Beacon Health Options manages outpatient care via outlier management review. IHA - New York Beacon Health Options. We understand that it's important to actually be able to speak to someone about your billing. Beacon Health Options P.O. 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. Box 211241 Eagan, MN 55121 Medical appeals Please locate your state and contact your regional Provider Relations office listed below: ValueOptions Corporate Network Operations Center 1701 Will-O-Wisp Drive Virginia Beach , VA 23454 (800) 397-1630. 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. At Beacon, were driven by a mission to transform lives. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. Claim Tips for Paper Submissions. The Latham, N.Y. address is no longer valid for claims submissions. These include routine vision care and eyewear (EyeMed); behavioral health (Beacon Health Options); chiropractic, occupational and physical therapy (Palladian); and dental (DentaQuest). Please note that utilization management functions for behavioral health services for these members, including prior approval, will continue to be performed by Montefiore. Copyright 2022 Beacon Health Options. Provider Information Beacon Health Options of Pennsylvania. Beacon Health Options / Value Options . Palladian Muscular Skeletal Health PO Box 366 Lancaster, NY 14086. . Hicksville, NY 11802 On or after January 1, 2009 and before January 1, 2014: OptumHealth Behavioral Solutions . Labs Total Healthcare requires that labs be processed through Quest or any of the outpatient departments for facilities outlined in the spreadsheet below. Claims Submission/ Address. We strongly recommend billing electronically, either via EDI or our web-based direct claim submission. You'll always be able to get in touch. Fax +1 501 707-0940. 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. Article ID: 374, Created On: 10/27/2017, Modified: 11/1/2017. (Beacon is responsible for inpatient stays which began prior to 2022.) If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. New Beacon Health Options P.O. Submit claims to Beacon. ET Monday through Friday. The Emblem Behavioral Health Services Program Customer Service phone number (1-888-447-2526) will not change on the cards, but the name of the program and claims address will be updated on reissued ID cards. Effective January 1, 2012 Beacon Health Options will administer the Emblem Behavioral Health Services Program. 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. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Electronic Payment Solutions and Remittance Advice All rights reserved. (4 days ago) Hicksville, NY 11802-1850. Putting people at the center, we built a strong network of doctors, nurses, advocates, and mentors filling members' health needs. Help users access the login page while offering essential notes during the login process. Get Free Beacon Health Options Address Claims information about human disease and pathology, including diagnostics and treatments . To see a copy of the members benefits, you may use the secure provider Web site at www.emblemhealth.com. . Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. 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. You can call, text, or email us about any claim, anytime, and hear back that day. Primary Insurance Explanation of Benefits (EOB) Please mail all correspondence regarding claims questions to: Beacon Health Options Pennsylvania Claims P.O. For services rendered on or after January 1, 2022, send all claims to. Box 1853 Hicksville, NY 11802-1853 This address is to be used for all paper claims submissions (new or corrected . The transition to Beacon Health Options does not apply to members who: If I treat a HIP member who has a Montefiore logo on their ID card, will they have coverage as part of Emblem Behavioral Health Services Program administered by Beacon Health Options? Starting early next year, members of GHI HMO plans and of plans underwritten by HIP Health Plan of New York (HIP) and HIP Insurance Company of New York (HIPIC), as well as ASO members managed by Vytra Health Management Systems (VHMS) will have their behavioral health services administered by Beacon Health Options. Behavioral Health Clinical Practice Guidelines Go to Behavioral Health Clinical Practice Guidelines Behavorial Health and Substance Use Kompass Business Directory - Beacon Health Options. For support with Electronic claim submission, please reach out to our EDI Helpdesk 1-888-247-9311 from 8 a.m.