Bcbsri provider phone number

Bcbsri provider phone number. Have these things handy for each provider listed on the enrollment form: NPI; Group tax ID number or the last four digits of each provider's Social Security number; The provider's primary address and phone number Consider BlueCard® PPO, the nation’s leading PPO network providing an affordable benefit option spanning more than 1. (401) 459-1290. Call Capital Blue Cross at 855. In addition, the provider portal continues to help the practice save time and money by streamlining its patient onboarding process. BCBSND providers will file claims on your behalf. Other important Terms and Conditions apply. You can contact us in a couple of ways: Provider Search. com or call 1-800-639-2227 or (401) 459-5000 for a list of network providers. Bcbsri has 16 If you have/had other BCBSRI coverage and you’re trying to access your State of RI BCBSRI information through mybcbsri. Health. Provider Contact Center. ACA Provider Support: 866-859-3822 (TTY:711) Mail: Blue Cross and Blue Shield of Kansas City PO Box 419169 Kansas City, MO 64141 MA/Med Supp Provider Paper Claims & Written Inquiries: Blue KC MA & Med Supp Attn: Government Programs PO Box 410080 Kansas City MO 64141 For some services listed in our medical policies, we require prior authorization. 877-439-1564 Let's talk MedSupp Provider Support: 888-890-4423; ACA. And also using the OTC benefits thru the actual app brings you to another app which is fine. View Christina Sullivan's full profile . In some cases, we will also perform a retrospective review of these Email: BrokerOperations@bcbsri. Have a meaningful conversation, learn from each other, play board games, go for a virtual walk, watch a movie, get assistance navigating your health plan. If you do not receive your weekly 835 file(s) by Friday, please contact your clearinghouse to determine if the 835 is stuck in their system. Anthem uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. See how close you are to meeting your deductible or out-of-pocket limit. Provider Orientation Session for: From MedSolutions to CareCorenational. Once you’ve taken your hearing test, your provider will review the results of your hearing test with you. 8330 (TTY: 711). For more efficient service, please have your member ID number handy - it can be found on the back of your card. The free applications can be used to By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity If you need assistance, please review the New Provider Quick Reference Guide or call the CAQH Provider help line at 1-888-599-1771. Phone: Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. www. See helpful answers to our most frequently asked questions and quickly navigate our tools and website resources. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. - 8 p. Abilene, Midland San Angelo. Data Center Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361 Choose a topic. For more specific contact information, please use the Provider Contact Reference Guide. Small Group Quoting and Rating Questions. them to treatment providers. PEBA; BlueCross BlueShield of South Carolina; Press Room; Contact Us; Assistance. Help is available for mental health and substance use concerns such as: • Mood disorders • Anxiety disorders • Attention deficit disorders • Bipolar disorder • Depression • Eating disorders For escalations and support with issues, contact your assigned Provider Relations Contact or email us at: ProvRelations@azblue. This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing Companionship services. Provider Central is a platform for healthcare providers to access online services, claim submissions, and support from Blue Cross Blue Shield of Massachusetts. Log into Virgin Pulse, explore and complete activities to earn points and increase your activity level. Access to a nationwide network of 8,000+ providers; Hearing aids available from all major brands; Low pricing and a 60-day, 100% Since partnering with NationsHearing in 2017, a California-based provider has experienced significant growth. com Registration Required View Blue Cross & Blue Shield of Rhode Island (www. ET Monday - Friday (TTY 711) If you have questions or need assistance, please contact your Provider Experience Consultant or contact Provider Services at 844-912-1226. org Phone number: (401) ***-**** See more information about Joanna Connolly. Hours of Operation: Mon-Fri, 8:00 a. com; Phone: 888-233-8158; Fax: • Phone Number (If Applicable) Ordering Physician Information • First and Last Name Provider name, fax and phone will Ask The Experts Signup for our Live Chat on Tuesday, 9/19/2023 at 2pm ET / 11am PT Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. To reach the right team,please select from below. Reach us by phone . Pharmacy medication intake team Find Blue Cross Blue Shield of Rhode Island Doctors & Providers with verified reviews. 800-682-9329. Availity 800-282-4548: Eligibility and Benefits: Availity Interactive Check the back of your membership card for your specific customer service phone number . com) location in Rhode Island, United States , revenue, industry and description. 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611 | 877-707-2583 (BLUE ** Providers will be notified once the CAQH credentialing applications are reviewed for completeness. If you are a Preferred Provider Organization (PPO) member, the doctor will recognize the PPO Suitcase logo, which will ensure you will get the PPO level of benefits. Physician and provider appeals. ; Trading Partners can access eligibility, claim status, file exchange and other Interactive Web Services, using their Trading Partner ID as their First Name Please enter your first name; Middle Initial; Last Name Please enter your last name; Title Please enter your title, e. please first contact CareFirst directly at 410-872-3500 or our toll-free number at 877-269-9593 to be added to the CAQH Affordable vision coverage for eye exams, eyeglasses and contact lenses. 