The Latham, N.Y. address is no longer valid for claims submissions.
In the event paper claims must be used, claims for services must be submitted on one of the two National Industry Standard billing forms: the Center for Medicare and Medicaid Services Claim Form CMS-1500 (formally known as HCFA-1500) or the Uniform Billing Form UB-04/CMS-1450. if you have troubles logging into the portal, please clear the cookies on your browser. copies of their records) regarding this claim I understand that I am financially responsible for charges not covered by the policy. Online Provider Services Account Request Form.
Mental Health/Substance Use Treatment Claim Form DIRECTIONS FOR COMPLETION If you are in treatment with a non-participating Beacon Health Options, Inc. (Beacon) provider and your provider has indicated that you will be responsible to file your claim, please take this claim form with you to your visit. Claims should be mailed directly to the following address. If this is a transaction you would like to utilize please make sure to enroll with the payer.
Any change of address, identifiers (e.g. Beacon Health Strategies (Beacon) is a behavioral health mana gement organization specializing in the development and management of behavioral health services for a wide variety of customers including integrated health care delivery systems, academic medical
The new address is: Beacon Health Options P.O. Provider Form - Use this form to notify Beacon Health of the following:. New Providers (MD, DO, NP) to be included under a new or existing contract. Date Issued: 7/17/2017 Effective immediately, there is a new mailing address for claims submissions to Beacon Health Options. Box 1850 Hicksville, N.Y. 11802-1850
In 2015, Beacon Health Strategies and Value Options merged to form one insurance company: Beacon Health Options. all hospitals or other institutions to furnish full detailed information (including full all benefits due to me or my covered dependant (s) as a result of this claim. We can now process 276/277 requests (claim status).
Please enter your Business or Provider name.
Beacon Health Credentialing Policies – Official credentialing policies and procedures for contracted network providers to participate in the Beacon Health provider network.
Enter your Beacon Health Options Provider Number and NPI # …
( Source ) In spite of this, networks still vary across states so your, or your client’s, Beacon insurance plan might still be a Beacon Health Strategies plan.
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