Please call 877-872-4716, FAX 718-731-7281, or visit MHNYProviderServices@MolinaHealthcare.com . Boston, MA 02109 July 29, 2022 Hicksville, NY 11802-1864 . If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. Kingston, NY 12402-5190 . Our providers are vital to the services we offer our 40 million members so they can live their lives to the fullest potential. Behavioral Health Claims: Beacon Health Options (ATTN: Claims) PO Box 1870 Hicksville, NY 11802 Hearing Claims: 20/20 Hearing Care Network 2900 W Cypress Creek Rd, STE 4 Ft. Lauderdale, FL 33309 Acupuncture & Chiropractic Claims: American Specialty Health PO Box 509002 San Diego, CA 92150 Prescription Drug Claims: OptumRx PO Box 650287 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. These notifications state that, in this affiliation, Beacon Health Options would administer the Emblem Behavioral Health Services Program. Contact Information. If the member is transferred to a psychiatric or substance abuse unit (except for medical detoxification), Beacon Health Options will need to review, authorize the care, and process the claims. If you are a member of the media interested in speaking with us, please contact tina.gaines@elevancehealth.com. Box 1850 Hicksville, NY 11802-1850. What paper forms can be used for claims submission? Posted on August 29, 2022. Welcome to the Beacon Health Options of California, Inc. (Beacon of California) network of participating . Primary Insurance Explanation of Benefits (EOB) Please mail all correspondence regarding claims questions to: Beacon Health Options Pennsylvania Claims P.O. Which EmblemHealth members are not affected by the transition? As an NCQA accredited organization, Beacon Health Options requires specific information and all providers must be credentialed by us in order to be considered as an in-network provider. EmblemHealth will be responsible for reimbursement of elective inpatient admissions that received prior approval and emergency room admissions for which there was appropriate notification to the plan commencing prior to the transition date and any other services rendered prior to the transition date; therefore, please submit claims with dates of service prior to the transition date to the EmblemHealth address indicated on the members ID card. New Beacon Health Options P.O. For issues not related to your fee schedule, please contact the Provider Service Line at 1-800-235-3149 and ask to speak with a Provider Service Representative. . IHA - New York Beacon Health Options. Change of Address forms can be found at www.valueoptions.com and may be submitted by using one of the following options: Mailing Address: ValueOptions c/o Practitioner Maintenance P.O. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Beacon Health Options / Value Options . Inpatient Services: Beacon Health Options is responsible for adjudicating claims for inpatient dates of service when a member is admitted to an inpatient unit on or after the start date of the program. When Beacon Health Options authorizes care, is the authorization an automatic guarantee of payment for services rendered? Below is important information and links to resources to help behavioral health professionals manage their daytoday relationship with us. Home; Who We Are; Members; Providers; Solutions; Contact; Helpful Links. 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. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. For any other electronic claims submission questions, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. 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. Beacon Health Options / Value Options / Beacon Health Stategies Payer IDs. Who is responsible for members admitted to an inpatient medical unit who also have behavioral health issues that need to be treated? No, authorization of services is not a guarantee of payment. 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. What are the fee schedules for the Emblem Behavioral Health Services Program administered by Beacon Health Options? 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. 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. To submit the information noted in this paragraph, please see below. Health Improve. As a reminder, please ensure that you have completed your required Cultural Competency training. Putting people at the center, we built a strong network of doctors, nurses, advocates, and mentors filling members' health needs. Attn: Health First Colorado Claims. Payment depends on a number of factors including member eligibility, provider contract status, and benefit limits at the time care is rendered and the claim is processed. ET, Monday through Friday. Kompass Business Directory - Beacon Health Options. Can you explain these mailings and what I have to do? Beacon Health Options 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. My current Outpatient fee schedule is more favorable than Beacon Health Options. Copyright 2022 Beacon Health Options. Boston, MA 02109 What will happen if I have a Beacon Health Options CHCS IPA (HMO, Medicare and/or Medicaid) Agreement but elect not to sign a Beacon Health Options Practitioner or Facility Agreement? Auto accident? 200 State Street Other accident? 