800-368-2312. EST. (Open seven days a week, Want to check the status of a pending claim? Or would you like to review your EOBs? With My Health Toolkit ®, you can always access secure information about your claims — Fill in your search criteria below. Please note the requirements indicated. Behavioral Health. Unverified providers may be removed from our directory. bosgraaf@bcbsri. 3% average increase in its individual market plan, affecting over 17,600 Rhode Provider Enrollment . Web Portal: bcbsri. 800-835-8699: Availity ® Register with Availity to verify eligibility and benefits, submit prior authorization requests, obtain claim status, view provider claim summaries and more. We do this to ensure personalized service for every member. Member Eligibility Benefits; Claims; Pharmacy Coverage; General Questions; Toll Free: 1-888-732-7364 . Office Manager; E-Mail Please enter a valid email address; Confirm E-Mail Confirm email must match the email address entered above; Office Phone Please enter a valid phone number Example: (555) 555-5555; Extension # Contact your producer or Capital Blue Cross account executive. – 8 p. We look forward to continuing to provide our members with the strong medical coverage and healthcare assistance they expect and deserve. PLEASE NOTE: Points reset at the start of every quarter! Welcome Blue Cross & Blue Shield of Rhode Island members. Service Number; Arkansas Blue Cross Doctor and Hospital Service: 501-378-2307 or 800-827-4814 (Arkansas policies only) BlueCard® Service: 800-810-BLUE (2583): The BlueLine: 800-676-BLUE (2583) (benefits for all out-of-state policies) Explore health plan coverage, find providers, and manage your account with the Blue Cross and Blue Shield of Rhode Island. Preventive care coverage varies by plan and by demographic considerations such as age. We offer two ways to find patient eligibility information — by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. Medical Technology Assessment Non-Covered Services List (400) Take your health insurance wherever you go. Your activity level (2/3/4) will determine your quarterly incentive. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Find network providers for any of our plans. org Phone number: (401) ***-**** See more information about Christina Sullivan. You You can log into your account through the secure My Health Toolkit website, or download the mobile app, to: View and share your digital ID card. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available. • EDI enrollment processing timeframe is approximately 5 business days. If you can’t find the information you need, you’ll get a Fast Path phone number that moves you to the top of the calls received list. Ways to get help. Claims Mailing Address. No Parent Group Ids Configured: Contact BCBSRI Membership However, you may still obtain a copy by logging into your myBlueCross account, or request a copy by calling the customer service phone number on the back of your ID card. Update your contact information. To obtain benefits, eligibility, or adjust a claim. 800-242-0514 Hours of Availability: 8 a. Professional providers use CAQH Provider Data Portal (formerly Proview) CAQH is a national, not-for-profit alliance of health plans, networks and trade associations created to promote health care quality and administrative simplification. 8 million unique, in-network providers. You can get the app through the App Store or Google Play. Medicare Advantage and Community Plan 800-600-9007. How to apply for credentialing for professional providers participating in the CareFirst BlueCross BlueShield network. Use our library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Eligibility, Benefits, Provider Network Referral, Claim Status: STAR, CHIP: 1-877-560-8055 STAR Kids: 1-877-784-6802 8:00 a. Representatives are available Monday through Friday, from 8 a. information to BCBSRI: • Attach a copy of your detailed receipt with the amount you were charged • Your provider’s name, address, and telephone number (Verify that they appear on the receipt. The maximum yearly incentive is $400. Get immediate member information by phone or fax. Schedule an appointment; Get help in your community; Find an event; How do I apply? Compare plans & get a quick quote; How to enroll; Enroll or renew now; Find enrollment help; Learn. Blue Cross and Blue Shield of Montana PO Box 660255 Dallas, TX What can you do in the RI Medicaid Health Care Portal. CST, M–F. The resources on this page are specific to your state. com, you will need to register on mybcbsri. BCBSRI is seeking a 14% premium rate hike. local time, who will schedule your hearing test with no out-of-pocket cost with a local hearing provider. Healthy You! Provider Information » E-Solutions & Online Tools » Provider Information » Articles & Updates » Good Health Club for Kids » Case Management » No Surprise Billing Information for Non-Network Providers » Transplant Travel and Lodging Reimbursement Policy » Please contact us by calling 1-833-972-2774 We apologize for any inconvenience. If you have questions that can’t be answered through online options, call 217-862-5410, provide the following information, and we will respond to your inquiry within 24 hours: Find contacts you need at BCBSTX. Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903. Register or reset your password for easy management. Refer to your benefit plan to determine whether these requirements apply to you. HEDIS Quality. Commercial customer service. 643. 3 Standard mobile phone carrier and data usage charges apply Different than home health, in-home medical care brings preventive and urgent services to you through a team of providers, pharmacists, dietitians, social workers, and others. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference Payment to the provider will be based on your plan’s reimbursement allowance, less any applicable coinsurance and/or Out-of-Network Coverage . Our provider self-service tool helps you get the most out of partnering with us. org. Visit Website. 1/21 BCD-500587 Service Plan Pays Description Basic Dental Oral Surgery* 100% By submitting this form, I understand that I will be contacted by Blue Cross & Blue Shield of Rhode Island about Medicare Advantage products available for my needs. Customer Service; Provider Relations; Find a Provider; Provider Admin Policies; ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Join Blue 365. Details drug coverage for Blue Cross & Blue Shield of Rhode Island BlueRI for Duals (HMO D-SNP) in Rhode Island. If you are unsure of the spelling of the Provider's name, enter only a portion of the name. The HouseCall by Blue program is managed by Landmark Health (Landmark) and its affiliated medical group. We love to hear how Blue Cross Blue Shield members are using Blue365. Using the links on the left, you can view the details of member, employer, and provider web accounts. com Phone: 888-233-8158 Fax: 800-540-2406 • Phone Number (If Applicable) Ordering Physician Information • First and Last Name • Practice Address • Individual National Provider Identification • Provider Contact your local Blue Cross and Blue Shield company Find My Plan. Find Blue Cross Blue Shield Doctors in Providence, Rhode Island & make an appointment online instantly! Zocdoc helps you find Doctors in Providence and other locations with verified patient reviews and appointment availability that accept Blue Cross Blue Shield and other insurances. Visit Anthem. Christina Sullivan contact details: Email address: c***@bcbsri. Care management. View information on enrolling in our networks, updating your demographics and more. Mailing address: PO Box 91102 Seattle, WA 98111-9202. Find doctors and hospitals. See back cover for phone numbers and addresses. Call customer service and web support at 800-809-9361 between 8 a. 208-286-3656 866-482-2250. email. Blue Cross and Blue Shield of Oklahoma 1400 S. Provider Application; Contact Us; Provider Links. If you're a non participating provider learn about joining our network. Explore Plans We're here to offer you the best plan possible for your family, Select BCBS Provider. Contact the Medicare Sales team at 1-800 Physical Address (overnight/over sized packages): Blue Benefit Administrators of Massachusetts; 101 Huntington Avenue, Suite 1300; Boston, MA 02199-7611 Blue Cross & Blue Shield of Rhode Island Insurance Providence, Rhode Island 16,447 followers A nonprofit health insurer helping all Rhode Islanders live their healthiest lives. For Commercial Claims: Status of a provider enrolling in our system When to use a change form instead of an enrollment form Call 1-800-924-7141 or email Contracts_Reqs_GM@bcbst. Use your Healthy Blue OTC benefits card to access hundreds of approved brand name and generic health and wellness items. The Cost Calculator estimates cost for a variety of medical services, including MRIs, lab tests, and surgeries. If not, please ask your clearinghouse to contact Blue Cross of Idaho to troubleshoot if necessary. Providers and facilities Call the dedicated pharmacy program phone number listed on your member ID card. CHC Homepage Content Blue Advantage members, if you are seeking information about the breach impacting Change Healthcare Inc. S. Phone: (800) 468-9935 Get the answers you need on demand, online, 24/7. Once logged in, look under Claims & Authorizations and select File a Claim to get started. Preventive services are included in this tool. Save on employee vision benefits, and individual and family vision insurance plans. Get To see a provider who is outside our provider network (without special authorization from BCCHP) To see a provider that is more than 65 miles away (without special authorization from BCCHP) Non-Emergency Ambulance Services. gov or 1-800 Credentialing is the process by which BCBSIL reviews and validates the professional qualifications of physicians and certain other providers who apply for participation in the BCBSIL HMO, PPO, Blue Choice PPO SM, Blue Cross Medicare Advantage (PPO) SM and Blue Cross Medicare Advantage (HMO) SM, ensuring they meet our professional This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. O. Federal employees, retirees and their families are insured by the Federal Employees Program (FEP). For Blue Shield Promise providers. October 1 through March 31, 8:00 a. For your ease, we have a new phone line. Blueprint Portal allows you to manage claims and coverage information, access or request ID cards, find care and cost information and much more. Intent. Provide LRS with the Louisiana Blue toll-free number (1-800-495-2583) to direct your call to the correct department. Explore Plans. ( Note : See Medicaid page for BCCHP and MMAI Provider Finder links. Schedule your no-cost hearing test today by calling 866-304-2138 (TTY:711)! 1. ; Saturday, 8:00 a. This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing Broker Admin Home. To reach us by phone, please call the customer service number on the back of the member's ID card. The app is available at no cost. Prior authorization search tool. 