Note: documents in Word format (DOC) require Microsoft Viewer, download word. PO Box 2060 Farmington, MI 48333 26777 Halsted Rd Farmington, MI 48331 Detroit, MI 48226 26777 Halsted Rd Farmington Hills, MI 48331 Mutual Building Detroit, MI 48226. Farmington Hills, MI 48331. 1. Provider Network Questions: For questions regarding our provider network, or to join the HealthSmart PPO Preferred network, contact HealthSmart Provider Relations at 800-687-0500. Medica Symphony HSA Medica Advantage Solution HMO Fact Sheet 1 0 obj North Memorial Acclaim by Medica Because most dental offices are already computerized, it's just a matter of a software program and a clearinghouse. Version: 4.0.30319.42000 If you experience any problems receiving your mail order prescription, call Member Services at. Our clients are always compliant with HIPAA & COBRA requirements. Even if you aren't currently set up for electronic claims submission, mail costs savings alone should nearly pay for a computer system in just one year. endstream endobj startxref Make sure the dentists business name and address on your electronically submitted claims is exactly the same as you have registered with your software vendor, the clearinghouse and Delta Dental. bcbs mi hm710 n n/a po box 68767 grand rapids mi 49516 blue cross blue shield az 53589 n n/a . Insurer in Farmington Hill, Michigan. Phone: (248) 476-5555 Read more Lucent Health Completes Brand Transition of Cypress Benefit We will send you a notice before we make a change that affects you. Feb. Can't find what you're looking for? Representatives are available in our corporate service centers located in the U.S. Related Posts. This Provider website delivers advanced functionality, allowing you and your staff to more easily access the information you need to facilitate treatment for our members. Thank you for your message. Balance by Medica If you are re-submitting a claim for a status or a correction, please indicate "Status" or "Claims Correction" on the claim. Want to learn more about becoming a Preferred Provider with Impact Health Sharing? P.O. Same here! Health Net's Electronic Data Interchange (EDI) solutions make it easy for more than 125,000 in our national provider network to submit claims electronically. For Travel Claims: A written formal claims appeal may be sent to IMG requesting a review of previously processed claims. Executives - Robert Bosch LLC (HQ) Buy the executives list from same sector. HOME; SHOP. Mailing address for written inquiries Delta Dental PO Box 9230 Farmington Hills, MI . BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. University of Minnesota, Medica Individual & Family Business The user will then enter the "Servicing Provider NPI/Provider ID" and all other required information and select the "Submit" button. State: Michigan. PO Box 2839 Medica Encore Review which codes require additional submissions. Reconsiderations and Disputes All requests for claims reconsideration or adjustment must be received within 90 calendar days from the date of notification . Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. %PDF-1.5 % Browse reviews, directions, phone numbers and more info on Robert Hund Inc. Rate Report. 1 Campus Martius, Suite 720. The top five tips for participating providers. Kompass ID? PO Box 3060 Farmington MO 63640. . Understand how to submit claims for patients with multiple benefit plans. . PO Box 9162. International Medical Group PO Box 550, Farmington Hills, MI 48332-0550 Telephone: +1 (855) 851-2974 (USA & Canada) or +1 (317) 833-1711 (Worldwide) Fax: +1 (855) 851-2971 Email: VISTAcare@imglobal.com US506049: Presentation - Robert Bosch LLC (HQ) . Cypress Benefit Administrators is now Lucent Health. Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP) Box 9000 Johnston, IA 50131-9000 800-544-0718 www.deltadentalia.com Payer #CDIA1 Claims Billing Requirements: Medica Connect . Below you'll see the clearinghousesMeridian is currently accepting electronic claims from. Medica Pinnacle VantagePlus with Medica Machine Name: PWIM4-CDWEB01, Medica.com Provider Portal/Admission Notification, Inpatient Admission Notification Guidelines, Medica.com Provider Portal/Administrative Referral Entry for referral based products, Essentia Choice Care with Medica (Commercial), Ridgeview Community Network powered by Medica, Medica AccessAbility Solution / Special Needs Basic Care (SNBC), Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP), Medica Dual Solution/Minnesota Senior Health Options (MSHO), Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+), Essentia Choice Care with Medica (Individual and Family Business), Medica with CHI Health Direct Primary Care (DPC), Medica with CHI Health Fact Sheet (Accountable Care System Product), Medica Advantage Solution HMO-POS Fact Sheet, Medica Advantage Solution PartnerCare HMO I-SNP, BIN/PCN/Group # vary by product see member's ID card. Allwell PO Box 3060 Farmington, MO 63640-3800 ATTN: Medical Review Unit . Pay My Bill Industries Products Services Businesses Agents About Us search Contact Us Corporate Headquarters 26777 Halsted Road Farmington Hills, MI 48331-3586 (800) 257-1900 Send Us a Message Reporting a claim? Keeping your smile healthy is an important part of keeping your body healthy. Learn more about Zelis. Email:connect@instamed.com, Prior authorization submitted via email and/or fax number provided on thecorresponding form. 49438 advantage by bridgeway healthcare po box 3060 farmington mo 63640 8664753129 95327 adventist risk mgmt p.o. AA002. Benefits, List of Covered Drugs, and pharmacy and provider networks may change from time to time throughout the year and on January 1 of each year. PO BOX 75 MINNEAPOLIS, MN 55440 Each State will have their own payer ID for Blue Cross Blue Shield and in many instances, they will process their own Federal (FEP) claims. Limitations, restrictions, and patient pay amounts may apply. endstream endobj startxref PO Box 30990 Postal address PO Box 4601, Carol Stream, IL 60197-4601 Farmington Hills MI 48331 United States. Dragging your feet on going digital? . . Medica with CHI Health Birmingham, AL 35266-0787 Meridian is currently accepting electronic claims from the following clearinghouses: IMPORTANT: Please refer to Member ID card for changes effective on April 1, 2022, as the Payer IDs are not interchangeable. Please follow these guidelines for claims submission to Meridian: For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. 3 0 obj Farmington Hills, MI 48333-9089. Bold by M Health Fairview P.O. Rx PCN: MD you may call the number above, request one at the website link provided above, or email memberservices.mi@mhplan.com. Eagan, MN 55121 : See details on claim submission and product guidelines. endstream endobj 1438 0 obj <. Please ensure the proper claims address and payer ID is used. The claim information must be typed, with no hand-written information other than applicable signatures. Box 880. Review the reports from your clearinghouse. claims. Box 880 Farmington, MI 48331 www.cypressbenefit.com APPLETON, WI: 877-236-0844 CLACKAMAS, OR: 800-277-8579 OMAHA, NE: 800-223-5508 4/1/2019 CYPRESS BENEFIT ADMINISTRATORS LLC 10158 Rx Group: 2Medica, Medicaid Families and Children: Delta Dental You can get this information for free in other languages. This means that you may have to pay for some services and that you need to follow certain rules to have MeridianComplete pay for your services. Detroit, MI 48226. P.O. Mayo Medical Plan Business profile of Robert Hund Inc, located at PO Box 880, Farmington, MI 48332. Inspire by Medica <> We've also included all necessary forms, in printable format. Smart Phone; Laptop; Speaker; Bi Cycle; Electronics Categories. Medica Choice Passport Delta Dental of Michigan is a part of Delta Dental Plans Association. HOW DO I BECOME A PREFERRED PROVIDER? Refund Overpayments (on your check stock) Allwell PO Box 3657, Carol Stream, IL 60132-3657 . 1495 0 obj <>stream Box 2907 Milwaukee, WI 53201-2907 617-886-1234 deltadentalma.com Payer #04614 Michigan Delta Dental of Michigan P.O. On or before Dec. 31, 2020: 52563. Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Payer ID. Empower by Medica If either the provider or chosen clearinghouse has questions about the process of enrolling as an atypical provider, you can contact the Client Services team at 1-800-Availity. Procedure Codes that Require X-ray or Document Submission, Medicaid and Medicare Advantage Non-covered Services Form. PO Box 9120 Farmington Hills, MI 48333 Phone: 1-800-448-3815. 800-838-8957 (TTY users call 711) Claims mailing address Delta Dental PO Box 9298 Farmington Hills, MI 48333-9298. Contact information for corporate headquarters. