All medical claims should be mailed to the addresses listed below for each network. WebAll medical claims should be submitted electronically using the network EDI numbers as listed below for each network. P.O. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. Why is a MultiPlan logo on my insurance ID Card? 2023 Government Employees Health Association, Inc. All rights reserved. If your provider is not listed, you may nominate him/her into the network by using the nominate a doctor or provider link above on this webpage. In 2023, Gravie began to process the majority of our claims in-house instead of with PreferredOne. The team led by Dixon and Jake, are always game for a challenge, always game for performance at the highest level, and most importantly based on my experience and one who considers A-G a trusted partner of the University of Pennsylvania, always game for positive results and outcomes. Version: 4.0.30319.42000 WebClaims Mailing Address: Hard copies of claims may be mailed to the following address for processing FCE Benefit Administrators, Inc. PO Box 211757 Eagan, MN 55121 Claims & Forms Medical Claim For submitting medical claims Prescriptions Claim For reimbursement of covered prescription drug claims. PO Box 30783 Medica Encore To locate a participating provider, please refer to the instructions on your healthcare ID card as your health plan may have established a telephone number customized for the plan. Our Team is here to help you, and EGBAR helps us do that better than anyone else. How do I find a new doctor or medical facility in my network? | Privacy Policy, Sports Camps / Events / Clinics / Tournaments. There is a doctor listed in your network, but they no longer participate. For best results, we recommend calling the customer service phone number shown on the back of your ID card. So questions like these should be directed to your health insurance company, health benefit administrator or human resources representative: However, you likely have access to MultiPlans services through your health plan administrator or medical bill payor (especially if you see one of our logos on your Member ID card). Box 30783, Claim Submission Form | A-G Administrators If you dont have a Smart Data Solutions account, call (800) 247-2190 to access patient coverage and claim status information through our automated system without needing to speak to a representative. When you call in, you will be prompted to enter your patients policy number and date of birth before you can access policy-specific details. Medica | Claim Submission and Product Guidelines Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 The staff at A-G is professional and courteous, focused on facilitating the care the athletes need, and they do it in a manner that saves their schools and organizations moneyall while making the collection process easy for my staff. 1053 0 obj <>/Filter/FlateDecode/ID[<3FD27A8EDFF2AB4E96246C3A5C265369><6EE963EAA2276444AD5BEE4BC483FDDF>]/Index[1032 35]/Info 1031 0 R/Length 106/Prev 187530/Root 1033 0 R/Size 1067/Type/XRef/W[1 3 1]>>stream PO Box 30990 Payer ID: 94265 + Current functionality may be reduced and some features may not work properly. Health Plan Search PHCS (Private Healthcare Systems, Inc.) Email. ISA-08 GS-03 Keystone Health Plan East Independence QCG ; Keystone We do not accept paper claims for Medicare Supplement plan claims. View Our Program Options Have questions or concerns about your existing Jericho Share Membership? Eagan, MN 55121, Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: WebPHCS (Private Healthcare Systems, Inc.) - PPO Accepted By These Sutter Hospitals & Medical Groups. EDI Submitter #06603 If your patient has ONLY a PHCS logo on their ID card, please submit claims to:Payer ID: 36326Mail:HealthEOS by MultiplanPO Box 6090De Pere WI 54115-6090. While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details ABOUT MultiPlan (or PHCS) network providers are prevented, by contract, from differentiating, or discriminating, against members due to certain member characteristics, and are required to render such services to all members in the same manner, in accordance with the same standards and same availability as offered to the network providers other patients. Gravie Box 211221, Eagan, MN 55121. We do not accept paper claims for Medicare Supplement plan claims. UnitedHealthcare Shared Services website and services to function. UHC Provider Services Phone: (844) 586-7309. Members have the right to choose healthcare providers from the MultiPlan or PHCS network, consistent with the terms of their health benefit plans and applicable Federal and State law. The law requires that an estimate