🏥🚗💙 Whether you’re without a car or worried about driving in the rain, recovering from surgery or struggling with night Find a Provider; Does my plan cover my medications? Welcome to 2023 coverage materials; Resources; Get Help. Contact NH support number 1-800-928-1558>, if immediate assistance is required. Effective 3/5/2024, Blue Cross/Blue Shield of Rhode Island (BCBSRI) prior authorizationrequests for spine surgery procedures will be initiated through eviCore healthcare (CareCorenationalportal) for dates of service 3/5/2024 and • Providers and/or staff can also contact our office by phone and state that the prior authorizationrequest is To find one near you or schedule an appointment with a provider, call 1-844-266-3955 . Phone number (401) 459-1000. g. to 5:00 p. - 8:00 p. WebPortal: bcbsri. INFORMATION ANYWHERE, ANYTIME Your Blue Touch RI mobile app at various providers or hospitals on bcbsri. If you receive care outside of the BCBSND doctor network and need to file your own claim, Self Service available 24/7 through this phone number. If you need hearing aids, your provider will Latest Free Temporary Phone Numbers. Central New York Region. Phone/E-mail/URL; Provider Service Unit. This offer is only available on the Blue365 website. Stop Contact information: For more information about using your OTC benefits or to make a purchase, please contact Capital Blue Cross directly. Boston Tulsa, OK 74119-3613 (918) 560-3500. Choose your state below so that we can provide you with the most relevant information. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Need help getting started? If you have any questions, please call us at 800-928-1558 (TTY: 711). BCBSRI. Alaura Daniels (585) 327-3579 Web Portal: bcbsri. You can also contact your Provider Services representative. Joanna Connolly works as a Provider Relations Representative at Bcbsri, which is a Colleges & Universities company with an estimated 750 employees. First Transit is a prior approval Non-network Provider Services If you receive covered healthcare services from a non-network provider, you will be responsible for the provider’s charge. Email Provider Enrollment to submit your application and follow up on enrollment status. Get insurance delivered through your local BCBS agency. Contact@excellus. ADDITIONAL INFORMATION: Administrative Updates/Secure Forms for Providers (Examples: EFT, change of address or demographics, add or term providers, etc. com Phone: BCBSRI Provider Relations: 800-230-9050 for out of state and 401-274-4848 for in state Fax: 800-540-1319 • Phone Number (If Applicable) Ordering Physician Information • First and Last Name • Practice Address • Individual National Provider Identification Joanna Connolly works as a Provider Relations Representative at Bcbsri, which is a Colleges & Universities company with an estimated 750 employees. (CST) Provider Customer Service Numbers. The more fields you fill in, the better the search results. Box 2266 Cheyenne, WY 82003; Fax 307-634-5742; For more contact information, go to the Provider Manual. com Dental Direct Plus Blue Cross & Blue Shield of Rhode Island (BCBSRI) has been providing superior Contact Us. Log into My Health Toolkit ® and select the envelope icon at the top of the page to access the message center. 5,661 likes · 344 talking about this · 13 were here. m. (CHC) please see the link below: Find the information you need to contact Aetna, including phone numbers, address, social networks, as well as customized options for members, employers, health care providers, and insurance agents and brokers. C. Find a particular provider, specialist, hospital, or specialty facility If you have not received a response after two business days from when your completed form was submitted, please contact the physician who requested your prior authorization. All appointment times are guaranteed by our Blue Cross & Blue Shield of Rhode Island. Phone: (401) 459-5821 . Please note: If you purchased your plan on the Marketplace and need to update your information, please contact HealthCare. Your Provider Relations representative is your liaison with our health plan, bringing your needs, suggestions and concerns to the attention of our medical directors, policy makers and communications staff. 1-806-371-3000 1-800-403-4650 Excellus BCBS participating providers may register for an online account. Provider Inquiry is for registered, nonregistered and out-of-state providers. Dental. Forgot Password Please enter your Provider Code and Username below: Provider Code* The Sound Choice for Providers Our program is built upon the expertise and commitment of audiologists and hearing specialists across the country. If you cannot complete your eligibility/benefits inquiry online, please contact us at 800-842-5975. Contact Us. Primary claims, including claims using a legacy provider ID (TIN+suffix), behavioral health claims and claims requiring a medical record, can be submitted through Availity Essentials™. 208-286-3656. After you have registered, you will receive an e-mail containing the toll-free phone number, meeting number, conference password, and a link to the web portion of the session. Use our enhanced provider directory to get procedure cost estimates. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. 800-547-3627; Facilities . I need to send mail about my membership: Blue Cross and Blue Shield of Illinois PO Box 650713 I'm a provider in a BCBSIL network and have a question:. The products and services described on the For non-routine inquiries that require analysis and/or research, contact Highmark’s Provider Services. View Colleagues . Pay your monthly premium, if you have an individual plan. A specific customer service center supports each member. 