If you are not currently contracted with Beacon, call 1-877-344-2858 to discuss continuity of care for an L.A. Care member. Providers are required to have appropriate Beacon agreements, and complete Beacon's credentialing process to care for EmblemHealth members. The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. On December 23, 2014, ValueOptions, Inc. and Beacon Health Strategies, LLC completed the merger to become Beacon Health Options, Inc. Q. Beacon Health Options, Inc. ATTN: Program Integrity Department 240 Corporate Boulevard, Suite 100 Norfolk, VA 23502 OR Contact Beacon's National Provider Services Line at (800) 397-1630 from 8 a.m. - 8 p.m. Eastern Time Monday through Friday. The spreadsheet should include the person's name, date of birth, PROMISe identification number, license number, provider number by BH-MCO, and expiration dates. Beacon Health Options - Provider Portal Credentialing begins when all documentation and information needed to complete the process has been received by Beacon Health Options ®. Interested Dental Providers/Orthodontists should contact Healthplex at 1-888-468-2183. Join Our Network. Beacon Contacts The provider number identifies a provider in the Beacon of California system and is used for giving access to ProviderConnect. Address. Email: Credentialing For questions regarding How to become credentialed, status of your credentialing application. Medical provider contact us page - Moda Health View Oma Cecil's business profile as Initial Credentialing Supervisor at Beacon Health Options. The spreadsheet should include the person's name, date of birth, PROMISe identification number, license number, provider number by BH-MCO, and expiration dates. Welcome to the Beacon Health Options'1,2 network of participating providers. Credentialing & Recredentialing - Horizon Blue Cross Blue ... Credentialing and Recredentialing - Beacon Health Options Beacon Health Options will no longer perform these processes. To see the credentialing requirements for our Behavioral Health Network, see Beacon Health Option's Provider Handbook. . CT BHP. Providers | Beacon Health Options To that end, we offer you this toolkit to help you with identification and next steps in treatment of BH conditions. Health (3 days ago) Beacon Health Options Attn: EDI Helpdesk PO Box 1287 Latham, NY 12110: Credentialing Status. 1950 Sawtelle Boulevard, #130 Los Angeles, CA 90025 (310) 996-9355. Behavioral Health Services | EmblemHealth Join Our Network - EmblemHealth: Health Insurance ... PHONE NUMBER. 23861 McBean Parkway, Suite E-24 Valencia, CA 91355 (661) 284-3100. Leads by Industry . PDF Beacon Health Options of California, Inc. Provider Handbook To correctly bill your client's insurance, call up the phone number on the back of the client's insurance card and verify their eligibility and benefits. FAX Number. I've never dealt with a company as cruel as Beacon Health Options. Beacon Health Options of California (Beacon of California) is a subsidiary of Beacon Health Options (Beacon). Want to become in-network with Beacon Health Options? Clinical Operations - Quality Management - Provider Services - Member Services www.ctbhp.com. Mental Health and Substance Use Disorder Services Beacon Health Options . Central California Alliance for Health (the Alliance) partners with Beacon Health Options (Beacon) to help members with mild to moderate mental health conditions. Through this partnership, Beacon Health Options is responsible for provider credentialing and recredentialing. In order to search for a provider in the Beacon of California Mental Health or Substance Use Disorder or Mental Disorder (MHSUD) and/or Employee Assistance Program (EAP) networks, you have been directed to ReferralConnect, Beacon's Provider Directory. View Stephanie Lucco's business profile as Care Manager at Beacon Health Options. Westside Health Center. The provider number is on file with Beacon of California. Stephanie Lucco's HQ phone number is (781) 994-7500. Find contact's direct phone number, email address, work history, and more. Critical Incident: Critical events or outcomes involving patients seeking or receiving services under Beacon that may require further analysis . : Tax ID, NPI, or other numbers . Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. These complex HUSKY behavioral health claim and authorization related matters may be addressed to the Rapid Response Team. 1950 Sawtelle Boulevard, #130 Los Angeles, CA 90025 (310) 996-9355. As a reminder, please ensure that you have completed your required Cultural Competency training. We welcome your continued commitment to participate in our network and encourage new providers to join us in our mission to help people live their lives to the fullest potential. Newark, NJ 07101-3189. 