Coresource Health Insurance Provider Phone Number

Coresource PA MD IL ERA & EFT EDI Form - Availity
Submitter / Account Number: Billing TIN (Tax ID)** Provider/Practice Name Billing TIN Type Street Address EIN SSN Contact Name: Organizational Individual Contact Phone: Legacy PIN (must be the one linked to the Billing NPI above) Contact E-mail: echo health, CORESOURCE il md pa ERA, ... Fetch Doc

FLEXIBLE SPENDING ACCOUNT REIMBURSEMENT REQUEST FORM
Member ID Phone Number Email Address B. HEALTH CARE SPENDING ACCOUNT If any insurance company did not or will not reimburse you for ANY portion of an expense that you are submitting, caregiver or Tax ID number of the daycare provider. This must be included on every claim. ***NOTE: ... View Document

MEDICAL CLAIM FORM - Peralta Colleges
MEDICAL CLAIM FORM EMPLOYEE INFORMATION Date of Birth: _____ Phone Number: _____ Current Mailing Address for Claims of Health Insurance Benefits, for 18 months from the date shown below or for the term of ... Doc Viewer

The First Health Coventry OCN Providers Reference Manual ...
(Address, Phone, Tax ID Number, Etc.) X Coventry Health Care Provider Services Department (800) 937-6824 . Coventry National PPO and First Health Network Administrative Manual Insurance Card Samples For Coventry Health care and the First Health ... Fetch Document

Aetna Signature Administrators
• Manage appeals using Aetna-approved criteria Quality health plans & benefits Healthier living phone numbers will route the provider accordingly. Claims including Aetna Life Insurance Company and its affiliates. www.aetna.com ... Get Doc

IN-EXCM-0016b Internal Appeal Request Form - Health Care With ...
INTERNAL APPEAL REQUEST FORM (Indiana) Treating Physician/Health Care Provider Information Name: Mailing Address: Phone Number: Email Address: Fax Number: Contact Person: Phone Number: Internal Appeal Specifications 1. Are you requesting an Expedited ... Access This Document

Sagamore Health Network, Inc Provider Reference Manual
Sagamore Health Network, Inc Provider Reference Manual • Sagamore Health Network is not an insurance company, but rather a network of provider’s tax identification number, member’s identification number numeric and/or alpha, ... Fetch Full Source

MEDICAL PLAN Company Name UMR Group Number 76-070072 - Long
Company Name UMR Group Number 76-070072 Medical Provider Network for COLORADO , NEVADA, & UTAH (9/1/09-Current) Company Name United Healthcare (UHC) Options PPO Phone Numbers 800-826-9781 Certification Phone Phone Number 800-854-0647 ... Document Retrieval

Adena Care Network Provider Manual Provider Manual
Adena Care Network Provider Manual . OVERVIEW. What is the Adena Care Network? The phone number, etc.; • If additional providers join practice or if outlined below are to be certified by the Medical Management Department at CoreSource. Home health care and certain durable medical ... Read More

Health Plan/Payer List Availity Clearinghouse And Web Portal
Health Plan/Payer List Availity Clearinghouse and Web Portal. The NPI is a unique identification number for covered health care providers. *A legacy identifier is any identifier that payers used to identify a provider as a health care provider before the NPI mandate. ... Get Content Here

CoreSource, Inc. P.O. Box 898 Arnold, MD 21012 Lancaster ...
Other Group Health insurance of any kind including Blue Cross and Blue Shield oYes oNo a. CoreSource, Inc. P.O. Box 898 Arnold, MD 21012 Your patient’s account number Provider I.D. number Provider’s name, address, zip code ... Retrieve Full Source

CLAIMS AND APPEALS MAILING ADDRESS CONSOLIDATION: QUICK REFERENCE
Include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Behavioral Health, Inc., CLAIMS AND APPEALS MAILING ADDRESS CONSOLIDATION: QUICK REFERENCE For Health Care Professionals July 1, 2014 . ... Access Doc

Aetna Signature Administrators Better Serving Our Members
Relationships with a limited number of payers, which • Resolve provider contract issues • Provide case management and medical including Aetna Life Insurance Company and its affiliates. ©2018 Aetna Inc. aetna.com . 23.03.870.1 H (1/18) ... Read More

CoreSource Health Claim Form
If any of the above answered YES please indicate in "Remarks" the policy number, insurance company and the name and address of the school, PROVIDER I.D. NUMBER: PROVIDER'S NAME, ADDRESS, ZIP CODE, AND TELEPHONE NUMBER CoreSource Health Claim form ... Document Retrieval

2014 Provider Manual - OSU Health Plan
Self-funded through OSU, not a health insurance corporation If no resolution is received by NGS CoreSource, call Provider Relations at OSU Health Plan at (614) 292-4700 or (PA): Aetna Student Health, phone number ... Retrieve Full Source

HEALTH PLAN LIST AND FEE SCHEDULE - Healthcare Networks Of ...
HEALTH PLAN LIST AND FEE SCHEDULE PO BOX 71717 PHOENIX, AZ 85050 877.311.3338 Cooperative Mutual Insurance Co Coresource Cornerstone Benefits Administrations, Imerica Life And Health Insurance Company Indiana Farm Bureau Indiana Insurance Company ... Retrieve Full Source

Adena Care Network Provider Manual Provider Manual
• AHSHP is self-funded through Adena Health System and is not a health insurance corporation. 1/1/16 Adena Care Network Provider Manual . phone number and CoreSource Member Identification Number. 2. Employer’s name. 3. If not the employee, the patient’s name, ... Read Document

CareSource - Wikipedia
CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio.It is the largest Medicaid plan in Ohio and is second in the United States. ... Read Article

ECHO ANSI 835 Enrollment Form - OfficeAlly
Healthcare Service Provider . Phone Number: _____ Tax ID Number (GMS) 61425 Trustmark Insurance Company / Starmark 62111 Health Cost Solutions 93050 William C. Earhart Company 80142 Health Partners Plans (PA) ... Access Full Source

Texas Standard Prior Authorization Request Form For Health ...
Texas Standard Prior Authorization Request Form for Health Care Services to the Texas Department of Insurance, the Texas Health and Human Services Commission, or the patient’s or subscriber’s employer. the provider’s direct phone number in the space given at the bottom of the ... View Full Source

Electronic Funds Transfer (EFT) Authorization Agreement
O To check the status of a new EFT enrollment, send an email to . *Account Number Linkage to Provider Identifier (Select One ) Provider Tax Identification Number National Provider Identifier (NPI) A Health Insurance Portability and Accountability Act ... Retrieve Document