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Contact information for corporate headquarters. IBA | Privacy Policy | Terms of Use | Site by Lightmatter. Can't find what you're looking for? The correct address for all claims, paper and electronic, for Delta Dental of Michigan, Ohio, and Indiana: Call DASI at 800-462-7283 to check the status of all claims, including electronically submitted claims. This field is for validation purposes and should be left unchanged. Mobile Categories. po box 880 farmington mi 48331 8555560285 0001121900 dart management corp (dmc) 500 hogsback Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 We're Here to Make Patient Care Simpler Welcome to the Quantum Health provider resource portal. Box 553912 Detroit, MI 48255-3912 . If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 Medica Health Plan Solutions, BCBS AZ providers submit to payer ID 53589, Prior Authorization submitted via email and/or fax number provided on thecorresponding form, BIN/PCN/Group # vary by product seesee member's ID card, Claim Address (paper submission and correspondence), Zelis/Medica services inc. services health. Electronic claims submission tips. Farmington, MO 63640-4402. If you are re-submitting a claim for a status or a correction, please indicate "Status" or . PO Box 9120 Farmington Hills, MI 48333 Phone: 1-800-448-3815. Accuracy counts. po box 2839 farmington hills mi 48333 payer id. If no email is received within 10 minutes, check that the submitted user ID is correct or contact the system administrator for additional support. Meridian Schedule an Appointment with a licensed insurance agent. Delta Dental PO Box 9089 Farmington Hills, MI 48333-9089 Call our customer service team at 800-524-0149 for member eligibility, benefits information and claims inquiries. To avoid delays, send X-rays and reports only for the procedures that require them. 600 Pittsburgh, PA 15202 (412) 2012242 FAX (412) 2012250 LUCE AFMC LUCENT HEALTH (fna) CYPRESS BENEFIT ADMINISTRATORS P.O. 1 year ago Reply. Medica Quest MeridianComplete is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. What is a self-funded health plan? 2021 at 2:32 pm FARMINGTON, MI 48334 The address is: The DharmaShop 24148 Research Drive Farmington Hills, MI 48335. 1437 0 obj <> endobj P.O. Ascension Network Tier 1 Referrals. Electronic claims submission is fasteryou and your staff will have more time to devote to your patients and for other responsibilities. Box 674416 Detroit, MI 48267-4416. Keeping your smile healthy is an important part of keeping your body healthy. 3. stream endobj 866 0 obj <>stream Or, you may call DASI 24/7 at 800-462-7283 to check the status of claims, including those submitted electronically. 1457 0 obj <>/Filter/FlateDecode/ID[<7B94233D07EE1845BBB508D91E8DC694><14EAC53508E3334F82EDE3845BCF797C>]/Index[1437 59]/Info 1436 0 R/Length 103/Prev 138759/Root 1438 0 R/Size 1496/Type/XRef/W[1 3 1]>>stream Hoverboard; Motorcycle; Digital Watch; . You'll be more efficient. Oops! MI Health Link customer service. Cypress Benefits Administrators Po Box 880; Farmington; MI; 48331-0000 Delta Health Systems Po Box 780; Stockton; CA; 95201-0780 (800)418-5409 Just complete this request form. s?|S#FX5pgdod2_}p#fuVxujyDlFG\{NRWI~]BS1m"V+{uvo5k$S_!uOO_77*^sV4^mDa9z){],KhJ`P4PnJh/};--4wc8 ?NM7tT*ym:Q=JAf^&wc)EoehM?UT5HhJ{P&Zo8[0[277D}oIKR ^k5$&h"^{1C?UMPG= BE::h{c$&/&/5v4 v7.F#urwyq} %. BIN/PCN/Group # vary by product see member's ID card, Optum Chiropractic Submit all initial claims for adjucation through electronic claims submission or by mail to: If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. First Name: Required Last Name: Required Company Name: Required Title: Email: Required Phone: Required Comments: Required Type of inquiry: Answer the question below: Next, the user will select the blue hyperlink "Commercial/Other" for more information. Whether online, through your practice management system, vendor or direct through a data feed, EDI ensures that your claims get submitted quickly. Samara B. Box 880 Farmington, MI 48331 www.cypressbenefit.com APPLETON, WI: 877-236-0844 P.O. Licensed in all fifty states and available through an exclusive network of elite independent agents, the company upholds an A (Excellent) financial strength rating, industry-leading service scores, and multiple awards for innovation. Farmington Hills, MI 48333 . Medica Focus Corporate Address: Delta Dental of Minnesota . Closed Mondays 8 9 a.m. for training. Update: National Provider Identifier (NPI) is required when billing, unless enrolled as an atypical provider. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Medica CompleteHealth If you need further assistance, please visit the contact us section for help on ways get the information you need. Visibility that unlocks value. PO Box 880. Telephone | 205.871.3229 These plans make it easy to receive Delta Dental coverage and protect your health. Box 9120 Farmington Hills, MI 48333-9120 1-866-398-9419 Payer Identification Number - 07000 . Contracted Enrollment Request Practitioner, Definition of Enrollment, Credentialing, and Contracting, Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission ofclaims to Meridian, Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10when billing Meridian, Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment, Providers may also submit and check the status of claims electronically via the secure Meridian, Claim must be original, using national or state form types as applicable. ZIP code 48331 is located in southeast Michigan and covers a slightly less than average land area compared to other ZIP codes in the United States. It is important that you submit your appeal and any supporting documentation within ninety (90) days of the original claims determination. Shop; Pruducts. PO Box 212 Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. This means fewer information requests or other holdups in the processing of your claims. Add a company; . Claims Billing Requirements: All Rights Reserved. Medica with CHI Health Direct Primary Care (DPC) The rejection for a missing NPI will be received by your chosen clearinghouse and it will be their responsibility to enroll. Very important statistics warning: Everyone reading this probably hopes & expects to find precise statistics to compile & process. Essentia Choice Care with Medica (Commercial) For DOS on or after July 1, 2021. %PDF-1.7 (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. <> Please follow these guidelines for claims submission to. You can also submit claims for payment through the mail: After 1/1/2021, please use the following address for mailed claims: MeridianCompleteATTN: Claims DepartmentPO Box 3060Farmington MO 63640. Elect Payer ID: 38259. Date: 3/4/2023 9:53:06 PM Phone: 1-877-268-3384. Farmington Hills, MI 48333-9085. ZIP code: 48332-0880. Ascension Online Care. Find plans to balance costs, manage chronic conditions and encourage employee engagement. Payer ID: 71890 ID: 1234567891 Name: Mayo Medical Plan Page Fact Sheet 2 of 4 . %%EOF Medica Advantage Solution PPO Fact Sheet Farmington Hills, MI 48333 Electronic Payer ID: 07000. Known Addresses for Amerisure Insurance Company. 95956 abs p.o. P.O. Box 103 Stevens Point, WI 54481 855-335-8267 www.deltadentalil.com Payer ID: WDENC Delta Dental of Indiana P.O. PO Box 4020. Your submission has been received! This is presented, because sometimes TPAs and their current & prospective clients take for Self-funded (or self-insured) health plan is one in which the employer assumes some or all of the risk for providing health care benefits to his employees. If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): 1030582505 ambetter po box 5010 farmington mo 63640 5010 8776871187 0001198700 ameriben solutions po box 7186 boise id 83707 8007867930 0001114900 america first insurance co po box 16708 jackson ms 39236 8008001397 . Box 3060 Farmington, MO 63640-3822 ATTN: Claims Department . Call our customer service team at 800-524-0149 for member eligibility, benefits information and claims inquiries. Medica AccessAbility Solution / Special Needs Basic Care (SNBC) If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): Note: documents in Excel format (XLS) require Microsoft Viewer, download excel. Any provider within the available networks (see applicable provider fact sheet below for directory). Here are just a few good reasons to switch to electronic claims submission: You'll save money. The number of middle aged adults is extremely large while the number of people . xoJa# A*J/^d{3$~-t{_?j_O?~z|66xBMmj[/~xzSWf[}m>~}|}'n[eU'zrV5mhmV3$Hm "4CmcoYh6Viz}8Fds_? p~xW>4':5'_N7g>=p6S+hx~6k?l_EYn#FBL71nvz->|\7au*kR07a"j[l:]P?ntfc/[dsn Nkxo_>ZGOvd'__uW';.