1.14: 01/07/2013: Added a new section and contact information for "HMSA's Behavioral Health Services - Commercial, FEP, FED 87 (Beacon Health Strategies)" 1.15: 10/08/2013 23861 McBean Parkway, Suite E-24 Valencia, CA 91355 (661) 284-3100. Newark, NJ 07101-0656. To start your application, please confirm if you are a: Currently . . New Providers (MD, DO, NP) to be included under a new or existing contract. Welcome to the Beacon Health Options'1,2 network of participating providers. The application specifies all the necessary paperwork needed. Updated the Pharmacy phone number from 808-529-8964 to 808-533-1482. Tackling the challenges and concerns related to vaccine hesitancy and pandemic fatigue. Phone Email. *Please continue to use old addresses for the submission of behavioral health paper claims for dates of service prior to July 1, 2014. Member Benefits, Eligibility, and Authorizations Prior authorization is not required for general outpatient health services for in-network providers. Beacon Health Options | Provider Handbook | 1 Overview Welcome to Beacon's12 network of participating providers.This handbook is an extension of the provider agreement and includes requirements for doing business with Beacon Health Options, Inc. and its affiliates and subsidiaries, including policies and procedures for individual providers, affiliates, group Multiple Providers. beacon health options medical necessity criteria. No, the legal and operational processes to fully integrate both organizations to Beacon Health Options, Inc. will take some time. Any change of address, identifiers (e.g. Beacon Heath Options (Beacon) supports PCPs as the locus of treatment for a wide variety of BH diagnoses. Beacon Health Options serves more than 40 million people across all 50 states. Administrative Appeal Leads by Industry . Moda Health Provider Services For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite visit requests. Provider Focus : Contact Us Contact Us. Behavior Health Benefits. For credentialing and general service: Mike Durgin, Manager. Beacon Health Options Credentialing Department. Provider Updates beaconprovmgmt@northernlight.org 207 973-9799. The application specifies all the necessary paperwork needed. After completing the online universal credentialing process offered by the Council for Affordable Quality Healthcare (CAQH), give Beacon Health Options access to your credentialing information and ensure a current attestation. Works closely with the Director of Provider Directories to oversee the provider search functions of the MBHP / HNE / Beacon Health Options websites for accuracy. Toluca Lake Health Center. Beacon Health Options. Category. For information about contracting, call the Beacon Health Options National Provider Line at 800-397-1630 from 8 a.m. to 8 p.m. Multiple Providers. PO Box 10191. For more information, contact the Beacon Health Options National Provider Service Line at 800-397-1630 from 8 a.m. to 8 p.m. Facility Credentialing Specialist. WHO TO CONTACT AT BEACON HEALTH CONTRACTED PROVIDER MANAGEMENT: For contracting: Andrew Dees, Director. We are happy to help. . . Reports of fraud and abuse, or suspicions thereof, can be made in writing to: Report Fraud, Waste and Abuse BH Care Manager II. Providers are eligible for contracting in the Beacon network if the following criteria are met: Applicable credentialing requirements; and Assignment of a DHS Medicaid Identification Number (PROMISe number) is complete. The provider number identifies a provider in the Beacon of California system and is used for giving access to ProviderConnect. Moda Health Provider Services For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite visit requests. A. Beacon Health Options serves more than 40 million people across all 50 states. This information is provided by the practitioner's application at credentialing and re-credentialing, every three years. You can learn more about that process and begin your application at: (800) 397-1630. Specialty. Good Health Is Good Business - Business to Business Zoom Conference Series. This handbook is an extension of the provider agreement and includes guidelines on doing business with Beacon Health Options (Beacon), including policies and procedures for individual providers, affiliates, group practices, programs and facilities. Critical Incident: Critical events or outcomes involving patients seeking or receiving services under Beacon that may require further analysis . by Beacon. We are committed to leading the integration of medical and BH services with the goal of improved patient outcomes. Email your suggestions or comments about Provider Focus to Editor@MagellanHealth.com. We welcome your continued commitment to participate in our network and encourage new providers to join us in our mission to help people live their lives to the fullest potential. The Credentialing Committee is required to meet no less than quarterly, but generally meets on a monthly basis to facilitate timely processing of applicant files. Additional Contact Information National Provider Services Line 800-397-1630 Monday-Friday 8 a.m.