be provided to you within five (5) business days. 2. Essentia Choice Care with Medica (Commercial) QUOTE. MultiPlan does not offer insurance, does not administer benefit plans, and does not pay claims to the doctors or facilities in our network. WebPHCS/Multiplan National PPO Network | Planstin Administration PHCS Your Planstin plan provides access to the PHCS/Multiplan national PPO network of doctors. If you do have electronic claim submission capabilities, please submit claims electronically. Rx PCN: MD Members have the right to register complaints about us, our services, determinations, or the care provided by a MultiPlan or PHCS network provider. Contact Us - Blackhawk Claims Service GA, Inc. Or, mail to: endstream endobj 1033 0 obj <. P.O. Claims Electronic Claims Submission (page 33) If you submit claims electronically, Quartz now utilizes Availity as our exclusive 837 claims clearinghouse. Email: connect@instamed.com, Website: Medica Individual Choice Seamless group administration for the employer and employee on Minimum Essential Coverage (MEC), Minimum Value Plans (MVP) and Employer Group Health plans. Did you receive an inquiry about buying MultiPlan insurance? Medica with MU HealthCare Without a doubt, I can tell you that A-G Administrators is awesome! What else can I say they get it and they are great! Check-ups, screenings and sick visits for adults and children. Privacy Policy Eagan, MN 55121. Copyright 2023 Sutter Health. Claims filed with Medicare will electronically transmit to Pekin Life Insurance Company for our Medicare Supplement insureds. Not filing according to the unique instructions on each individual patients ID card could result in delayed claim handling. However, we still have a few plans with claims being processed by PreferredOne. Provider Portal | Redirect Health We also accept 50+ rural and rental networks. Although we update the website daily, it is possible that providers drop out of the network or that staff at the providers office are unaware of their participation. By Phone. You can select Find a Provider in the upper right corner of our website to search for a doctor or facility, or your ID card may also list a phone number for this purpose. How can I find it? U.S. Patent & Trademark office. Who do I contact regarding co-payment or deductible payment questions? EDI Payor #39026 Where to submit claims Treatments & Services. Login, ExpressScripts (ESI). Please contact GPS for filing assistance at 888-301-0747. Elevate by Medica Central time zone: 7 a.m. 7 p.m. Mailing address: GEHA PO Box 21542 GRV12345) then you will want to visit PreferredOnes provider portal for that patient. Medica with CHI Health WebWhere to Submit Claims Where to Submit Claims For information on submitting claims, visit our updated Where to submit claims webpage. WebFor Providers Submitting A Claim:Payer ID:CB987PO BOX 21661 Eagan, MN 55121. If you see a network logo on our ID card that you accept, then you accept Gravie. WebPHCS: Public Health and Community Services (Canada) PHCS: Private Healthcare Systems: PHCS: Senior Chief Photographer's Mate (Naval Rating) PHCS: Primary Payer ID provider number reference Facility Multiplan PHCS Doctors in Eagan, MN | Doctor.com Account statements or balance due statements are helpful, but do not contain all the information needed to process the charges. PHCS (Private Healthcare Systems, Inc After-hours, weekend and holiday services. Contact us Dental Plans CD Plus CD Discount LEGAL Privacy and security Privacy policy Quality and accreditation FAQs Find care Find your contact Authorizations/Precerts Clinical guidelines Coverage policies Contact Us Check-ups, screenings and sick visits for adults and children. Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. WebPHCS is listed in the World's largest and most authoritative dictionary database of abbreviations and acronyms PHCS - What does PHCS stand for? You can search for a provider at PHCS or call 800-922-4362. BadgerCare Plus claims previously had a unique mailing address. WebAs a HCSM, members of Jericho Share voluntarily share in one anothers eligible medical needs based on the acceptance of the Member Information Guide. Consult our FAQ section if you have further questions on these documents. Please check with your health plan if you have questions about coverage and network providers for specific products. Cookie Preferences. Box 30783, For serious accidents, injuries and conditions that require immediate medical care. If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 Completed and Signed Claim Form Eagan, MN 55121-0342, Rx Bin: 003858 Full Form of PHCS - Medical | Full Form Book Administrative Concepts, Inc. Great