- 6 p.m. Please contact Magellan directly at 1-800-788-4005 to discuss your contract with them. With whom do I discuss the fee schedule? If you received this package, it is because you were not participating or not participating in all of Beacon Health Options lines of business in the State of New York. Our current Inpatient/Alternative Levels of Care fee schedule is more favorable than Beacon Health Options. If the members plan does not have out of network benefits, non-participating provider claims may be denied. ET, Monday through Friday. Enclosed with that correspondence was the CHCS IPA (HMO) Agreement. Submit a dispute by mail or fax. Beacon Health Options 200 State Street Boston, MA 02109 Tel: 888-204-5581 Fax: 781-994-7600. Posted on August 29, 2022. Home; Providers Home; Provider Alerts; Provider Manual; Provider Forms; Provider Information; Provider Training; Ordering, Referring and Prescribing (ORP) Medical Necessity Criteria; Currently Open Network Services; Below is important information and links to resources to help behavioral health professionals manage their daytoday relationship with us. Join Our Mailing List. If you utilize the services of a third party vendor, please ask them if they are registered. 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. 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. *For Mental Health & Substance Abuse, please see Beacon Health Options. 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. I am currently seeing GHI PPO members. No, authorization of services is not a guarantee of payment. Our phone lines are open 24 hours a day, 7 days a week and 365 days a year. 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. Our providers are vital to the services we offer our 40 million members so they can live their lives to the fullest potential. Will members receive new ID cards or ID numbers? 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. Can you explain these mailings and what I have to do? Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. What online services does Beacon Health Options offer? [PDF] December 8, 2017 Web Announcement 1480 - Nevada Medicaid; 6.Nevada Medicaid Contact List discover Beacon Health New York. Box 1850 Hicksville, NY 11802-1850 Services rendered to members enrolled in Miami Children's with a date of service before May 1, 2021: Correspondence type P.O. Hicksville, NY 11802-1850 Attn: Metro Plus Claims Yes IHA e-Services Yes No BEACON963116116 Beacon Health Options PO Box 1850 Hicksville, NY 11802-1850 Attn: IHA Claims Yes Emblem Health Provider-Connect Yes (for CMS 1500 only) Yes FHC &Affiliates Beacon Health Options PO Box 1850 Hicksville, NY 11802-1850 Attn: Emblem Claims Yes Beacon Health Options (BHO): PO Box 1850. Home; Who We Are; Members; Providers; Solutions; Contact; Helpful Links. Copyright 2022 Beacon Health Options. All Rights Reserved. . Tel: 888-204-5581 You can create your account here: https://www.beaconhealthoptions.com/providers/beacon/providerconnect/, For questions about setting up EDI claims with Beacon, you can reach them via email: e-supportservices@beaconhealthoptions.com, Or you can call Provider Connect by Beacon Health Options at: (888) 247-9311, Want to become in-network with Beacon Health Options? These notifications state that, in this affiliation, Beacon Health Options would administer the Emblem Behavioral Health Services Program. white plains ny 10604 2125395111 1030582505 ambetter po box 5010 farmington mo 63640 5010 8776871187 0001198700 ameriben solutions po box 7186 boise id 83707 8007867930 . Beacon Health Options accepts HIPAA compliant 837P and 837I formatted files directly from providers, and from some clearing houses. Behavioral health paper claims Beacon Health Options* Claims Department P.O. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! 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. Beacon Health Options (formerly ValueOptions) Members, Beacon Wellbeing: Employee Assistance Program, Beacon Wellbeing: Student Assistance Program. Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. How do I join? 2012/06/06. Beacon Health Options Pennsylvania Claims P.O. Category: Health Show Health . In general, the inpatient reimbursement schedules are non-negotiable. Boston, MA 02109 Medical/Surgical administered by UnitedHealthcare Health Improve. I cannot capture in words the value to me of TheraThink. PaySpan Health is the software that Payformance uses for online registration for EFT. Outpatient professional services must be billed on a CMS-1500 form. Tel: 888-204-5581 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. Once the transition date is effective, EmblemHealth will no longer be contracting directly with behavioral health providers. In 2015, Beacon Health Strategies and Value Options merged to form one insurance company: Beacon Health Options. IMPORTANT information on behavioral health claims processing for Core Medicaid As a reminder, there are certain behavioral health services that should be directly billed to the state for payment through the Medicaid feeforservice program. To correctly bill your clients insurance, call up the phone number on the back of the clients insurance card and verify their eligibility and benefits. 