-8 p.m. If you have a CAQH profile, to ensure accurate information for those seeking referrals, please be sure to update your information on CAQH quarterly and any time there is a change in demographic or licensing information. Specialists. Beacon Web Site Address: pa.beaconhealthoptions.com; Beacon Health Options Web Site Address: www.beaconhealthoptions.com; E-Support (EDI) Help Line: 888-247-9311 or eServices@beaconhealthoptions.com; Automated Fax Back Service for Provider Summary Vouchers: 866-409-5958; PaySpan Health Customer Service Support Phone Number: 877-331-7154; Member . Email: Phone: 855-801-2993. Address. Westside Health Center. View Rita Gylys's business profile as Senior VP & Deputy General Counsel at Beacon Health Options. Behavioral Health Providers. The provider number is on file with Beacon of California. Santa Clarita Health Center. Credentialing Status: To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 am - 5 pm Eastern Standard Time. ET For questions related to: Credentialing Contracting Network Status Find contact's direct phone number, email address, work history, and more. L.A. Care offers behavioral health services through Beacon Health Options. Provider Updates Credentialing Specialist Senior. Find contact's direct phone number, email address, work history, and more. Network providers may participate as a member of the Credentialing Committee. Interested individuals should contact the Molina Healthcare Medical Director at (800) 642-4168. Financial incentives based on the number of adverse determinations or denial of . Neptune, NJ 07754-1301. If you do not have a CAQH profile, please update your demographic information . Fraud and Abuse. Quality Control Manager, Claims. 3523354959. Beacon participating providers agree to provide mental health and/or substance use services to members and to accept reimbursement directly from Beacon. After multiple claim denials, them asking me for minuscule invoice revisions from providers, and over 11 hrs on the phone with customer service, I'm losing my mind. Member Benefits, Eligibility, and Authorizations . 1-877-55-CTBHP 1-877-552-8247 TTY: Dial 711 . Co-chair the Local Credentialing Committee and work closely with the Medical Director and MBHP Regional Network Directors in credentialing and re-credentialing of the providers. Note: Providers may also fax the application (s) to 617.972.9591. The obvious irony is they are in the mental health industry. Kathleen Tedesco. Tufts Health Plan will notify the provider once the application is received. Email a completed Behavioral Health Provider Application (BHP Application) and/or a Behavioral Health Clinic Application (BHC Application) to Tufts_Health_Plan_Credentialing_Department@tufts-health.com. by Beacon. Information and resources on how to access providers for the treatment of Substance Use Disorders are available here. The following provider types should contact Beacon Health Options at 800-397-1630 to discuss participation: Caregiver/Family Supports and Services - behavioral health primary diagnosis Call the CAQH Help Desk at 1-888-599-1771 for answers to your questions related to the CAQH application or website; or DME Orthotics/Prosthetic providers should contact Integra at 1-888-729-8818, or via email at credentialing@accessintegra.com (providers are suggested to copy the following email address as well: networkdevelopment@accessinetgra.com for all credentialing requests). Beacon mailing address: Beacon Health Options P.O. Beacon Health Options ATTN: Special Investigations Unit 1400 Crossways Blvd Suite 101 Chesapeake, VA 23320 Clinical Appeals To request a clinical appeal on a member's behalf, call the (800) number included in the adverse determination letter you received. Box 1840 Cranberry Township, PA 16066-1840 Toluca Lake Health Center. Participating providers should contact the National Provider Services Line at (800) 397-1630 Monday through Friday, 8 Once again, welcome to Beacon Provider Online Services. Optum will connect Neighborhood members to top-quality care that is easy to access and guide high-impact, integrated care to […] Find contact's direct phone number, email address, work history, and more. 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