Box 21542 Eagan, MN 55121. Great benefits pay off. Rx Group: 2Medica, Medicaid Families and Children: 6JQ[un=o``h```R" p@\L}~@ZEZ091F1\aa``bUu&uEL<2|% ' 7S-H'4l4ek%nCT1 n&J Why is a MultiPlan logo on my insurance ID Card? 2023 MultiPlan Corporation. Our proprietary, web-based claims management system streamlines the process and defines A-Gs dedication to the athlete. WebFor more than 30 years, Fringe Benefit Group has designed programs that simplify the benefits process for employers with hourly workers. As MultiPlan is not your health plan and we do not maintain information regarding your insurance or health plan, we arent able to assist. UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) For best results, we recommend calling the customer service phone number shown on the back of your ID card. Salt Lake City, UT 84130-0783 UHC Provider Services Phone: (844) 586-7309. We use our best efforts to ensure all members are afforded these rights. If you All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: %%EOF Eagan, MN 55121. PPO HealthEOS by MultiPlan, P.O. All rights reserved. 5 digit groups: Claim numbers are 10 digits (CMS-1500) and 11 digits (UB-04); 6 digit groups: Claim numbers are 12 digits, Prior Authorization submitted via email and/or fax number provided on the corresponding form, Medica Please check with your health plan if you have questions about coverage and network providers for specific products. Who do I contact regarding co-payment or deductible payment questions? How do I access benefits and eligibility information? Medica Prime Solution What should I do? Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 A-G Administrators, A-G for Always Game. VantagePlus with Medica Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Ridgeview Distinct by Medica Total number of Providers in Eagan, MN on Doctor.com who Accept Multiplan PHCS: Most popular medical specialty of providers who accept Multiplan PHCS in Eagan, MN: Multiplan PHCS providers in Eagan, MN listed on Doctor.com have been practicing for an average of: Average ProfilePoints Score for Providers in Eagan, MN who take Multiplan PHCS: Average Overall User Rating for providers in Eagan, MN who take Multiplan PHCS. Benefits are administered through Gravie with primary and regional leased networks through Aetna, Cigna, and PHCS/Multiplan. UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus PATIENT DATE OF BIRTH Mailing address: GEHA PO Box 21542 Eagan, MN 55121 Dental 877.434.2336. Our Team is here to help you, and EGBAR helps us do that better than anyone else. MultiPlan (or PHCS) network providers are prevented, by contract, from differentiating, or discriminating, against members due to certain member characteristics, and are required to render such services to all members in the same manner, in accordance with the same standards and same availability as offered to the network providers other patients. Once you have all documents completed and in order, you can submit your claim via one of the following: 1. Machine Name: PWIVE-CDWEB01, Medica.com Provider Portal/Admission Notification, Inpatient Admission Notification Guidelines, Medica.com Provider Portal/Administrative Referral Entry for referral based products, Essentia Choice Care with Medica (Commercial), Ridgeview Community Network powered by Medica, Medica AccessAbility Solution / Special Needs Basic Care (SNBC), Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP), Medica Dual Solution/Minnesota Senior Health Options (MSHO), Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+), Essentia Choice Care with Medica (Individual and Family Business), Medica with CHI Health Direct Primary Care (DPC), Medica with CHI Health Fact Sheet (Accountable Care System Product), Medica Advantage Solution HMO-POS Fact Sheet, Medica Advantage Solution PartnerCare HMO I-SNP, BIN/PCN/Group # vary by product see member's ID card. Members have the right to be treated with respect and recognition of their dignity and the right to privacy. Fringe Benefit Group Although we update the website daily, it is possible that providers drop out of the network or that staff at the providers office are unaware of their participation. The team led by Dixon and Jake, are always game for a challenge, always game for performance at the highest level, and most importantly based on my experience and one who considers A-G a trusted partner of the University of Pennsylvania, always game for positive results and outcomes. Bold by M Health Fairview PO Box 2839 Eagan, MN 55121, Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: All dental claims should be submitted to EDI: 44054. Note: documents in Quicktime Movie format [MOV] require Apple Quicktime, download quicktime. Medica Advantage Solution HMO-POS Fact Sheet To view a sample of an itemized bill, click on the link below: Explanation of Benefits defines coverages from other health insurance providers. I cannot locate my doctor or medical facility when using the online provider search. We are here to make accessing care better for everyone that has our plans including providers. Benefits designed to be used can actually give employers the biggest bang for their buck. Mayo Medical Plan WebFor Providers Submitting A Claim:Payer ID:CB987PO BOX 21661 Eagan, MN 55121. Expertise and advanced technologies in all areas of medicine. WebMost popular medical specialty of providers who accept Multiplan PHCS in Eagan, MN: Family Doctor. GRV12345), please submit claims to:Payer ID: 41147Mail:Gravie Administrative ServicesPO BOX 59212 Minneapolis MN 