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? Which EmblemHealth members are affected by the transition to Beacon Health Options? Yes, all non-participating providers must be credentialed by Beacon Health Options in order to participate in the Beacon Health Options network. ET Monday through Friday. [FOR INPATIENT FACILITIES ONLY]. With whom do I discuss the fee schedule? All rights reserved. The detailed information for Log In Nyeis is provided. ATTN: Special Investigations Unit. ET. Members admitted to a medical floor are the responsibility of EmblemHealth. (2 days ago) Beacon Health Options Pennsylvania Claims P.O. How does the transition affect my contract with Magellan Health Services? If this is an emergency, please call 911. The detailed information for Nyeis System Log In is provided. Beginning on March 1, 2022, Availity Essentials is the preferred multi-payer portal of choice for submitting the following transactions to Beacon Health Options: For questions, please contact Availity Essentials Client Services at 1-800-282-4548, from 8 a.m. to 8 p.m. PSTbeaconphppr@beaconhealthoptions.com, ProviderConnect technical questions888-247-9311 Monday-Friday, 8 a.m.-6 p.m. What is the process for continuing outpatient care? Then file the claims via their online portal ProviderConnect, or have us at TheraThink take care of all of this hassle for you, aka outsource your mental health insurance billing. (FOR INDIVIDUAL PRACTITIONERS/OUTPATIENT CLINICS/GROUPS ONLY). Our current Inpatient/Alternative Levels of Care fee schedule is more favorable than Beacon Health Options. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Tel: 888-204-5581 Your unique registration code is the registration number that Beacon Health Options supplies to providers for enrolling in PaySpan Health. The fee schedules detail the payments (by CPT code and licensure) that you will receive for providing services to the EmblemHealth membership. Beacon Health Options Help users access the login page while offering essential notes during the login process. All rights reserved. Box 1864 Hicksville, NY 11802-1864 Appeals Grievances Provider Dispute Resolution (PDR) Autism Documentation (except for claims) Medical Records, Utilization Management Documents and Case Management (REACH) Prior Authorization Requests Beacon Health Options P.O. PaySpan Health is the software that Payformance uses for online registration for EFT. If you need information or have questions, Beacon is here to help. Empire Plan Prescription Drug Program: To obtain prescription drug claims or subrogation information during the . Please visit us online at www.BeaconHealthOptions.com to check and review a claim status or call 1-888-447-2526. 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. 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. Outpatient Services: Beacon Health Options is responsible for adjudicating claims for dates of service on or after the start date of the program. The fee schedules that apply to our HMO client benefit plans in New York are included as Exhibit A of that Agreement. Submit a dispute by mail or fax. As private practitioners, our clinical work alone is full-time. 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 Behavioral health paper claims Beacon Health Options* Claims Department P.O. Hicksville NY 11802. Value Options: VALOP. Value Options (Beacon Health Options): (800) 397-1630, Beacon Health Stategies Claims Hotline: (888) 249-0478, Beacon Health Stategies EDI Hotline: (888) 204-5581 (For ERA enrollment), Beacon Health Options allows providers to connect with their electronic billing system called Provider Connect. Effective January 1, 2012 Beacon Health Options will administer the Emblem Behavioral Health Services Program. Mail paper claims to: EmblemHealth Behavioral Health Claim Services P.O. Facility services may be billed electronically using the HIPAA-compliant 837I form. discover Beacon Health New York. If you are interested in electronic claim submission, please contact our Beacon Health Options Electronic Claims Specialist at 1-888-247-9311. Chesapeake, VA 23320. As an inpatient facility, when should an authorization of an admission be requested? westcoast@valueoptions.com (AK, AZ, CA, CO, HI, ID, MT, NM (Commercial Only), NV, OR, UT, WA, WY), centralregion@valueoptions.com (AR, AL, KS, KY, LA, MO, MS, NE, OK, TN, TX), greatlakesregion@valueoptions.com (IA, IL, IN, MI, MN, ND, OH, SD, WI), atlanticstatesregion@valueoptions.com (DC, DE, FL, GA, MD, NC, NJ, SC, VA, WV), northeastregion@valueoptions.com (MA, ME, NH, NY, PA, RI, VT), newyorkregion@valueoptions.com (New York City, Long Island), newmexicomedicaid@valueoptions.com (Medicaid Only! Fax: 781-994-7600. Revised 01/2022. EIBilling . Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing. Please contact our Customer Service Department at 855-377-2416 to verify eligibility and benefits. Regional Accountable Entity (RAE) Provider Contact Information. All Rights Reserved. What are the prior approval requirements for outpatient services? Beacons Safe to Say compliance hotline should not be used for emergencies. Box 1850 Hicksville, N.Y. 11802-1850 ALSO OF INTEREST Submit Electronic Claims and Den . Free Account Setup - we input your data at signup. EmblemHealth announced its affiliation with Beacon Health Options to its network providers through letters, Web postings and the summer 2011 edition of their provider newsletter, News&Notes. Fax: 781-994-7600. Beacon Health Options (formerly ValueOptions, Inc.) P.O. Beacon Health Options utilizes Availity Essentials verifying eligibility and benefits, claim status and other secure transactions. For support with Electronic claim submission, please reach out to our EDI Helpdesk 1-888-247-9311 from 8 a.m.- 6 p.m. Provider Groups and Facilities may visit ourprovider portalor call our National Provider Service Line at 800-397-1630 to share your individual provider information. The cards will include the updated Emblem Behavioral Health Services Program Customer Service phone number: 1-888-447-2526. All rights reserved. These include routine vision care and eyewear (EyeMed); behavioral health (Beacon Health Options); chiropractic, occupational and physical therapy (Palladian); and dental (DentaQuest). Radiation Therapy Program Update: October 2022. I currently participate with Beacon Health Options. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. Let us handle handle your insurance billing so you can focus on your practice. Beacon Health Options / Value Options / Beacon Health Stategies Claims Address PO Box 1850 Hicksville, NY 11802-1850 Our data is encrypted and backed up to HIPAA compliant standards. Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Beacon Health Options As an individual practitioner billing outpatient services, do I need to include the provider number on my claims? You will only be considered a network provider for HMO, Medicaid Managed Care, Family Health Plus, Child Health Plus and Medicare Advantage lines of business. 200 State Street Contact Information. Beacon Lens Beacon Lens is our expert-driven blog that focuses on the most pressing issues facing behavioral health care today. To see a copy of the members benefits, you may use the secure provider Web site at www.emblemhealth.com. If you are a Practitioner, please visitCAQH, update your information, and attest that it is accurate. Contact Information. Would Beacon Health Options accept the materials I have just submitted to EmblemHealth rather that my completing a new application? Joining expertise, thought leadership, and personal first-hand stories from our colleagues, Beacon Lens presents a fresh, unique take on all things behavioral health. 2012/06/06. PO Box 1850. Beacon Health Options reimbursement schedules for inpatient services have been determined to be competitive with other companies with similar HMO business across the United States. Please note that utilization management functions for behavioral health services for these members, including prior approval, will continue to be performed by Montefiore. Box 1864 . Box 1853 Hicksville, NY 11802-1853 This address is to be used for all paper claims submissions (new or corrected . Fax: 781-994-7600, This is default text for notification bar. United States. As of 1/01/2022 Beacon Health Options is no longer providing Behavioral Health services for Affinity by Molina Healthcare. What are the operating hours of the Beacon Health Options Clinical Department? Boston, MA 02109 It also details best practices for interacting with our plans and helping our members navigate their health care. 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. Copyright 2022 Beacon Health Options. Box 1850, Hicksville, NY 11802-1850. When submitting through Availity, files should contain Payer ID BEACON963116116 and comply with X12 837 format. Call The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and select the appropriate program. As a reminder, please ensure that you have completed your required Cultural Competency training. Electronic Payment Solutions and Remittance Advice Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect. Claims Submission for EmblemHealth Patients. Contact The Empire Plan. Thank you. Fax: (866) 612-7795. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. EDI: Contact Beacon Health Options. The new address is: Beacon Health Options P.O. 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. Article ID: 374, Created On: 10/27/2017, Modified: 11/1/2017. Peer-to-Peer Peer-to-Peer Review Line: (516) 394-5790 Notification of Hospital Admissions Notify HCP of scheduled/emergency hospital admissions. 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. Title. Is the patients condition related to: Employment? For services rendered on or after January 1, 2022, send all claims to. We strongly encourage providers to submit claims electronically for the efficiencies gained by both providers and in claims processing. (4 days ago) Hicksville, NY 11802-1850. On or after the transition date, where do I go to have a claim question/issue resolved? Follow the instructions on How to Become a Provider Claims - General Information If you have questions about claims in general, call (800) 888-3944. (4 days ago) Hicksville, NY 11802-1850. Learn how Beacon is leading the way for better care. If you still cant find what you need or if you have additional questions, give us a call at 888-204-5581. As a facility, how do I bill professional services? At the present time, members of PPO plans underwritten by Group Health Incorporated (GHI) have their behavioral health services administrated by Beacon Health Options. Paper Claims Submission Address: (For new and corrected paper claims) Beacon Health Options Pennsylvania Claims P.O. The CMS 1500 form should be used for outpatient professional services. Health (4 days ago) Paper Claims Mailing Address: Beacon Health Options P.O Box 1850 Hicksville, New York 11802-1850. Providers are required to bill on standard CMS 1500 and UB-04 forms. Payformance is a vendor that partners with Beacon Health Options to deliver an electronic funds transfer (EFT) solution to our providers. Labs Total Healthcare requires that labs be processed through Quest or any of the outpatient departments for facilities outlined in the spreadsheet below. It's our goal to ensure you simply don't have to spend unncessary time on your billing. Providers. Tel: 888-204-5581 Hicksville, NY 11802-1850. Does the claims submission process change if I am currently contracted as a Beacon Health Options GHI Behavioral Management (BMP) provider? (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, . *For Mental Health & Substance Abuse, please see Beacon Health Options. 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.
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