__;wS;lVG}7G|5?:7Wju0 Get Directions. PO Box 30757 Attn: Claims Department. I've been waiting . Not doing so delays the processing and your payment. Automated system is available 24/7. BANKERS CLAIM SER. (Read more) connecticare inc 06105 n n/a po box 546 farmington ct 06034. corp. health. Customer payments for BCBSM Medicare Advantage groups Blue Cross Blue Shield of Michigan P.O. We realize call wait times can sometimes be high this time of year. hb```f`` @1V 0&>TY6@Sk~dp;I;Egki``Ft "UY63Leg,l9 3'C {&AQ730 XqQ? PO Box 550, Farmington Hills, MI 48332-0550 Telephone: 855.731.9442 (toll-free) or 317.927.6825 (7:00 am - 9:00 pm EST) Fax: 855.731.9443 Email: PCcare@imglobal.com. hb```f``: @1V 0bgzk30wt4 R `g`,[X$ 0y*3tfL^fi=btf5 }@9`q :l8F: 58$ Call, Puede obtener esta informacin en otros idiomas de manera gratuita. Learn more about claims procedures Payer# 05030 IL Individual Plans P.O. The following are the standard claims billing requirements for providers. Ridgeview Community Network powered by Medica Payer ID: 94265 + Product Fact Sheets Altru & You With Medica Clear Value With Medica Essentia Choice Care with Medica (Commercial) Medica Choice Passport Medica CompleteHealth PO Box 9089 You will find current eligibility and plan information and you can track claims submissions. Medica Choice CareSM PMAP & Medica MinnesotaCare Fact Sheet, Monday Friday, 7 a.m. to 5 p.m., Central Time LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. to see if your clearinghouse partner is on the list. Delta Dental of Michigan is a part of Delta Dental Plans Association. Here you can submit referrals, check the status of authorizations, verify patient benefits and more. Harmony by Medica This evolution allows us to grow and add quality services to our platform of solutions for self-insured employers and covered members. Amerisure is a leading provider of commercial property and casualty insurance solutions for U.S.-based construction, manufacturing and healthcare businesses. Minnesota Uniform Companion Guides The Administrative Uniformity Committee (AUC) provides common billing practices for Minnesota payers and providers. Login, ExpressScripts (ESI). Box 880 Farmington, MI 48331 LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. Eagan, MN 55121, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Blog; Contact; Understanding Your Dental Plan; DeltaDental.com; Find My Delta Dental; Farmington Hills, MI 48333, BIN/PCN/Group # vary by product see member's ID card, Any available provider within the Zelis network, Medica Government Programs We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! You will also need to select a clearinghouse. When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims to us electronically. Oak Park, MI 48237-7705. For certain kinds of drugs, you can use the plans network mail-order services. endobj Medica Signature Solution hbbd``b`+D b q@b@; "8A ,@; Provider Network Questions: For questions regarding our provider network, or to join the HealthSmart PPO Preferred network, contact HealthSmart Provider Relations at 800-687-0500. A very large employer asked SPBAs Past President Fred Hunt what criteria a consultant should recommend back to the employer whether or not to hire a TPA. Medica Prime Solution Delta Dental has affordable individual dental plans available for you. 4. Claims will no longer be rejected at Availity for a missing NPI once you have completed the enrollment process. City / suburb: Farmington. Go to homepage endstream endobj 813 0 obj <. Medica Dual Solution/Minnesota Senior Health Options (MSHO) Minneapolis, MN 55440-0212, Authorizations/treatment plans are not required, 2020 Medica Provider Service Center: 1-800-458-5512, 2021 Medica Behavioral Health (MBH): 1-800-848-8327, Medica Behavioral Health Providers can file EDI: Payer ID IH400 . Rx PCN: MA 28. Preparing and mailing paper claims is far more costly than transmitting them electronically. Review the information in this section before contacting customer service. may add new clearinghouses from time to time, so please contact Provider Services at. Learn about our HSA & HRA plans, Dental & Vision offerings, Pharmacy solutions, and Care Management Its quick. Delta Dental Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. Medica Direct Value Bernd Boisten. 39372.Rev003 12.17.2020 Was this answer helpful? po box 3080 farmington hills, mi 48333. by | Nov 13, 2022 | 401k employer contribution | red mountain park bike trails | Nov 13, 2022 | 401k employer contribution | red mountain park bike trails Meridian follows State Medicaid guidelines for claims payment. Printed copies of this document are considered uncontrolled. Language Assistance & Notice of Nondiscrimination, Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission ofclaims to Meridian, Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10when billing Meridian, Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment, Providers may also submit and check the status of claims electronically via the secure Meridian, Claim must be original, using national or state form types as applicable. All Rights Reserved. Ambetter from