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. Box 1850 Hicksville, N.Y. 11802-1850 ALSO OF INTEREST Submit Electronic Claims and Den . Box 1850 Hicksville, NY 11802 (866) 477-8208 . Beacon Health Options has online services to provide added convenience for our members and providers. Box 1850 . Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. Let us handle handle your insurance billing so you can focus on your practice. If billing on paper, inpatient services and alternate levels of care (e.g., PHP and IOP) must be billed on a UB-04 form. For more than 30 years, Beacon has changed the way people live with behavioral health conditions. 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. Effective immediately, there is a new mailing address for claims submissions to Beacon Health Options. Beacon Health Options utilizes Availity Essentials verifying eligibility and benefits, claim status and other secure transactions. It also details best practices for interacting with our plans and helping our members navigate their health care. Last updated on 2022/07/20 At the present time, members of PPO plans underwritten by Group Health Incorporated (GHI) have their behavioral health services administrated by Beacon Health Options. We encourage you to adhere to the instructions and processing time frames that were outlined in the letter. (GHI and HIP are EmblemHealth companies. You will only be considered a network provider for HMO, Medicaid Managed Care, Family Health Plus, Child Health Plus and Medicare Advantage lines of business. Contact The Empire Plan. Quick Links. Electronic claim submissions can be made utilizing your current clearinghouse or through Availity Essentials, Beacon Health Options preferred multi-payer portal of choice. 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. 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. When will Beacon Health Options become the benefit administrator for Emblem Behavioral Health Services? You free me to focus on the work I love!. Contact Information. Beacon Health Options will notify you if a treatment plan is required. Do not highlight the claim form or attachmentsit is hard for the scanner to read. Beacon Health Options P.O. Beacon Health Options (BHO): PO Box 1850 Hicksville, NY 11802-1850. What are the fee schedules for the Emblem Behavioral Health Services Program administered by Beacon Health Options? Free Account Setup - we input your data at signup. All rights reserved. As private practitioners, our clinical work alone is full-time. How does this impact me? Part D Drug Claims CareFirst BlueCross BlueShield Medicare Advantage c/o CVS Caremark P.O. Tel: 888-204-5581 Prior approval is not required for routine outpatient services. Copyright 2022 Beacon Health Options. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.). Provider Manual - EmblemHealth: Health Insurance Information . Title. Payformance is a vendor that partners with Beacon Health Options to deliver an electronic funds transfer (EFT) solution to our providers. Pre-certification is required for all elective inpatient services. Paper Claims Submission Address: (For new and corrected paper claims) Beacon Health Options Pennsylvania Claims P.O. This manual applies to all EmblemHealth plans and is an extension of your Provider Agreement. Box 1850, Hicksville, NY 11802-1850. Your unique registration code is the registration number that Beacon Health Options supplies to providers for enrolling in PaySpan Health. Beacon Health Options / Value Options / Beacon Health Stategies Claims Address PO Box 1850 Hicksville, NY 11802-1850 Claim Tips for Paper Submissions. Box 1853 Hicksville, . The fee schedules that apply to our HMO client benefit plans in New York are included as Exhibit A of that Agreement. Fax +1 501 707-0940. Health (6 days ago) Claims - General Information. For services rendered before January 1, 2022, send all claims to: MHN Claims P.O. 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. ID numbers: There will be no change to any member ID numbers. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program, Claim Submissions (Direct Data Entry Professional and Facility Claims) applications or EDI using the Availity EDI Gateway, All other LOBs others 503-574-7500, 800-878-4445, Main Healthcare Service Medical Management 800-638-0449, option 5. PaySpan Health is a multi-payer adjudicated claims settlement service that delivers electronic payments and electronic remittance advices based on your provider preferences. I just completed my credentialing/recredentialing with EmblemHealth. Welcome to the Beacon Health Options of California, Inc. (Beacon of California) network of participating . 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. 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 document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); You can call, text, or email us about any claim, anytime, and hear back that day. As a facility, how do I bill nonprofessional services? Evergreen Health Email: providers@evergreenmd.org Phone: (443) 451-4979 Mail: "Attn: Claims Processing", PO BOX 47520, BALTIMORE, MD 21244-0520 Pharmacy OptumRX P.O. This act states that there are not more limits on your behavioral health benefits than your physical health benefits. Box 1862 . We are here to help you understand and address their health care needs. (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. Where to Submit Appeals and Grievances. They also have the option to use Beacon Health Options network providers. Copyright 2022 Beacon Health Options. My current Outpatient fee schedule is more favorable than Beacon Health Options. In general, the inpatient reimbursement schedules are non-negotiable. Beacon Health Options: VALOP. Box 7830 Burbank, CA 91510-7830. 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. P.O. Note: We only work with licensed mental health providers. Call the company. Boston, MA 02109 For 30 years, we have focused on behavioral health care and its natural extensions, such as EAPs and Work/Life services. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. The UB-04 Form can only be used for inpatient and alternative levels of care for mental health and substance abuse, not outpatient professional mental health services. Provider Information Beacon Health Options of Pennsylvania. Also, Magellan Health Services will be communicating to providers in their network who have provided care to GHI HMO members. 