Provider.excellusbcbs.com

Home Providers Excellus BlueCross BlueShield

WEBExcellus BCBS offers providers information and tools online 24/7. Login to check patient eligibility, benefits, deductible information and more.

Actived: 4 days ago

URL: https://provider.excellusbcbs.com/

Join Our Network Providers Excellus BlueCross BlueShield

WEBRefer to our Practitioner List. Step 2. Include all required documents along with your application. A checklist is located within the application. Step 3. Email the application …

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NAVIGATING BEHAVIORAL HEALTH SERVICES EXPANSION

WEBINTRODUCTION OF HEALTH & RECOVERY PLAN (HARP) 5 What is HARP? HARP is a managed care plan/product that coordinates physical, mental health and substance use …

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The BlueCard Program FAQ

WEBYour local Blue Cross and/or Blue Shield Plan’s responsibilities include all provider related functions, such as: Being the single contact for all claims payment, customer service …

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Contact Us Providers Excellus BlueCross BlueShield

WEBAlaura Daniels (585) 327-3579 [email protected] . Children's Behavioral Health Services: All Rochester, CNY, Southern Tier and Utica region counties

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December 2022 Connection Provider Newlsetter

WEBHelp Prevent Health Care Fraud The National Health Care Anti-Fraud Association estimates that financial losses due to health care fraud are in the tens of billions of …

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Medical Policies Providers Excellus BlueCross BlueShield

WEBThe Health Plan has adopted eviCore’s medical policies and guidelines as a basis for the determination of medical necessity and appropriateness of care. Please refer member …

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Licensed Mental Health Counselor

WEBThis includes holding a valid current license to practice as a Mental Health Counselor and have such license recognized by the State of New York or the appropriate licensing …

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Page MEDICAL POLICY

WEBPsychological testing is considered not medically necessary if it has been performed in the last 12 months. V. Psychological testing is ineligible for coverage when the testing is …

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Medical Provider Registration

WEBHospital, Group Practice or Facility. If you are a provider or administrator who is part of a single or multi-specialty group practice, hospital or health care facility that provides …

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Page MEDICAL POLICY

WEBPage: 1 of 12. Proprietary Information of Excellus BlueCross BlueShield. MEDICAL POLICY . MEDICAL POLICY DETAILS. Medical Policy Title Gender Reassignment/Gender …

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Login Providers Excellus BlueCross BlueShield

WEBCreate an Account. Check eligibility and benefits for members. Review claim status and request claim adjustments. View fee schedules, policies, and guidelines. Manage …

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Clinical Editing − Frequently Asked Questions

WEBA. Please call Customer Care at 1-800-920-8889. All inquiries we receive are documented. Q. How do I submit my completed Clinical Editing Review Request form? A. Mail to: …

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Application for Non-Physician Health Care Practitioner

WEBApplication for Non-Physician Health Care Practitioner. This application is only used for participation with Excellus Health Plan. Copies of your licenses, malpractice (liability) …

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Tips for Completing the CMS-1500 Claim Form

WEB1. TYPE OF HEALTH INSURANCE COVERAGE R Select “Other” 1A. INSURED ID NUMBER R Enter the subscriber’s identification number 2. PATIENT’S NAME R Last …

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Page MEDICAL POLICY

WEBThe member receives an Out-of-Network Referral authorizing medically necessary Non-Participating Provider Services at the in-network benefit level (see II.G. Out-of-Network …

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Telemedicine and Telehealth

WEBThe Health Plan offers telemedicine services, including services via a telemedicine vendor, in accordance with the member’s subscriber contract. II. When telemedicine vendor …

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Applied Behavior Analysis

WEBRATIONALE. ABA is a scientifically validated approach to understanding behavior and how it is affected by the environment. ABA is a behavioral therapy …

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WELCOME TO NAVIGATING THE BLUES!

WEBSubmit all claims as soon as possible after rendering service (or after the processed date of a primary payer’s explanation of benefits or EOB) Professional providers: 120-day claim …

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