Meridian, Michigan Complete, Clearinghouse Enrollment for Atypical Providers. If you need any assistance, we are always here for you. Need More Help? The contact information is listed below. It's affordable. Salt Lake City, UT 84130, Altru & You With Medica new address for 2021 . Medica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Search insurance providers in other Michigan cities: Allen Park; Ann Arbor; Battle Creek; Bay City; Berkley; %%EOF PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 CYPRESS BENEFIT ADMIN CBA03 88056 Cypress Benefit Administrators P.O. Meridian is currently accepting electronic claims from the following clearinghouses: IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable. Please email CA.ITHelpDesk@lucenthealth.com if you have forgotten your username or need to have your password reset. Medica Individual Choice Box 880. Pioneer Precast Concrete LLC > Blog > Uncategorized > butler county community college nursing requirements. PO Box 3060 Farmington MO 63640 . Confirm Registration - you will receive confirmation that you have been registered, and you will create your OneHealthPort password. Payer Identification Number - 81600: . Usually a mail-order pharmacy order will get to you in no more than 5 days. Medica Advantage Solution HMO-POS Fact Sheet 812 0 obj <> endobj Instructions regarding resetting your password have been sent to the email address on file. Meridian. Farmington, MI 48331. hbbd```b``6kA$bv &A$0"YL`6ED2 $LUl/0$3m` 7l Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 deltadentalmi.com Payer #DDPMI Minnesota, North Dakota Delta Dental of Minnesota P.O. 1 Campus Martius, Suite 710 Detroit, MI 48226 Attn: Claims Department . PO Box 9085 Protecting your information is a top priority. The people living in ZIP code 48331 are primarily white. If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. . Send an email to quotes@healthbenefitsconnect.com. 0 Florida 88090 (PHX) Zelis/Medica PO Box 2839 . 832 0 obj <>/Filter/FlateDecode/ID[<6C82FC46F3A23D4E95ABBF0E013906FB><17FDBBEB2DBCEB4FB44F309ECAB06A21>]/Index[812 55]/Info 811 0 R/Length 96/Prev 113539/Root 813 0 R/Size 867/Type/XRef/W[1 2 1]>>stream Pharmacy: Prescription drug benefits administered by Alluma Medica NurseLine: Access to a nurse by phone available 24 hours a day, seven days a week Peace Corps has contracted with International Medical Group (IMG) to administer the Peace Corps healthcare program. Phone: 1-877-268-3384. [Select Request Type] (Required) Also of Interest: Find An Agency Amerisure's Appetite Partners For Success Agencies Visit the. Medica Elect and Medica Essential Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 www.deltadentalin.com Payer #DDPIN Delta Dental of Iowa P.O. United States. Medica Advantage Solution PartnerCare HMO I-SNP Medica Solo Farmington Hill. First Name: Required Last Name: Required Company Name: Required Title: Email: Required Phone: Required Comments: Required Type of inquiry: Answer the question below: <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Salt Lake City, UT 84130-0990 One of our team will reach out to gather information and get you . university of queensland entry requirements for masters; butler county community college nursing requirements. Learn about our HSA &HRA plans, Dental &Vision offerings, Pharmacy solutions, and Care Management, Learn about becoming a self-funded employer to save money and add value, IBA works closely with each individual client to establish Stop-Loss plans and uncover billing errors. 10030 activa benefit services po box 2720 farmington hill mi 48333 8778271414 . Claim Adjustment or Appeal Request Form (DOC). PO Box 21342 Whether your company has two employees or thousands, we have health care plans to support companies big and small. PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 AUXIANT-MEDICAL BENEFIT ADMINISTRATORS MBA02 36326 PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 CYPRESS BENEFIT ADMIN CBA03 88056 Cypress Benefit Administrators P.O. % Something went wrong while submitting the form. Electronic claims ensure greater accuracy, because of built-in checks on claims submission. Clear Value With Medica Or, you may call DASI 24/7 at 800-462-7283 to check the status of claims, including those submitted electronically. d `T9@w#n claims. 2023 Please contact the plan for more details. Box 660787 Farmington Hills, MI 48333 Electronic Payer ID: 07000. Ridgeview Distinct by Medica PO Box 211435
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