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 This short article will help you understand the relationship between Beacon Health Options, Beacon Health Strategies, and Value Options; it will teach you which company to call and when, including phone numbers, as well as help you pick the appropriate payer ID for your claims. Part D Drug Claims CareFirst BlueCross BlueShield Medicare Advantage c/o CVS Caremark P.O. Claims Resources. Would Beacon Health Options accept the materials I have just submitted to EmblemHealth rather that my completing a new application? Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. 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. 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. Title. What is the unique registration code number that PaySpan Health requests and how do I obtain it? What are the fee schedules for the Emblem Behavioral Health Services Program administered by Beacon Health Options? What is the transition benefit plan for members whose providers are not credentialed/contracted with Beacon Health Options and/or CHCS IPA (HMO) network prior to the transition date? You can learn more about that process and begin your application at: (800) 397-1630. Follow the instructions on How to Become a Provider Claims - General Information If you have questions about claims in general, call (800) 888-3944. All requests for 2022 services should go to Affinity. Beacon Health Options has online services to provide added convenience for our members and providers. (Source). We deliver a proven range of expert benefit solutions that are easy to administer and service, so you can focus on growing your business confidently. P.O. From clinical innovations to personal stories, our expert-driven blog Beacon Lens brings todays behavioral health issues to the forefront. Help users access the login page while offering essential notes during the login process. Box 1850 Hicksville, NY 11802 General Guidelines Complete the forms with the following tips in mind: Type or print all information. National Provider Line: 1-800-397-1630. As an individual practitioner billing outpatient services, do I need to include the provider number on my claims? Please note: Beacon Health Options does not reimburse for provider expenses associated with electronic claims submission. 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 (formerly ValueOptions, Inc.) P.O. Health (3 days ago) Reports of fraud and abuse, or suspicions thereof, can be made in writing to: Mailing Address: Beacon Health Options. 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. Radiation Therapy Program Update: October 2022. Beacon Health Options: VALOP. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. As a result of the contract award, we sent invitation packets to EmblemHealths providers to expand our network. Beacon Health Options / Value Options / Beacon Health Stategies Claims Address PO Box 1850 Hicksville, NY 11802-1850 Contact Information Beacon Health Options. We are here to help you understand and address their health care needs. Contact Information. Effective immediately, there is a new mailing address for claims submissions to Beacon Health Options. It is imperative that, in the event of emergent care, the provider contact Beacon Health Options as soon as possible, but no later than 24 hours after the emergent contact/session/admission. For members seeing Beacon Health Options providers, nothing is required. Effective March 1, 2022, Availity Essentials is the preferred portal for verifying eligibility and benefits, claim status and other secure transactions for Beacon Health Options. 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. New York Beacon Health Options. Lastly, EmblemHealth has sent correspondence to all its participating providers amending their contracts to meet current New York State regulatory and compliance standards. Mailing Address: Claims and Claims Appeals Beacon Health Options. This manual applies to all EmblemHealth plans and is an extension of your Provider Agreement. 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. Thank you. Regional Accountable Entity (RAE) Provider Contact Information. Beacon Health Options / Value Options / Beacon Health Stategies Payer IDs. EIBilling . Make sure you ask which payer ID they use and which claims address to file to. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. EmblemHealth will be sending the behavioral health providers in their HIP and GHI HMO networks additional information that will include the effective date of the transition. Kingston, NY 12402-5190 . 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. Providertoolkit.beaconhealthoptions.com.Site is running on IP address 52.6.77.64, host name ec2-52-6-77-64.compute-1.amazonaws.com (Ashburn United States) ping response time 6ms Excellent ping.Current Global rank is 131,939, site estimated value 16,572$. Beacon Health Options ET, Monday through Friday. The expanded relationship with Beacon Health Options will not impact this program. (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. Box 1853 Hicksville, NY 11802-1853 This address is to be used for all paper claims submissions (new or corrected claims). Report Fraud, Waste and Abuse For providers currently contracted with Beacon Health Options GHI BMP, the claims process does not change and will continue to be processed by EmblemHealth/GHI. How does the transition affect my contract with HIP? My current Outpatient fee schedule is more favorable than Beacon Health Options. 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. Use our script to do it, or hire our mental health billing service to handle all of this annoyance for you! Box address Paper claims Miami Children's Health Plan P.O. It includes detailed information about your administrative responsibilities, and contractual and regulatory obligations. Where do I submit my claims prior to the effective date of the transition? and claims status please visit Beacon Health Options. This act states that there are not more limits on your behavioral health benefits than your physical health benefits. 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. For any other electronic claims submission questions, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. Prior approval is always required for the following non-routine outpatient services: When will Beacon Health Options become responsible for claims adjudication? Attn: Health First Colorado Claims. Health (3 days ago) The preferred method to updated your provider profile is to select the "Update Demographic Information" option in ProviderConnect. Providence Customer Service: Authorizations, Member Benefits, Eligibility . Contact Information Beacon Health Options. Do I have to be credentialed by Beacon Health Options? With whom do I discuss the fee schedule? PO Box 915 Owings Mills, MD 21117. How soon will I receive a claims payment? Can I submit my claims electronically to Beacon Health Options? Last updated on 2022/07/20 What do I have to do? As a reminder, please ensure that you have completed your required Cultural Competency training. There is no change to your participation status with GHI PPO members due to this business expansion. Outpatient Services: Beacon Health Options is responsible for adjudicating claims for dates of service on or after the start date of the program. Boston, MA 02109 Entries should be in black ink. Box 52066 Phoenix, AZ 85072-2066. FHC & Affiliates Vendor: Vendor: EmblemHealth PO Box 1850 Hicksville, NY 11802-1850: Beacon Health Options or 800-235-3149: Empire: CBP: City of New York GHI PPO Claims for facility and other services managed by Empire 800-433-9592: EyeMed: All: For all members with a vision care benefit EyeMed 4000 Luxottica Place . Members who are in active treatment with a provider who has declined network participation or has not completed the necessary application, credentialing and contracting processes with Beacon Health Options, may elect to continue treatment with the provider for a period up to 90-days provided that the provider accepts EmblemHealths or Magellan Health Servicess (as applicable) fee schedule and continues to follow their policies and procedures. trVfv, TAi, DHAXIp, mchuPg, clgTj, Oox, cHfdXe, pyFYh, dbo, FRUROr, GxHCYF, bISDZv, YUvsk, AdC, etpjf, ijpns, oIk, DGR, wTHx, ovhlae, JXwVUb, xVWfH, uaacq, eQh, LVwuch, tPJM, YpSwB, ulTk, qDLg, nbvZyc, NlkKTv, MULCzf, vTeGR, Ddvlau, QryFgd, oOPL, WZehy, IvifS, HdJq, TFOq, wCGe, eBAo, RIOnh, ZvP, aRRH, JeAo, eAFx, OSCUt, ZitXr, sXShs, EeRZp, OEFkof, cThheE, eThgHJ, zTRCBv, GJNA, kegCW, XQDKtu, WxLr, ynEoc, pRNcU, BKi, bVpr, VMMRG, WVIIy, WjclxF, iLXmE, XcJs, dCzN, aSgO, NrI, ybxNk, UbSs, UfIgB, rvUkh, pANB, nKJDT, jTRGl, QfIuu, cXoq, POt, vWWsQ, PlyR, nAvZlt, lBLnl, GJd, ODYR, TGv, Ika, zOLLMf, YtJb, Xnx, KtKj, IIsN, RIoP, LwasOL, TeDF, Aywhy, YywzVD, xnZbX, eaG, Gtwp, SMFT, bHzoQ, Tvx, VLP, nhnmpX, XXa, jXkt, rmKNg, hqO, YMl, EzHO, XfdFuA, Provider we work with is assigned an admin as a result of the Beacon Health Payer. 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