Contact Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 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. Medica with Healthier You For customer service inquiries, please call (877) 804-4629 or email us at hnascustomerservice@hnas.com. The following hospital and/or physician groups accept PPO. 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). 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 WebIf you have questions related to: a quote for a self-funded plan, please e-mail sales@groupresources.com; our Cobra administration services, please e-mail cobraquote@groupresources.com; customer service, please email accountmgt@groupresources.com; claims questions, please e-mail 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. PO Box 211435 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. A-G Administrators requires all provider invoices that apply to the injury. We use our best efforts to ensure all members are afforded these rights. Medica with CHI Health 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 All dental claims should be submitted to EDI: 44054. If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 All rights reserved. The claim form enables A-G Administrators to start the process for the treatment of injury. Central time zone: 7 a.m. 7 p.m. Mailing address: GEHA PO Box 21542 2023 A-G Administrators LLC. 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. 1032 0 obj <> endobj We also accept 50+ rural and rental networks. endstream endobj startxref WebGet access to the PHCS/Multiplan national PPO network of doctors with your Planstin plan. Find a Northern Californian Provider that meets your needs. Fringe Benefit Group Reminders from our Provider Manual WebAll medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Please do not send us paper claims. Expertise and advanced technologies in all areas of medicine. Members have the right to communicate with network providers when making decisions about your healthcare, without interference from us. Medica Direct Value This right includes protecting their Personal Information. Medica Advantage Solution PPO Fact Sheet 1066 0 obj <>stream Eagan, MN 55121, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Cookie Preferences. PHCS/Multiplan National PPO Network | Planstin Administration Blackhawk Claims Service diligently reviews and adjudicates claims for accuracy and medical necessity. BAS Health - Benefit Administrative Systems | Health Care Plans 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. Empower by Medica Medica Insure Note: documents in Word format (DOC) require Microsoft Viewer, download word. All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: (If the subscriber lives in California) PPO HealthEOS by MultiPlan, P.O. P.O. First. Medicare Advantage or Medicaid call 1-866-971-7427. WebEagan, MN 55121 For Indiana Residents Who Purchased an Accident and Sickness Product and those covered by a Blanket Accident and Sickness Policy issued in Indiana: You PO Box 30990 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. WebFor Providers Submitting A Claim:Payer ID:CB987PO BOX 21661 Eagan, MN 55121. WebMedica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. In 2023, Gravie began to process the majority of our claims in-house instead of with PreferredOne. 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. Message. Contact Us - Hill Physicians Medical Group Medica AccessAbility Solution / Special Needs Basic Care (SNBC) 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. Eagan, MN 55121. Where can I find information about my copay, deductible, benefits, eligibility, etc.. All medical claims should be mailed to the addresses listed below for each network. Benefits are administered through Gravie with primary and regional leased networks through Aetna, Cigna, and PHCS/Multiplan. There is a doctor listed in your network, but they no longer participate. 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 of your coverage, including benefit designs and Sutter provider participation in your provider network. MultiPlan does not contract with dentists for routine dental care; however, we do have oral surgeons if that type of dentist is required. P.O. Make sure to have your insurance ID card nearby, and refer to the information on this page to find a provider in your network. 2. Note: documents in Quicktime Movie format [MOV] require Apple Quicktime, download quicktime. Privacy Policy A-G Administrators focus is client centric. I am unable to find a particular medical specialty in the drop down list. Find Doctors. PO Box 212 Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. PHCS Or, mail to: Box 6090, De Pere, WI 54115-6090 All other claims (Badger Care Plus and non-PPO) Quartz, P.O. North Memorial Acclaim by Medica Streamlined onboarding. Medica with MU HealthCare WebClaim forms are available from your employers Plan Administrator or by calling a Tufts Health Plan Member Services coordinator at 800-423-8080. Medica Advantage Solution PartnerCare HMO I-SNP 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. WebBenefits are administered through Gravie with primary and regional leased networks through Aetna, Cigna, and PHCS/Multiplan. Box 21542 What should I do? If your patients group ID number is made up of 8 characters (e.g. Lets talk. %%EOF WebATTN: Claims Review Dept. Rx Group: 2Medica, Medicaid Families and Children: information* Paper claim . Provider Portal Info > MultiPlan A-G Administrators LLC UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) Medica Solo PO Box 30757 Medica Advantage Solution HMO Fact Sheet Before seeking care from a provider listed herein, please check with the provider to confirm participation in the network, location and if the provider is accepting new patients. I cannot locate my doctor or medical facility when using the online provider search. Video Visits. 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. Date: 5/1/2023 1:23:49 AM Providers If your patient has an Aetna logo on their ID card and a 5 digit Group # (eg. Below is our statement recognizing member rights and protections. Machine Name: PWIVE-CDWEB01, Medica.com Provider Portal/Admission Notification, Inpatient Admission Notification Guidelines, Medica.com Provider Portal/Administrative Referral Entry for referral based products, Essentia Choice Care with Medica (Commercial), Ridgeview Community Network powered by Medica, Medica AccessAbility Solution / Special Needs Basic Care (SNBC), Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP), Medica Dual Solution/Minnesota Senior Health Options (MSHO), Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+), Essentia Choice Care with Medica (Individual and Family Business), Medica with CHI Health Direct Primary Care (DPC), Medica with CHI Health Fact Sheet (Accountable Care System Product), Medica Advantage Solution HMO-POS Fact Sheet, Medica Advantage Solution PartnerCare HMO I-SNP, BIN/PCN/Group # vary by product see member's ID card. Ridgeview Distinct by Medica Claims filed with Medicare will electronically transmit to Pekin Life Insurance Company for our Medicare Supplement insureds. Box 211221, Eagan, MN 55121. WebOur complaint resolution process is a formal mechanism we use to address members concerns about their healthcare from our network providers. WebClaims Information Medicare Claims Providers submit claims to Medicare, and Medicare forwards all claims to us for processing. PROVIDER NAME / 2 required fields completed. Gravie GRV12345) then you will want to visit PreferredOnes provider portal for that patient. Medica with CHI Health Direct Primary Care (DPC) Claims filed with Medicare will electronically transmit to Pekin Life Insurance Company for our Medicare Supplement insureds. P.O. Once you have all documents completed and in order, you can submit your claim via one of the following: 1. Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader. Box Quartz preference is to receive electronic replacement claims with original claim numbers. PHCS (Private Healthcare Systems, Inc Contact If Medicare is the patient's primary plan: MultiPlan does not offer insurance, does not administer benefit plans, and does not pay claims to the doctors or facilities in our network. WebCONTACT. EDI Payer ID #39026 Members have the right to receive accurate, easily understood information about us, the services we provide, the providers in our networks, member rights, rights of our network providers, and how to contact us regarding concerns about our services or networks. 1. WebPHCS/Multiplan National PPO Network | Planstin Administration PHCS Your Planstin plan provides access to the PHCS/Multiplan national PPO network of doctors. All rights reserved. BadgerCare Plus claims previously had a unique mailing address. Invite your provider to join our networks here. VantagePlus with Medica Claim Submission Form | A-G Administrators Provider Portal | Redirect Health trademark of Sutter Health , Reg. Box 211221, Eagan, MN Completed and Signed Claim Form El Paso, TX 79998-1707 What else can I say they get it and they are great! website and services to function. P.O. Medica Focus Why is a MultiPlan logo on my insurance ID Card? U.S. Patent & Trademark office. Payer ID provider number reference Facility For serious accidents, injuries and conditions that require immediate medical care. To file dental claims, use EDI#37086 or mail to GPS PO Box 21424 Eagan MN 55121. Seamless group administration for the employer and employee on Minimum Essential Coverage (MEC), Minimum Value Plans (MVP) and Employer Group Health plans. Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP) Convenient walk-in care clinics for your non-urgent health needs. No Medicare filing ID or other claim filing actions are required by you, the provider. CLEAR EXPECTATIONS Ability to develop proprietary networks and leverage rental Rx PCN: MA %PDF-1.6 % You can choose from a variety of clearinghouses that can quickly and securely facilitate claims. WebPO Box 211543 Eagan, MN 55121 If your patient has an Aetna logo on their ID card and an 8 digit Group # (eg. Go toQuartzBenefits.com/edifor more information. 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. Balance by Medica ProfilePoints measure the overall completeness of a 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. Members > MultiPlan EGBAR stands for Efficiency Generating Business Automation Resource but it means everythings going to be all right. All itemized Bills GEHA FEHB Medical Convenient walk-in care clinics for your non-urgent health needs. Otherwise, you may call one of the following telephone numbers or visit www.multiplan.com/search. Medica Individual Choice ISA-08 GS-03 Keystone Health Plan East Independence QCG ; Keystone Electronic Claims Submission (page 33) If you submit claims electronically, Quartz now utilizes Availity as our exclusive 837 claims clearinghouse. Please contact GPS for filing assistance at 888-301-0747. 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. The nations most competitive K-12, collegiate and youth programs Achieve Greatness with A-G! I believe that PHCs ', in their work to stimulate cross-sectorial activities, are more concerned with arguing for health and why collaboration is needed to promote health in all we do, such as planning for recreational facilities and public accessible areas. The online provider search contains all the providers that currently participate in our networks. 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. We are here to make accessing care better for everyone that has our plans including 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 WebClaims Information Medicare Claims Providers submit claims to Medicare, and Medicare forwards all claims to us for processing. EDI Payor #39026 Revolutionize Your Healthcare Administration with Planstin Medica Choice CareSM PMAP & Medica MinnesotaCare Fact Sheet, Monday Friday, 7 a.m. to 5 p.m., Central Time PO Box 30783 Sutter Health is a registered After-hours, weekend and holiday services. Medica | Claim Submission and Product Guidelines for electronic claims Emdeon Payer Information* Paper Claim Mailing Address Billing Provider ISA-08 GS-03 Q1C AmeriHealth NJ HMO 54704 95044 23037 Claims Receipt Center P.O. Ridgeview Community Network powered by Medica Email. Contact Us - Blackhawk Claims Service GA, Inc. 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. We integrate with existing systems to streamline user experiences. View Our Program Options Have questions or concerns about your existing Jericho Share Membership? See how Gravie can help your business save. The PHCS and MultiPlan networks are networks of medical doctors and facilities that health plans use in order to provide a broader choice of healthcare providers offering discounted services to their members. Get an ID Card File a Claim View My Claim Check Coverage See a Prescription Drug Please check with your health plan if you have questions about coverage and network providers for specific products. No. by providers with Doctor.com accounts when editing their profile on Doctor.com. For paper claims, please submit to Vivida at the following address: Vivida Health PO Box 211290 Eagan, MN 55121 The benefits of submitting EDI claims include: Improved cost effectiveness Improved claims tracking Electronic acknowledgment of claim receipt Faster payment of claims Better turnaround time for timely reimbursement Learn more about Replacement Claim information. A-G Administrators, A-G for Always Game. Is my doctor or medical facility in my MultiPlan network? WebBAS Health is a result driven third party administrator providing custom health care plans and benefits to organizations, companies, and corporations. Provider Tools How do I access benefits and eligibility information? U.S. Patent & Trademark office. Use our online Provider Portal or call 1-800-950-7040. WebClaim Submission To electronically submit or mail a claim on behalf of a Redirect Health member on the Multiplan PHCS Network, please follow the instructions below.

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