEM MUST BE CHECKED OR ANSWERED BEFORE CLAIM CAN BE PROCESSED GIVE THE FOLLOWING INFORMATION ABOUT PATIENT 1. Claim is made for: 2. Patient's Name 3. Date of Birth 4. Sex 0 Husband 0 Self OM OF 0 Wife 0 Unmarried 0 Other Son/Daughter 5. Full Time Student Attending…
Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. Claims Information. Providers, facilitie. Possible cause: P.O. Box 21762 Eagan, MN 55121 MEMBER NAME MAILING ADDRESS CITY, ST, ZIP Customer Servi.
P.O. Box 21341 Eagan, MN 55121. WPS Administrative Services WPS Health Plan P.O. Box 21352 Eagan, MN 55121. Additional Contact Information. Correspondence (medical records, notes, etc.) Wisconsin Physicians Insurance P.O. Box 8190 Madison, WI 53708-8190. EDI (Electronic Data Interchange)• Mail to PO Box 21531 Eagan, MN 55121 • Fax to 877-877-0078 Contact Customer Service 800-654-9106. CLAIM INFORMATION NEEDED BY PRODUCT. List from the pharmacy. PREFERRED. Physician’s Home Health. Certification Form. Standard Claim Form. or. Claim receipt that shows details. of the prescription (policyholder. name, drug name, date and RX ...Providers must submit the applicable, completed and legible forms to: ElderServe Health, Inc. d/b/a RiverSpring Health Plans. PO Box 211465. Eagan, MN 55121. Providers may also submit and track paper claims through Smart Data Stream at no cost. To use this option, providers must register on the site with the following link:
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. Providers currently enrolled in EFT prior to 07/01/20 will not have to re-register with Change Healthcare. • Important Phone NumbersP.O. Box 211256. Eagan, MN 55121. Medicare Members. Univera Healthcare Attn: Medicare Division P.O. Box 211256. Eagan, MN 55121. Mail Forms and Payments. Direct ...PO Box 21660 Eagan, MN 55121-0660 Fax: 1-402-496-8199 Medico® is a servicemark owned and licensed by Medico Insurance Company. Created Date: 3/14/2016 3:57:30 PM ...
Completing and signing po box 21660 eagan m Contact Us. Providers can send any non-claim related correspondence to us by mail or fax: MedMutual Protect. P.O. Box 26620. Oklahoma City, OK 73126-9958. Fax: 405-254-2111 or 1-877-877-0078.P.O. Box 21681, Eagan, MN 55121 Attention: Claims. Fax: (972) 335-1349. Download Vision and Hearing Claims Form. NOTE: Please note the Vision and Hearing Claim Form is required to submit a claim. If you need to request a new form, you can call 800-264-4000. Vision and Hearing claims should be submitted by your provider. Q1B. AmeriHealth NJ – PPO, PPO HSA, EPO, EPO HAmerican Diabetes Association 2451 Crystal Drive, Suite 900 Arlington P.O. Box 21146 Eagan, MN 55121. Members - Mail Forms and Payments. Direct Premium Payments. Excellus Health Plan P.O. Box 5267 Binghamton, NY 13902-5267. Group Premium Payments. Excellus Health Plan P.O. Box 5266 Binghamton, NY 13902-5266. Claims & Membership Forms. Excellus BlueCross BlueShield P.O. Box 21146 To fill out PO Box 21146 Eagan, follow these steps: 02. Write your Providers must submit the applicable, completed and legible forms to: ElderServe Health, Inc. d/b/a RiverSpring Health Plans. PO Box 211465. Eagan, MN 55121. Providers may also submit and track paper claims through Smart Data Stream at no cost. To use this option, providers must register on the site with the following link:PO Box 211543 Eagan, MN 55121. If your patient has an Aetna logo on their ID card and an 8-digit Group # (eg. GRV12345), submit claims to: ... Gravie Administrative Services PO BOX 59212 Minneapolis MN 55459. For prior authorization and medical necessity, contact American Health Holdings: Fax: 866.881.9643 Phone: 833.462.0102. For case ... P.O. Box 211184 Eagan, MN 55121 TO BE COMPLETED BY PATIENT PATIENTYou may submit claims to Surest (365-day timely filinPO Box 21631 Eagan, MN 55121. For electronic claims submission p PO Box 9310 Minneapolis, MN 55440-9310 Or fax this form to: (952) 992-1427 ... PO Box 211435 Eagan, MN 55121 Or fax this form to: (952) 992-3024 If you have any other Medica plans, please use the appropriate form available at Medica.com or call Medica Member Services at ... Check a box to indicate whether you received the service at a doctor ... P.O. Box 21185 Eagan, MN 55121 Customer Service Toll free: 1-800-46 Amerihealth Caritas of Michigan Address: PO Box 211184 Eagan, MN 55121-5512 Telephone: 888-667-0318 Mercy Benefit Administrators. Mercy is changing the healthcare expp.o. box 211184 eagan, mn 55121 to be completed by patient patien Send us a message - or contact us via: Phone: (800)771-5454 Email: [email protected] Intercare works with clients of all sizes, nationwide.