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. How do I join? 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. What paper forms can be used for claims submission? 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. Joining expertise, thought leadership, and personal first-hand stories from our colleagues, Beacon Lens presents a fresh, unique take on all things behavioral health. I do not participate in any of the Beacon Health Options networks. Boston, MA 02109 Po Box 1852. 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. We are your billing staff here to help. 2009/09/11. 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. We strongly recommend billing electronically, either via EDI or our web-based direct claim submission. Our current Inpatient/Alternative Levels of Care fee schedule is more favorable than Beacon Health Options. How soon will I receive a claims payment? Our phone lines are open 24 hours a day, 7 days a week and 365 days a year. 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 . Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. Follow the instructions on How to Become a Provider Claims - General Information If you have questions about claims in general, call (800) 888-3944. (FOR INDIVIDUAL PRACTITIONERS/OUTPATIENT CLINICS/GROUPS ONLY). Mailing Address: Claims and Claims Appeals Beacon Health Options. Yes, all non-participating providers must be credentialed by Beacon Health Options in order to participate in the Beacon Health Options network. ET, Monday through Friday. (2 days ago) Beacon Health Options Pennsylvania Claims P.O. Box 1853 Hicksville, NY 11802-1853. Fax: 781-994-7600. Thank you. The CMS 1500 form should be used for outpatient professional services. Beacon Health Options / Value Options . Who is responsible for members admitted to an inpatient medical unit who also have behavioral health issues that need to be treated? Denny and his team are responsive, incredibly easy to work with, and know their stuff. Get Free Beacon Health Options Address Claims information about human disease and pathology, including diagnostics and treatments . The detailed information for Nyeis System Log In is provided. For any other electronic claims submission questions, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. No, authorization of services is not a guarantee of payment. With whom do I discuss the fee schedule? Please visit us online at www.BeaconHealthOptions.com to check and review a claim status or call 1-888-447-2526. Please contact our Customer Service Department at 855-377-2416 to verify eligibility and benefits. All submitters, providers and clearing houses, must be registered to submit claims electronically. Hicksville, NY 11802-1850. Box 1853 Hicksville, NY 11802-1853 This address is to be used for all paper claims submissions (new or corrected . There is no change to your participation status with GHI PPO members due to this business expansion. Hicksville, NY 11802-1850. The fee schedules detail the payments (by CPT code and licensure) that you will receive for providing services to the EmblemHealth membership. Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. 200 State Street What is the unique registration code number that PaySpan Health requests and how do I obtain it? In order to ensure coverage for labs, please utilize only those facilities identified. Does the claims submission process change if I am currently contracted as a Beacon Health Options GHI Behavioral Management (BMP) provider? To ensure member access to treatment and to minimize potential care disruption, Beacon Health Options has extended invitations for network participation. Hicksville NY 11802. 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. LoginAsk is here to help you access Nyeis Provider Login quickly and handle each specific case you encounter. To participate with all lines of business in the State of New York under Beacon Health Options, you are required to have both a Beacon Health Options Practitioner or Facility Agreement and a CHCS IPA (HMO) agreement. Box 211241 Eagan, MN 55121 Medical appeals Posted on August 29, 2022. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Box 4080 Virginia Beach, VA 23454, The preferred method to updated your provider profile is to select the Update Demographic Information option inProviderConnect. Providers. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. 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. 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 Outpatient professional services must be billed on a CMS-1500 form. Boston, MA 02109 If you still cant find what you need or if you have additional questions, give us a call at 888-204-5581. Clinical Corner Behavioral Health Caring for your patients with behavioral health issues is important to their overall health. and claims status please visit Beacon Health Options. 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. Beacon Health Options will, however, reach out to providers when routine services are accessed excessively so as to no longer be considered routine.. All requests for 2022 services should go to Affinity. 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 . [PDF] December 8, 2017 Web Announcement 1480 - Nevada Medicaid; 6.Nevada Medicaid Contact List As a reminder, please ensure that you have completed your required Cultural Competency training. 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 Physicians/suppliers billing: name, address, zip code and telephone number. *For Mental Health & Substance Abuse, please see Beacon Health Options. Insureds date of birth if there is other coverage, Diagnosis or nature of illness or injury ICD-9 diagnosis code(s) use HIPAA-compliant codes, Procedures, services or supplies use HIPAA Compliant CPT/HCPCS codes, Procedures, services or supplies modifier, Signature of physician or supplier, including degrees or credentials, Name and address of facility where services were rendered. For support with Electronic claim submission, please reach out to our EDI Helpdesk 1-888-247-9311 from 8 a.m.- 6 p.m. Health (9 days ago) . Providence Customer Service: Authorizations, Member Benefits, Eligibility . 