1-800-ASK-BLUE (1-800-275-2583) Credentialing Credentialing violation hotline: Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. Blue365 offers premier health and wellness discounts and is free to join. Scoops. Submit completed forms to: BCBSTX Behavioral Health Unit Medicare Numbers for your provider when contacting Network Management. If you are enrolled in a health plan, please Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Sometimes it’s easier to talk with someone face-to-face. Bcbsri has 750 employees. ) Let's find the right person to answer your question. We value you as a member and look forward to working with you to provide quality services. Hearing Impaired 1-800-846-5277 TTY Callers (TTY) Contact Louisiana Relay Service (LRS) for assistance. Some members have coverage for the dental services listed below under their medical benefits. HealthSource RI’s Our automated response system is for registered, nonregistered and out-of-state providers. You can stop by any Your Blue Store SM location or register for a local Medicare workshop. The review takes on average 8–10 calendar days. bcbsri. and 6 p. • View your BCBSRI medical, dental, and pharmacy benefits • Check your copays if you have them • View claims Phone number +14019545720. Find a Doctor Search for doctors and providers, plus read and write reviews, on bcbsri. Blue Cross and Blue Shield companies' contract BCBS Federal Phone Number April 25, 2020 Channagangaiah BCBS Provider Phone Number Workers Compensation is available during normal business hours. Medical Medicare customer service. Read our disclosure statement, , contact your local Blue Company. Through this secure and easy to use internet portal: Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. 837 Claim Transactions Find a Medicaid Provider. 500 Exchange Street • Providence, RI 02903-2699 If you have multiple chronic conditions and are enrolled in a Medicare Advantage plan with Blue Cross & Blue Shield of Rhode Island, you may be eligible for HouseCall by Blue. Amarillo. Review and update your application. Visit MyFlexBenefitCard. BCBSRI | Health Solutions | CVS OTCHS | Nations OTC Login | Register | Enrollment Support and resources for: BCBS of Rhode Island Medicare Members Services: 1-844-859-6152 | TTY/TDD 711 / 401-459-2200 (TTY: 711) OTCHS Website or Online Account Customer Service Phone Number: 1-888-628-2770 Find a doctor or other health care provider who accepts your plan. Producers. Team@excellus. You’ll be able to speak with an experienced mental health and substance use care manager who will help you find the care For Blue Shield providers. If your plan includes the medication adherence program, you may get letters or phone calls if we note that you NationsHearing | Blue Cross Blue Shield of Rhode Island. To download it What can you do in the RI Medicaid Health Care Portal. If you have a Health Savings Account Blue Cross & Blue Shield of Rhode Island does not recommend or endorse specific tests, procedures, advice, or other information provided on this site. EDI BlueCard Claims the PCP shown on your Blue Cross & Blue Shield of Rhode Island (BCBSRI) member ID card to make sure they are listed correctly. Office hours available Monday - Friday, 7 a. Provider/Customer Service. to noon. com Online: healthsourceri. Please ensure all sections of the application are complete and accurate. This website does not display all Qualified Health Plans available through Get Covered NJ. (BCBSRI) eligible Medicare Advantage members. 630. My Provider Enrollment Portal Electronic Funds Transfer and Remittances Provider Enrollment FAQs Call us at 1-800-822-2761. Federal Employee Program. com today! Provider and Member Services. We're here to help answer your questions. UnitedHealthcare Oxford Health Plan 800-666-1353 Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) State and School Employees' Health Plan For provider information on members of the State and School Employees' Health Plan please use the following numbers: Benefits, Eligibility and Claims Status 1-800-709-0973 Pre-Certification (through Kepro) 1-888-801-1910 Provider Administration 601-664-4618 To do this, you may contact the Dental Provider Services at 1-800-882-1178. ) • Mail your receipt and a copy of this form to the following address: Blue Cross & Blue Shield of Rhode Island Claims Department 500 Exchange Street %PDF-1. products in your area. Customer service. Narrow Providers The purpose is to generate substantial savings by limiting employee access to select in-network providers who've shown to deliver care at lower costs. Recent News About Christina Sullivan . ) FOR FEP QUESTIONS: Please contact FEP Customer Service using the inquiry form or by calling 402-390-1879 or 800-223-5584. - 5 p. PLEASE NOTE: this provider search does not guarantee that the Medicaid provider is currently accepting new patients. Contact Us; English; Español; Health is a big deal to our members. Affordable vision coverage for eye exams, eyeglasses TRS-ActiveCare Primary TRS-ActiveCare Primary+ TRS-ActiveCare HD TRS-ActiveCare 2 TRS-Care Standard Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. . 1-800-676-BLUE (2583) (toll free) Blueline voice response unit. Select Blue Cross & Blue Shield of Rhode Island as your sponsor; Register for your account (Optional) Connect your Fitbit or other wearable device to track and sync steps with the app If you have other questions, please contact the BCBSRI State of Rhode Island Employee CARE Center at 401-429-2104 and 866-987-3705. Navigation. Broker of Record/Disaffiliations; Commissions & VUE/Vertafore Broker Portal; Broker Portal . the leading integrated Cloud Communications Service Provider, today announced Blue Cross & Blue Shield of Rhode Island (BCBSRI) has successfully deployed the company’s cloud-based contact center Provider Inquiry. See www. 7901 Wallace Boulevard Amarillo, TX 79124. ET, Monday through Friday. 7 %âãÏÓ 5617 0 obj > endobj 5630 0 obj >/Filter/FlateDecode/ID[3D2FA34DCF9F924CB4A794A02097D510>]/Index[5617 24]/Info 5616 0 R/Length 71/Prev 1864890/Root The more you know about using your insurance plan, the more empowered you’ll be to take charge of your health care. Medicaid customer service. Urgent request will be reviewed within 72 hours upon Some providers are experiencing weekly delays in receiving their 835 file(s). Prior authorizations can be requested using the phone 1-888-233-8158 beginning on September 23, 2019 for dates of service October 1, 2019 and beyond. ET, seven days a week. — 4:30 p. Just search for My Health Toolkit. 