Uniform Medical Plan. Please contact us at the phone numbers above. National BlueCard member benefits and eligibility: Phone 1 (800) 676-2583, Monday through Friday, 7:30 a.m. to 10 p.m. (PT). Read your plan's certificate of coverage to get the most from your health care benefits. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. Uniform Medical Plan (UMP) is a self-funded health plan offered through the Washington State Health Care Authority’s Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence BlueShield and Washington State Rx Services. Once you register, you’ll be able to view: Claims history. Have us contact you: Please do not use the form on this page for specific health related questions. Contract/Credentialing/Premium Designation Inquiries: email networkhelp@uhc.com and include health care professional / facility name, contact name and phone number, NPI, TIN, and brief description of your inquiry including any reference numbers. Please have your tax ID number, provider name and address exactly as it appears on the W-9 you submitted along with your NPI and phone number. Enter employee’s information and have patient provide you with their DEEOIC Case ID number. Members: 1-888-674-8734 Non-Members: 1-888-241-4556 Providers: 1-888-732-7364 Plan documents. Alert! Individuals may call BMC HealthNet Plan’s hotline to anonymously report any privacy breaches or concerns about the use and disclosure of a member's protected health information. Pre-authorization: Use our online tool to be routed to the home plan's requirements. We’re always looking for ways to make it easier to do business with us. Section 4—Consultant/Facility Provider—Complete name, provider ID (specialist’s 8-digit CareFirst BlueChoice ID), and phone number. Learn more about your customer service options. The normal maintenance window for the Medi-Cal Provider website and systems is midnight to 2 a.m. Complete the authorization request and attach supporting clinical information for our utilization management clinicians to review, such as: 3.1. For STAR Health, Allwell from Superior HealthPlan and Ambetter from Superior HealthPlan, office hours are from 8 a.m. to 6 p.m. (Central Time), Monday through Friday. For 2021 open enrollment information visit the UMP Open Enrollment webpages: For PEBB members, UMP offers three plan options: For SEBB members, UMP offers four plan options: To get the best use of your benefits, use providers in the network you enroll in. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Beat the Tuesday, December 15, 2020 deadline to enroll in health coverage that starts January 1, 2021. Community Care Plan strives to provide quality care to you and your family. Our interactive voice response system is also available 24 hours a day, seven days a week when calling the Provider Contact Center. In B.C., public health insurance is called the Medical Services Plan (MSP). Psychiatric evaluation or intake assessment 3.2. LOCATION. 1555 RiverCenter Drive, Suite 206 Milwaukee, WI 53212. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. Group - Fully-insured and administrative services only (ASO). The hotline is available 24 hours a day, 7 days a week. Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week. This page contains benefit information for 2020. Transaction Services on the Medi-Cal Provider website may not be available for providers to perform transactions during this time. UMP is administered by Regence BlueShield and Washington State Rx Services. Medical Associates Health Plans: 563-556-8070 or 800-747-8900. Looking for the Children’s Medical Services Managed Care Plan? Oxford Health Plans > Contact Us > Oxford Phone Numbers: Phone Numbers : Member Services: ... number on your health plan ID card, or call 1-800-444-6222 to be connnected to a service associate who can assist you. Direct clinical information reviews (MCG Health) For select CPT codes, Availity's electronic authorization tool automatically routes you to MCG Health's website where you can document specific clinical criteria for your patient. Section 5—Referral Information—Complete reason for referral. Provider Services: ... 1-800-444-6222 or the telephone number on the back of your health plan ID Card. View requirements for FEP Basic Plan, Standard Plan and Blue Focus. Independent Care Health In Payer Spaces you can access our reimbursement schedules, pricing documents and more. Otherwise, you may search for a doctor or facility here or call 1-888-342-7427 . Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. To browse each plan’s network or to find a … You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Federal Employee Program. To find a provider, please follow the instructions on your ID card since your health plan may have a customized phone number or website for the plan. Host Plan phone: Monday through Friday, 6 a.m. to 5 p.m. (PT). Apply & enroll in 2021 coverage today. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Medicare Advantage: 1-844-282-3026 3. Sign in to the Availity Provider Portal 2. By Mail: Texas Children’s Health Plan PO Box 301011, WLS-8360 Houston, TX 77230-1011. This page contains benefit information for 2020. The SBC shows you how you and the plan … US Family Health Plan: 1-800-678-7347 Member Services Email:CHRISTUS.HP.MemberService.Inquiry@christushealth.org Member Services Fax: 210-766-8851 If you’re hard of hearing, you can call: 711 For medical questions, call a registered nurse any time, day o… View pre-authorization requirements for UMP members. We also have interpreters available by phone who speak 140 different languages. Medi-Cal Provider Website and Systems Maintenance Window. Explore now. Visit Forms & publications and select “UMP” in the Plan search filter for information you need to understand your coverage, including monthly premium amounts and comparisons of UMP plans. The time limit for filing claims is one year from the date of service/purchase. 