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. Clinical Authorizations: 1-888-502-4185. Contact Information. Enclosed with that correspondence was the CHCS IPA (HMO) Agreement. If a member is admitted to an inpatient unit before the start date of the program, EmblemHealth/Magellan will adjudicate the claim(s). Revised 01/2022. Beacon Health Options has issued correspondence to our participating providers with instructions regarding the CHCS IPA (HMO) Agreement and Beacon Health Options Agreements. If the provider submits a clean claim electronically within timely filing limits, compensation to the provider shall be at the rates specified in the fee schedule and paid to the provider within 30 days for electronic claim submission and 45 days for claims submitted on paper. Licensed clinicians are available 24 hours a day, 7 days a week and 365 days a year. Box 1850, Hicksville, NY 11802-1850. 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 interested in electronic claim submission, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. As an individual practitioner billing outpatient services, do I need to include the provider number on my claims? If you are interested in electronic claim submission, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. 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. Suite 101. discover Beacon Health New York. Lastly, EmblemHealth has sent correspondence to all its participating providers amending their contracts to meet current New York State regulatory and compliance standards. Please note that utilization management functions for behavioral health services for these members, including prior approval, will continue to be performed by Montefiore. Yes, several mailings have been sent to EmblemHealth and Beacon Health Options network providers. As a reminder, please ensure that you have completed your required Cultural Competency training. 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 . The expanded relationship with Beacon Health Options will not impact this program. If the member is transferred to a psychiatric or substance abuse unit (except for medical detoxification), Beacon Health Options will need to review, authorize the care, and process the claims. For members seeing Beacon Health Options providers, nothing is required. As a facility, how do I bill professional services? Call (800) 810-BLUE (2583) for mailing . You can find additional contact information on the Provider section. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Beginning on March 1, 2022, Availity Essentials is the preferred multi-payer portal of choice for submitting the following transactions to Beacon Health Options: For questions, please contact Availity Essentials Client Services at 1-800-282-4548, from 8 a.m. to 8 p.m. All rights reserved. Box 1850 Hicksville, NY 11802 General Guidelines Complete the forms with the following tips in mind: Type or print all information. Will members receive new ID cards or ID numbers? 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. We strongly encourage providers to submit claims electronically for the efficiencies gained by both providers and in claims processing. Beacon Health Options (formerly ValueOptions, Inc.) P.O. If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. Is the patients condition related to: Employment? Article ID: 374, Created On: 10/27/2017, Modified: 11/1/2017. 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. Which EmblemHealth members are affected by the transition to Beacon Health Options? Palladian Muscular Skeletal Health PO Box 366 Lancaster, NY 14086. . Beacon Health Options Pennsylvania Claims P.O. Copyright 2022 Beacon Health Options. Our providers are vital to the services we offer our 40 million members so they can live their lives to the fullest potential. Health (4 days ago) Paper Claims Mailing Address: Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Hicksville, NY 11802-1850. Authorization is required by EmblemHealth Prior Authorization department and claims must be submitted to EmblemHealth. Can you explain these mailings and what I have to do? 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. Behavioral health paper claims Beacon Health Options* Claims Department P.O. The fee schedules were enclosed in the invitation to join the Beacon Health Options network. Beacon Health OptionsP.O Box 1850Hicksville, New York 11802-1850, Authorizations, Member Benefits, EligibilityMonday-Friday, 8 a.m.-5 p.m. PST, Credentialing and contractingMonday-Friday, 8 a.m.-5 p.m. PSTbeaconphppr@beaconhealthoptions.comNational Provider Service Line 800-397-1630, Claims payment questionsMonday-Friday, 8 a.m.-5p.m. 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. 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. 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. Submit claims to Beacon. Box 1864 Hicksville, NY 11802-1864 Appeals Grievances Provider Dispute Resolution (PDR) Autism Documentation (except for claims) Medical Records, Utilization Management Documents and Case Management (REACH) Prior Authorization Requests Beacon Health Options P.O. Use our script to do it, or hire our mental health billing service to handle all of this annoyance for you! When Beacon Health Options authorizes care, is the authorization an automatic guarantee of payment for services rendered? States that there are not more limits on your Provider Agreement Options preferred multi-payer portal choice. Service to handle all of this annoyance for you those Facilities identified specific case you encounter your information and! ( Beacon of California, Inc. ) P.O payment for services rendered your required Cultural Competency training network.... Department and Claims Appeals Beacon Health Options Pennsylvania Claims P.O there is a adjudicated. Change if I am currently contracted as a facility, how do I bill services! And its my favorite bill to pay each month process change if I am currently contracted as a,. Check and review a claim status or call 1-888-447-2526 use Beacon Health Options, Inc. ).... Options electronic Claims and Den and benefits hire our mental Health & amp ; Substance Abuse please... ) paper Claims to: EmblemHealth Behavioral Health claim services P.O we strongly recommend billing electronically, either via or. Behavioral Management ( BMP ) Provider Provider Agreement Specialist at 1-888-247-9311 have the option to Beacon! Beacon Wellbeing: Employee Assistance Program is full-time Address: Beacon Health Options network providers clearing houses, be. Can you explain these mailings and what I have to do include the Provider Service Representative to! Behavioral Management ( BMP ) Provider Claims information about human disease and pathology, diagnostics. 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