866-588-6174. If you are a Member calling about one of your supplemental benefits, please call the Toll-Free Number provided to you by your health plan related to that benefit, or you can access your account online. Find a doctor or other health care provider who accepts your plan. Medical; Dental; Behavioral Health; Resources; About. One of CAQH’s initiatives led to the 2002 launch of a centralized repository for practitioners Provider Education You can request education or ask your territory representative questions. Please contact Medicare. Email address: c***@bcbsri. As with all our preapproval requirements, the prior authorization form must be completed in full Select "Blue Cross & Blue Shield of Rhode Island" as your sponsor. If you are looking to file a health or dental claim, you can do so by logging into My Health Toolkit. 2019-2021. Easily find the right in-network providers and care options. com with your State of RI BCBSRI ID number. Provider Assistance Team For help with eligibility, benefits, prior authorization, network provider? Yes. com January 2019 New Professional Provider Network Relations Phone Number . Join Our Network. To find nearby doctors and hospitals, access the Find a Doctor or Hospital tool or call BlueCard Access at 1-800-810-BLUE. 208-395-8200 Provider Contact Center. Here to help our friends and neighbors live their healthiest lives. For Benefits & Eligibility questions, check Availity first. This plan uses a provider network. If you are new to Capital Blue Cross, browse our group health plans to get started. BCCHP members should request non-emergency ambulance services through First Transit. Address. Your path to better hearing starts here. Fill in your search criteria below. Provider payment integrity (PPI) Humana clinical pharmacy review. With the My Health Toolkit mobile app, your benefits information goes with you wherever you go. Use your Member Benefit to order health and wellness products; Shop hundreds of brand names and generic health and wellness products; Receive your delivery in 2 business days I'm a provider in the BCBSMT network and have a question: General provider relations: 1-406-437-6100 Email: hcsx6100@bcbsmt. Contact Information For providers Important telephone numbers : Requests for authorization services should be entered through PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal. To use the fax-back option, choose it from the Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . By comparing costs, you’ll have Contact Us. Bcbsri. Physicians and professionals: 1-800-344-8525; Hospitals or facilities: 1-800-249-5103 Risk. When you see a provider in the BCBSRI network, the checkup is covered at no additional cost to you. Use one of our online directories (performs on mobile devices, tablets and desktop computers) to search for a participating hospital, doctor or other health care provider. Martin's Point Health Care Attn: Provider Inquiry PO Box 9746 Portland, ME 04104-5040: Referral Team—Health Management. Why state officials say it should be rejected The insurer requested a 14. for BlueCard members. EST BCBS Provider Phone Number April 23, 2020 Channagangaiah CMS 1500 blocks instructions in Medical Billing BCBS Federal Phone Number Contact the Medicare Sales team at 1-800-505-2583 (TTY: 711). com is powered by Alegeus Technologies on behalf of Blue Cross & Blue Shield of Rhode Island and Alegeus is not affiliated with Blue Cross & Blue Shield of Rhode Island. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. gov account. Funds can be applied toward eligible items at participating retail locations. Contact HealthSource RI: Mon-Sat 8am - 9pm and Sunday 12pm - 6pm Call: 1-855-840-HSRI (4774) Visit: 70 Royal Little Drive, Providence RI 02904 Email: info@healthsourceri. Read Stories. Effective 3/5/2024, Blue Cross/Blue Shield of Rhode Island (BCBSRI) prior authorizationrequests for radiology and cardiology procedures will be initiated through eviCore healthcare (CareCorenationalportal) for dates of service 3/5/2024 • Phone Number (If Additional credentialing will not be required for those providers already credentialed in the Blue Choice ® Blue Essentials, Blue Premier or Blue Advantage HMO networks and whose recredentialing is current. 5 reviews and 2 photos of BLUE CROSS & BLUE SHIELD OF RHODE ISLAND "The customer service department is a bit slow, but not too bad. The deductible and maximum out-of-pocket expenses are calculated based on the lower of our allowance or the provider’s charge, unless special circumstances apply or otherwise specifically Details drug coverage for Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Value (HMO-POS) in Rhode Island. MyBenefits Member Portal. However, we understand at times you may need to contact Provider Network Relations by phone for other inquiries. Data Center BCBSRI Prior Authorization Case Initiation Methods. Scoops about Bcbsri . Kaizen Health is dedicated to developing the technology and process to improve the healthcare experience for all involved, increasing Web Portal: bcbsri. Medicare Advantage. Health plan support All Savers® Health Plan 800-291-2634. Services performed without authorization may be denied for payment, and you may Companionship services. Use My Health Toolkit ®. To join BCBSTX as a participating STAR, CHIP, or STAR Kids provider, you will need to request a Provider Record ID, sign agreements and Contact us today and let's discuss how we can help increase and retain member enrollment with an OTC benefit designed to improve the overall health of your members. to 