benefits pay off. A-G Administrators, A-G for Always Game. Learn more about Replacement Claim information. For a faster response, please call us directly at 888-666-8135. If your patient has an Aetna logo on their ID card and a 5 digit Group # (eg. Contact Medica Solo We typically require a CMS-1500 (HICF) or UB04 form from the provider (they will know what these are). Medica Signature Solution See our Privacy Policy for more information. Any provider within the available networks (see applicable provider fact sheet below for directory). EGBAR stands for Efficiency Generating Business Automation Resource but it means everythings going to be all right. Cookie Preferences. Medica Advantage Solution HMO-POS Fact Sheet As a local, multi-generation family business, they have consistently provided reliable and committed service while working with our families to deliver the best possible outcome in their time of need. This includes the right to have complaints addressed in a timely manner through formal procedures, appropriate to the nature of the complaint. 1032 0 obj <> endobj Providers | Gravie Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. WebChoose Click here if you do not have an account for self-registration options. insurance, payment options, etc. UnitedHealthcare Shared Services Salt Lake City, UT 84130-0783. Box 211221 Eagan, MN 55121. If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. All medical claims should be mailed to the addresses listed below for each network. All dental claims should be mailed to GEHA at the appropriate address below: Medical claims rendered by in and/or out-of-network providers: 5 digit groups: Claim numbers are 10 digits (CMS-1500) and 11 digits (UB-04); 6 digit groups: Claim numbers are 12 digits, Prior Authorization submitted via email and/or fax number provided on the corresponding form, Medica MultiPlan Corporation, on behalf of itself and its subsidiaries (us, we, or our) operates http://www.multiplan.com (the Site). P.O. Not all claims for members of GPS are filed to the same address. Medica Advantage Solution HMO Fact Sheet Medica CompleteHealth We offer products from the nation's leading carriers, and we are known for our full-service suite of tools and services that greatly reduce the burden of plan enrollment and administration. Explanation of Benefits (EOBs) from your Primary Insurance Carrier. By continuing to use the site, you agree to the use of cookies. All dental claims should be submitted to EDI: 44054. Ridgeview Distinct by Medica If you All rights reserved. PPO HealthEOS by MultiPlan, P.O. By continuing to use the site, you agree to the use of cookies. The provider redetermination time limit for receipt of redetermination request is calculated from the After-hours, weekend and holiday services. Once you have all documents completed and in order, you can submit your claim via one of the following: 1. Professional Payer ID Provider Number Reference WebContact us. Members have the right to receive healthcare services without discrimination. Convenient walk-in care clinics for your non-urgent health needs. Register I cannot locate my doctor or medical facility when using the online provider search. Expertise and advanced technologies in all areas of medicine. Through your health plan you have access to providers in our networks, but we do not administer your plan or maintain information regarding your insurance. Benefits designed to be used can actually give employers the biggest bang for their buck. Benefits are administered through Gravie with primary and regional leased networks through Aetna, Cigna, and PHCS/Multiplan. Monday The MultiPlan Network is a nationwide complementary PPO network. WebYou have chosen PHCS (Private Healthcare Systems, Inc.). Box 21800 Eagan, MN 55121-0800. Box Better benefits administration. Be sure to include all itemized bills and an EOB from your insurance carrier. Box 21542 Eagan, MN 55121. 6JQ[un=o``h```R" p@\L}~@ZEZ091F1\aa``bUu&uEL<2|% ' 7S-H'4l4ek%nCT1 n&J All itemized Bills Visit our other websites for Medicaid and Medicare Advantage. Message. EDI Payer ID #39026 Box 981707, To avoid delays in claim processing please be sure the other insurance portion of the claim form is completed in full. BAS Health - Benefit Administrative Systems | Health Care Plans Medica with Healthier You Salt Lake City, UT 84130-0990 WHERE TO FORWARD CLAIMS Multiplan/PHCS Network P.O. Rx Bin: 003858 If you feel your rights have not been met, you may voice your concern through our complaint resolution process. WebBenefits are administered through Gravie with primary and regional leased networks through Aetna, Cigna, and PHCS/Multiplan. U.S. Patent & Trademark office. Invite your provider to join our networks here. Your health plan is most likely utilizing the MultiPlan Network to give you access to an additional choice of providers that have agreed to offer a discount for services. Farmington Hills, MI 48333, BIN/PCN/Group # vary by product see member's ID card, Any available provider within the Zelis network, Medica Government Programs EDI Payer ID #39026 Convenient walk-in care clinics for your non-urgent health needs. 