55459, For prior authorization and medical necessity, contact American Health Holdings:Fax: 866.881.9643Phone: 833.462.0102For case management:Fax: 866.353.6508Phone: 800.641.3224, If your patient has a Cigna logo on their ID card,please submit claims to:Payer ID: 62308Mail:CignaPO Box 188061Chattanooga, TN 37422-8061. EDI Payer ID #39026 Blackhawk Claims Service diligently reviews and adjudicates claims for accuracy and medical necessity. Expertise and advanced technologies in all areas of medicine. For a more optimal geha.com experience, please click. Medica Applause Members have the right to register complaints about us, our services, determinations, or the care provided by a MultiPlan or PHCS network provider. If you see a network logo on our ID card that you accept, then you accept Gravie. Your browser doesn't support JavaScript code, or you have disabled JavaScript. So questions like these should be directed to your health insurance company, health benefit administrator or human resources representative: However, you likely have access to MultiPlans services through your health plan administrator or medical bill payor (especially if you see one of our logos on your Member ID card). All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Gravie EDI Payer ID #39026 Please ask your health care provider to contact us with their updated information. Medica with Healthier You PHCS Stands For : Private Health Care System. Streamlined onboarding. ISA-08 GS-03 Keystone Health Plan East Independence QCG ; Keystone Box 6090, De Pere, WI 54115-6090, All other claims (Badger Care Plus and non-PPO) Quartz, P.O. To avoid delays in claim processing please be sure the other insurance portion of the claim form is completed in full. MultiPlan does not sell health insurance to members, so we arent able to answer questions about your insurance plan. Rx PCN: MD Email: connect@instamed.com, Website: Park Nicollet First with Medica Be sure to verify that services are covered under your plan by contacting your insurance company, human resources representative or benefits administrator directly. Salt Lake City, UT 84130-0990 Cookie Preferences. Quartz launches new health insurance products for populations needing extra support, Quartz Named #1 Health Insurance Company for 6th Year Running, State Employee Plan Info Its Your Choice Plan, Medicare Advantage Provider Forms & Links, Utilization Management + Hospital Admissions, Medication Prior Authorization Forms & Info, General Prior Authorization List (Regular), Prior Authorization (PHCS/MultiPlan/HealthEOS PPO), Medicare Advantage Prior Authorization List, Diversity, Equity, Inclusion, and Belonging, Espaol | Hmoob | | Deutsch | | | | Ting Vit | Deitsch | | Franais | Polski | | Shqip | Tagalog | | Oromiffa | | Italiano | | - | | , Paper claim submissions that have multiple pages to a claim should only have the total of the claim submitted on the last page, Quartz requires diagnosis codes on dental claims. QUOTE. WebFor Elevate or Elevate Plus member claims If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical P.O. While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. WebHIGHLY TRAINED CLAIMS STAFF Our highly trained claims staff is prepared to meet the needs of national and regional clients throughout the claim lifecycle. Box 211282 Eagan, MN 55121 CAREERS / AGENTS 888.912.4767 info@sginsco.com SGIC 888.912.4767 The claim form enables A-G Administrators to start the process for the treatment of injury. WHERE TO FORWARD CLAIMS Multiplan/PHCS Network P.O. Medica Choice CareSM PMAP & Medica MinnesotaCare Fact Sheet, Monday Friday, 7 a.m. to 5 p.m., Central Time Claims and Billing | Baylor Scott & White Health Plan Health Plan Search PHCS (Private Healthcare Systems, Inc.) Salt Lake City, UT 84130-0783 Medica Choice National This includes the right to have complaints addressed in a timely manner through formal procedures, appropriate to the nature of the complaint. If you have no primary medical insurance, the need for an EOB will not be applicable to your claim. Login, ExpressScripts (ESI). Medica Focus 1053 0 obj <>/Filter/FlateDecode/ID[<3FD27A8EDFF2AB4E96246C3A5C265369><6EE963EAA2276444AD5BEE4BC483FDDF>]/Index[1032 35]/Info 1031 0 R/Length 106/Prev 187530/Root 1033 0 R/Size 1067/Type/XRef/W[1 3 1]>>stream U.S. Patent & Trademark office. Contact By Phone. WebTo file dental claims, use EDI#37086 or mail to GPS PO Box 21424 Eagan MN 55121. Medica Direct HSA El Paso, TX 79998-1707 For a faster response, please call us directly at 888-666-8135. Current functionality may be reduced and some features may not work properly. If you include the 2-digit suffix for the member, the claim will reject as member not on file, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Explanation of Benefits (EOBs) from your Primary Insurance Carrier. For more information, see our Companies and Licenses page. PHCS If you see a network logo on our ID card that you accept, then you accept Gravie. Box 211221, Eagan, MN 55121. Administrative Concepts, Inc. UnitedHealthcare Shared Services If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 GEHA-ASA Your health plan is most likely utilizing the MultiPlan Network to give you access to an additional choice of providers that have agreed to offer a discount for services. Upload documents through our secure portal: 2. Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, Quartz Health Plan MN Corporation and Quartz Health Insurance Corporation, which are separate legal entities.

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