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Home Providers Excellus BlueCross BlueShield

WebFind answers to your questions. Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. The information you're accessing may not be provided by …

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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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Contact Us Providers Excellus BlueCross BlueShield

WebAlaura Daniels (585) 485-6064 [email protected] . Children's Behavioral Health Services: All Rochester, CNY, Southern Tier and Utica region counties

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Medical Policies Providers Excellus BlueCross BlueShield

WebFor certain member contracts, the Health Plan has delegated utilization management of the following services to eviCore Healthcare MSI, LLC d/b/a eviCore Healthcare: implantable …

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Become a Participating Provider

WebBecome a Participating Provider. All providers must maintain a physical practice location within the Health Plan’s geographic service area to be considered for in network …

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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 and …

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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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IMPORTANT INSTRUCTIONS FOR COMPLETING THIS …

WebRev. 07/2021 NY-PAF-1086 *1086* 202 Pain Management 101 Physical Therapy. 147 Prosthetics 701 Speech Therapy. 411 Surgical Procedures 310 Vision (Purchase Price)

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NAVIGATING BEHAVIORAL HEALTH SERVICES …

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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Practitioner Requirements Providers Excellus BlueCross …

WebNon-Credentialed. Type of Practitioner. Contract and Credentialing Required. Required Documents. Acupuncturist [LAC] Audiologist [AuD] Certified Diabetic Educator …

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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 …

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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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Provider Registration Providers Excellus BlueCross BlueShield

WebDental Care. Register for secure access to our site as either a Medical or Dental provider.

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February 2024 Connection Provider Newlsetter

WebWe have programs to assist members achieve optimal physical and mental health with the help of registered nurse care managers, registered dietitians, social workers and …

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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

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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IMPORTANT INSTRUCTIONS FOR COMPLETING THIS FORM

WebMark prior authorization requests as Urgent or Standard in the appropriate form. field. If you handwrite “urgent” on the form or in the notes on a coverage page, it. may be missed. If …

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Coordination of Benefits Questionnaire

WebCoordination of Benefits Questionnaire 07-06 Page 2 Section B If this does not apply, skip to Section C. MEDICARE INFORMATION Do the policyholder and/or dependent(s) have …

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Excellus Blue Choice Option/HMO Blue Option

WebBLUE CHOICE OPTION/ HMO BLUE OPTION FORMULARY GUIDE (2979) Includes generic and brand-name medications. B-3662Y21/15076-21FLRX % ]-, A nonprofit …

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