1800 Ninth Avenue PO Box 91015 Seattle, WA 98111-9115 MEDICAL CLAIM FORM Use this form to submit reimbursement requests for services received from a non-network provider. We speak English or Spanish. We would be glad to respond to any questions you may have concerning Medical Associates Clinic and Health Plans. Martin’s Point Health Care US Family Health Plan Serving Maine, New Hampshire, Vermont, Upstate and Western New York, and Northern Pennsylvania. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. OWCP-04 Uniform Billing Form For Medical Services. In Canada, public health insurance is available to eligible residents. Full Phone Directory. ... Our Provider Contact Center and Provider Relations teams are here to support you. Customer Service: 1-800-777-4376 | TTY: 1-800-947-3529 24 hours-a-day, 7 days-a-week Office Hours: Monday - Friday 8:30 a.m. - 5:00 p.m. Click: Patient Registration>Authorizations & Referrals>Authorizations 3. For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). It provides detailed benefit information, describes what is covered, and explains how much you will pay for different services. Current members can switch primary care providers or order a replacement IDcard by calling: 1. Canadian citizens and permanent residents can apply for provincial health insurance. Explanation of Benefits. The Office of Children’s Medical Services Managed Care Plan (CMS Plan) has moved to its own website. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. If you have a question or concern, please contact us. It covers the cost of medically-necessary insured doctor services. If you are looking for information previously contained in the Managed Medical Assistance tab or any information related to the CMS Managed Care Plan, please visit our new website at CMSPlan.floridahealth.gov. Note: You will be prompted to enter your tax identification number (TIN). Uniform Dental Plan: THIS IS THE DELTA DENTAL PPO PLAN: Best for those who want the most freedom to choose their dentist • You pick your dentist from the largest provider … Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Update my income or address (report a change), Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. Uniform Medical Plan: 1 (888) 849-3682 . If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. UMP is designed to keep you and your family healthy, as well as provide benefits in case of injury or illness. Our Provider Contact Center is available for information that cannot be served by the Availity Portal. Welcome to the Department of Labor EEOICP Medical Provider Enrollment information page. Claims Mailing Address: UnitedHealthcare Community Plan PO Box 31365 Salt Lake City, UT 84131 Electronically (this is the preferred method) 1. This hotline is operated by an outside vendor, which uses a toll-free, non-traceable number. Denver Health Medical Plan 777 Bannock Street, MC6000 Denver, CO 80204 Services covered under Uniform Medical Plan (UMP) Achieve 1, UMP Achieve 2, UMP High Deductible, or UMP Plus UMP Customer Service (medical benefits) Phone: 1-800-628-3481 Individuals & Families: 1-844-282-3025 2. Apply now. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Willamette Dental Group of Washington, Inc. 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Please complete a separate form for each family member. Provider Contact Center: 1 (800) 253-0838. Access most member eligibility, benefits and claims information online using the Availity Portal. Mailing Address: UnitedHealthcare Community Plan 10175 Little Patuxent Parkway Columbia, MD 21044. If after completing this process, the provider believes they did not receive full due process from the managed care medical or dental plan, they may file a STAR, STAR+PLUS, STAR Health, STAR Kids or managed care dental complaint or inquiry by using the Online Question or Complaint Form or by emailing HPM_Complaints@hhsc.state.tx.us. Contact us. History and physical/nursing assessment (if available) 3.3. Provider Call Center: 877-842-3210 Member Services Number: 800-318-8821 (TTY 711), Monday-Friday, 8:00 am to 7:00 pm EST. Any other supporting documents you would like considered, such as letters from outpatient provide… UMP administered by Regence BlueShield (Medical only) (UMP Achieve 1, UMP Achieve 2, UMP High Deductible, UMP Plus) Online: Uniform Medical Plan for school employees Phone: 1-800-628-3481 TRS: 711 UMP Plus–Puget Sound High Value Network Online: UMP Plus–Puget Sound High Value Network for school employees Phone: 1-877-345-8760 UMP Plus–UW Medicine Accountable … Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or … This timeframe is used to apply system changes and updates. For 2021 open enrollment information visit the UMP Open Enrollment webpages: Uniform Medical Plan (UMP) is a self-funded health plan offered through the Washington State Health Care Authority’s Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program. Use Our Online Tools Instead. Due to COVID-19, HCA’s lobby is closed. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Demographic Changes: 1-877-842-3210 Fax Number: 1-205-437-8530 If you haven't created an account, click Register at the top right of this page and follow the prompts. Use the electronic authorization tool to determine whether pre-authorization is required and submit requests online. Section 6—Services Desired—Complete number of … You will be prompted to enter your tax identification number (TIN). 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