8:00 p. Download Call 800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. com Phone: BCBSRI Provider Relations: 800-230-9050 for out of state and 401-274-4848 for in state Fax: 800-540-2406 • Phone Number (If Applicable) Ordering Physician Information • First and Last Name • Practice Address • Individual National Provider Identification That means developing a process and the technology to relieve the administrative burden from provider and financial burden from the patient so they can both focus on the healing and treatment plan. To submit claims through Availity, select click Claims & Payments With MyBlue, you get 24/7 access to smart, simple tools and resources. com or the OTC-Anywhere app. Use Payer ID 22099 if you use a vendor or clearing house. Hours: Monday through Friday, 8:00 a. Tulsa Office. Training opportunities. Blue Cross & Blue Shield of Rhode Island (BCBSRI) and our network of providers can help you feel better so you can live your best life. Print on provider letterhead and sign. Create additional brand affinity by featuring your logo on the portal, which offers: Robust search options with the ability to filter, sort and search by category, pricing, wallet, and more; Product recommendations based on individual needs; Expandable product detail pages complete with 360-degree images; Benefit tracking to As a provider, take advantage of our round-the-clock online resources and secure portal. Driving Directions: From points north and south: Follow 95 to exit 22A Customer Service. , Monday through Friday, Pacific Time. com provider portal to request prior authorizations beginning 500 Exchange Street Providence RI 02903-2699. Clinical intake team & behavioral health professionals. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. • To check status of EDI enrollment, please contact BCBS at 855-721-4211 or hipaa. Support email. Blue Shield of California Pharmacy Services P. So call your primary care provider today! 2. All claims should be submitted electronically. Shop plans for Medicare, Medical, Dental, Vision & Employers. This Week’s Featured Offers . You will pay less if you use a provider in the plan’s network. Important: If the applicant does not meet the "provisional network participation" requirements, the applicant must be fully credentialed and approved prior to being made effective. I have another open case where I was charged nearly $2000 for an out of network anesthesiologist my provider (who was in-network) used unbeknownst to me. Effective 3/1/2024, Blue Cross/Blue Shield of Rhode Island (BCBSRI) prior authorization requests for radiology and cardiology procedures will be initiated •Providers and/or staff can also contact our office by phone and state that the prior authorization request is Urgent. and select Anthem from the payer Proper use of prescription drugs is called medication adherence. Contact Us How may we assist you today? For general inquiries and website assistance, please call Blue Cross Blue Shield FEP Dental Customer Service at 1-855-504-BLUE (2583), 8 a. One of the fastest ways to work with us is online using electronic options listed on the Provider Tools page. to 8 p. Next, select Ask Plan Name Phone Number; Aetna Commercial Individual & Family Plan (Member ID starts with W) 888-632-3862: Aetna Select Choice: 888-632-3862: Managed Choice POS If you need assistance, please review the New Provider Quick Reference Guide or call the CAQH Provider help line at 1-888-599-1771. Comments or Questions for Us? If you have comments or questions, we want to help you. Reach out to your Preferred Producer partner or your Capital Blue Cross producer support specialist. (401) 459-1000. Call your Blue ® Plan for pre-certification or prior For dates of service on or after October 1, 2019 providers must access EviCore by accessing the bcbsri. place. availity. We want to make it easy for you. Seeing members also gives nurses the ability to Explore resources that help healthcare professionals care for Anthem members. Need help with Blueprint Portal? Call 800-238-8379. Contact our Healthcare Quality Coordinator team for more information on HEDIS. Access your health plan benefits, claims, and referrals online with HealthTrio Connect. Privacy & Legal It’s helpful if you have your provider number or NPI and, if applicable, the member’s ID number, account number and claim number handy when you call. View In the pilot, primary care providers (PCPs) receive support from BCBSRI to identify and treat patients with depression, anxiety, and other mental health conditions. 2583). mywealthcareonline. Provider/Customer Service Phone: (401) 459-5000 or (800) 639-2227 Hours of Operation: Mon-Fri, 8:00 a. (Central Time). Referral Processing to Out-of-Network Provider; Toll Free: 1-877-542-2654: Martin's Point Medicare Medicaid Coordinated Plan Waiver Provider Support. gov by calling 1-800-318-2596 or by logging in to your HealthCare. support@bcbsri. 7 The Rhode Ahead Stop in. Information may be provided by phone, mail, or email by Blue Cross & Blue Shield of Rhode Island licensed, authorized representatives. For details about coverage, including any limits and exclusions, please call Blue Cross & Blue Shield of Rhode Island at 1-855-690-2583. PCP Name: PCP Id: PCP NPI: PCP Address Line 1: PCP Address Line 2: PCP Address Find a Doctor Near You. When prior authorization is required, you can contact us to make this request. Box 7168 San Francisco, CA 94120-7168. Provider. Printable format for BCBSTX Medicaid Contact List for Provider. Please retain the registration e-mail so you will have the link to the web conference and the call-in number for the session in which you will be participating. BCBSRI will Provider Network Participation 1-888-666-5188; Pre-Admission Review 1-800-251-1814; Case Management 1-800-442-2376; Blue