0 Medica Prime Solution (If the subscriber lives in California) If your patients group ID number is made up of 8 characters (e.g. See below for our instructions on how to register for our provider portal. We do not accept paper claims for Medicare Supplement plan claims. PHCS Stands For : Private Health Care System. Where to submit claims | GEHA Pursuant to LARS 22:1879, the information provided herein is based upon information supplied to MultiPlan Corporation by facilities and practitioners participating in the PHCS NetworkandMultiPlan Network. Essentia Choice Care with Medica (Individual and Family Business) This information was current at the time of publication. 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. Authorizations: Optum 1-800-873-4575, Eligible Chiropractic Codes for Commercial and Individual Plans Only, Medica Behavioral Health (MBH): 1-800-848-8327, Medica Behavioral Health Contact Us - Hill Physicians Medical Group Salt Lake City, UT 84130-0783 Blackhawk Claims Service diligently reviews and adjudicates claims for accuracy and medical necessity. To view a sample of an itemized bill, click on the link below: Explanation of Benefits defines coverages from other health insurance providers. Note: documents in Powerpoint format (PPT) require Microsoft Viewer, download powerpoint. Box 30783, Salt Lake City, UT 84130-0783 Provider Tools Get an ID Card File a Claim View My Claim Check Coverage See a Prescription Drug hbbd```b``f@$1Hl@$dk`RLINH2~`3@$o2l;#E gR For eligibility or benefits questions, contact your insurance company, human resources representative or health plan administrator directly. For more information, see our Companies and Licenses page. %PDF-1.6 % For serious accidents, injuries and conditions that require immediate medical care. MultiPlan does not sell health insurance to members, so we arent able to answer questions about your insurance plan. 2. Find Doctors. We also accept 50+ rural and rental networks. How do I access benefits and eligibility information? WebMedica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Contact Us trademark of Sutter Health , Reg. Revolutionize Your Healthcare Administration with Planstin If your provider is indicating that they do not participate, please contact our Customer Service at the telephone number listed on your healthcare ID card to bring the matter to our attention. Medica Focus El Paso, TX 79998-1707 Medica Connect UnitedHealthcare Shared Services GRV12345), please submit claims to:Payer ID: 41147Mail:Gravie Administrative ServicesPO BOX 59212 Minneapolis MN 55459, For prior authorization and medical necessity, contact American Health Holdings:Fax: 866.881.9643Phone: 833.462.0102For case management:Fax: 866.353.6508Phone: 800.641.3224, If your patient has a Cigna logo on their ID card,please submit claims to:Payer ID: 62308Mail:CignaPO Box 188061Chattanooga, TN 37422-8061. 2023 MultiPlan Corporation. We're currently processing your request and we'll be in touch soon. For the past ten years, I have had the pleasure of working closely with A-G Administrators as they provide stellar service for the Districts student sports insurance needs.They understand the value of providing outstanding products that are competitively priced, benefiting a school budget that relies heavily on local funds. PATIENT DATE OF BIRTH Mailing address: GEHA PO Box 21542 Eagan, MN 55121 Dental 877.434.2336. Claims filed with Medicare will electronically transmit to Pekin Life Insurance Company for our Medicare Supplement insureds. We use cookies to give you the best possible user experience. My doctor's information is incorrect in your online provider search. Claims For Indiana Residents Who Purchased an Accident and Sickness Product and those covered by a Blanket Accident and Sickness Policy issued in Indiana: You may at any time ask Us or Our Administrator for an estimate of the amount We will pay for or reimburse to you for nonemergency health care services that have been ordered for you. Fringe Benefit Group Be sure to verify that services are covered under your plan by contacting your insurance company, human resources representative or benefits administrator directly. How can my doctor participate