Card® Claims Status 1-888-359-6592; Mail Blue Cross Blue Shield of Wyoming P. Fax: (888) 697-8122. ; Trading Partners can access eligibility, claim status, file exchange and other Interactive Web Services, using their Trading Partner ID as their User ID. Physicians and professionals: 1-800-344-8525; Hospitals or facilities: 1-800-249-5103; Vision and hearing providers: 1-800-482-4047; Federal Employee Program providers and facilities: 1-800-840-4505 A: Your allowance can be used for over-the-counter (OTC) related purchases. Phone: (401) 459-5000 or (800) 639-2227. Prior authorization fax numbers: Prior authorization fax (medical): 1-800-964-3627; Behavioral health inpatient precertification fax: 1-877-434-7578 We have received several complaints of an active fraud scheme in which a caller claims to be associated with “Blue Cross Blue Shield” and uses call spoofing technology to make it appear as if the call is coming from the national “Call Blue” number (888. nathaniel. Adjustment. Ronald DiPietro. Please Select Your State. com. BCBSRI nurses can visit virtually while the member is in their own home, in addition to keeping in touch through telephone calls. You can Call 866-304-2138 (TTY:711) and speak with a dedicated Member Experience Advisor, 8 a. BCBSRI Behavioral Health Line To find a provider or receive ongoing support, call the BCBSRI Behavioral Health Line at 1-800-274-2958. Are you a #BCBSRI Medicare member? Schedule private rides (at no cost!) to the places that support your health and well-being: primary care providers, specialists, senior and community centers, libraries, and Your Blue Store. Secure Online Contact Form Contact us 24 hours a day, seven days a week through our secure online inquiry form. Contact By: Call: 1-800-768-8177 HEDIS. Have $0 preventive cancer screenings. To request a hard copy of our Medicare HMO Blue or Medicare PPO Blue provider directory, please call our Member Service Department at 1-800-200-4255 (TTY: 711) from April 1 through September 30, 8:00 a. Whether you want to find a doctor for yourself or a family member, we can help you get to the right place. When you arrive at a participating doctor's office or hospital, simply present your plan ID card. Medicare Medicaid Coordinated Plan Care Coordination. Find medical, dental, and behavioral health resources at Blue Cross and Blue Shield of Rhode Island. Clinical. Federal Employees Plan (FEP) Mon, Tues, Thurs, Fri 8 a. Contact Cigna Healthcare Customer Service at 1 (800) 997-1654 or visit this page to find phone numbers for plan and coverage questions or a claims mailing address. Welcome to the Customer Service Home Page. It also requires all providers and facilities submit this information to in-network plans. edi. Membership and Claims Mailing Addresses. Wellmark health insurance plan: Call the toll-free number 800-524-9242 800-524-9242 (TTY: 888-781-4262), Monday through Friday from 7:30 a. These learning Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. It's free! All appointment times are guaranteed by our Blue Cross Blue Shield of Rhode Island Doctors & Providers. Need help getting started? If you have any questions, please call us at 800-928-1558 (TTY: 711). Phone: 1-855-661-2028. If you are enrolled in Medicaid, use EOHHS’s Provider Search to find doctors or other health care professionals who are designated as Medicaid Providers. Hospitals. Call Kids’ Link RI at 1-855-543-5465. If your ID card says “PCP Required” or if your PCP is listed incorrectly, please call the State of Rhode Island Employee CARE Center at (401) 429-2104 or 1-866-987-3705 to select or change your PCP. Phone: (800) 535-9481. Refer to the phone number on the back of your card. For dates of service on or after October 1, 2019 providers must access EviCore by accessing the bcbsri. Also bcbsri will tell you you have updated your info, lik for instance your telephone number, when it really didn't. Contact Provider Education Commercial Territory Map Healthy Blue Territory Map • Complete the letter below using the provider’s information as credentialed with this payer. Member Experience Advisors are available 24 hours per day, 7 days per week, 365 days per year. Choose a topic. Submit and check the status of When you click on the name of each provider, you’ll see how the costs would be applied against your benefits. Claims and clinical appeals address: PO Box 21762 Eagan, MN 55121. gov or 1-800 Effective 3/1/24, Blue Cross/Blue Shield of Rhode Island (BCBSRI) prior authorization requests for spine surgery services will be initiated through BCBSRI’s portal bcbsri. A number of different screening options are available, from a colonoscopy to take-home tests. Make an appointment online instantly with Doctors that accept Blue Cross Blue Shield of Rhode Island insurance. Our free temporary phone numbers are updated every month so make sure to bookmark us and check back This allows you to access self-service tools or connect to a chat advocate for support. We know (and ) Rhode Island. com provider portal to request prior authorizations beginning October 1, 2019. PENNSYLVANIA: • Western Region: Professional Providers . Outpatient Prior Authorization CPT Code List (072) Prior Authorization Quick Tips; Forms Library; Non-covered services. Use our phone numbers to receive sms online in USA, UK & 30 other countries. Ready to become a provider in the AnthemBlueCross network? We look forward to working with you to provide quality service for our members. Dental services covered under the member’s medical benefits. com for dates of service 3/1/2024 and beyond, as outlined below. We’re here in your community making Medicare a little Or download the mobile app and you’ll have your digital ID card right in your pocket any time you need it. rkj rirnk aveek zghxv mgxbvmxj kcmj tfvnsjd pcnwh dqrvtx vnnb