in your networks? PHCS (Private Healthcare Systems, Inc.) - PPO, Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz, Palo Alto Medical Foundation/Mills Peninsula Site. Medica Pinnacle Medica Advantage Solution PartnerCare HMO I-SNP GRV12345), please submit claims to: Payer ID: 41147 Mail: Gravie Administrative Services PO BOX 59212 Minneapolis MN 55459 For prior authorization and medical necessity, contact American Health Holdings : Fax: 866.881.9643 PO Box 21342 Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, Quartz Health Plan MN Corporation and Quartz Health Insurance Corporation, which are separate legal entities. PO Box 212 Expertise and advanced technologies in all areas of medicine. 1066 0 obj <>stream A-G has the experience to offer the best custom coverage for every program and the best customer service to ensure a worry-free process for every claim. trademark of Sutter Health , Reg. UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) By continuing to browse, you are agreeing to our use of cookies. All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Reach out to us directly at 866-545-2955 or questions@jerichoshare.com. Please include copies of all medical bills, showing the name and address of the provider of service, date of service, type of service and charges. Medicare Advantage or Medicaid call 1-866-971-7427. Phone: (800) 821-6136, UnitedHealthcare Choice Plus (If the subscriber lives in any of the following states: Alabama, Arkansas, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming) File A Claim Members have the right to be treated with respect and recognition of their dignity and the right to privacy. See how Gravie can help your business save. WebMost popular medical specialty of providers who accept Multiplan PHCS in Eagan, MN: Family Doctor. Please ask your health care provider to contact us with their updated information. If you are unable to locate a particular specialty, please contact the 1-800 number listed on the back of your ID card. If you include the 2-digit suffix for the member, the claim will reject as member not on file, Note: When submitting claims under this payer ID, use only the 10-digit member ID. If you dont see our payer ID with your clearinghouse, please request that they update their payer ID list. PHCS - Definition by AcronymFinder We appreciate hearing about any discrepancies that we may have in our provider information so that we can work to keep it as current as possible. Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP) The nations most competitive K-12, collegiate and youth programs Achieve Greatness with A-G! Minneapolis, MN 55440-0212, Authorizations/treatment plans are not required, Altru & You With Medica The following hospital and/or physician groups accept PPO. What should I do? Claims and Billing | Baylor Scott & White Health Plan What do I do? To file dental claims, use EDI#37086 or mail to GPS PO Box 21424 Eagan MN 55121. Medica Elect and Medica Essential Upload documents through our secure portal: 2. Medica Select Solution You may also ask Us or Our Administrator for the applicable benefit limitations that apply to the ordered nonemergency health care services you are entitled to receive under your coverage. Total number of Providers in Eagan, MN on Doctor.com who Accept Multiplan PHCS: Most popular medical specialty of providers who accept Multiplan PHCS in Eagan, MN: Multiplan PHCS providers in Eagan, MN listed on Doctor.com have been practicing for an average of: Average ProfilePoints Score for Providers in Eagan, MN who take Multiplan PHCS: Average Overall User Rating for providers in Eagan, MN who take Multiplan PHCS. Claim Adjustment or Appeal Request Form (DOC). For customer service inquiries, please call (877) 804-4629 or email us at hnascustomerservice@hnas.com. Medica Applause You are using a browser we no longer support. PO Box 211435 Rx Group: 2Medica, Medicaid Families and Children: If the charges are not paid in full by the other medical insurance carrier, A-G Administrators will need to see that carriers EOB prior to considering eligibility for benefits. Members > MultiPlan P.O. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Medica with CHI Health Direct Primary Care (DPC) All rights reserved. P.O. We also accept 50+ rural and rental networks. All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: Box 6090, De Pere, WI 54115-6090 All other claims (Badger Care Plus and non-PPO) Quartz, P.O. This can be validated through the Change Healthcare payer ID list. GEHA-ASA Empower by Medica Note: documents in Excel format (XLS) require Microsoft Viewer, download excel.

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