Payer id life1 - The payer ID for claims is 61101, and the payer ID for encounters is 61102. Some clearinghouses might charge a service fee. Please contact your clearinghouse for more information. To access your patient’s plan summary: Paper claims filing Humana’s MA HMO plans Please submit your claims electronically whenever possible.

 
Members in the affected plans will get new member ID cards that show the Payer ID LIFE1 and will have ... Payer ID: XXXXX Dental Providers: dentalurl.com 1-999-999-9999 Med Claims: P.O. Box 99999, CITY NAME, STATE 99999-9999 Rx Claims: OPTUMRX P.O. Box 99999, CITY, ST 99999-9999. Pic of dollar50 bill

Payer ID 3. Network name 4. Plan name 5. Provider services toll-free number 6. Medical claims address 7. UHC Medicare assigned H contract number Health Plan (80840): For Members911-87726-04 Member ID: RxBIN: RxPCN: RxGrp: H0609-025-000 Group Number: HCFAC9 Payer ID: LIFE1 Member: SAMPLE A MEMBER PCP Name: SAMPLE, M.D., PROVIDER Copay: PCP $0 ... Each 1099 online form requires the Payer’s State number to be entered on different boxes. For Example: For Form 1099-NEC - The ‘State/Payer’s state no’ is reported on Box 6. For Form 1099-MISC - The ‘State/Payer’s state no’ is reported on Box 17. For Form 1099-INT - The ‘‘State identification no’ is reported on Box 16. For electronic submissions, use payer ID: LIFE1 For paper submissions, use Attention: OptumCare Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic funds transfer (EFT) OptumCare works exclusively with InstaMed as our free payer payments solution for providers. To continue receiving your OptumCare payments electronically, In the “Eligibility, Claims Status & Referrals” tab, enter “Coventry” in the “Payer Name” field. For medical plans, use 25133. For MHNet, use 74289. Use the payer IDs listed in the claims column. Visit www. aetnabetterhealth. com. Select the appropriate state’s plan to learn how to get this information. Visit www.Member ID:9999999-99 Group Number: HCFAH4 Member: SUBSCRIBER BROWN PLAN CODE: R9Q PCP Name: PROVIDER BROWN Payer ID: LIFE1 PCP Phone: (999) 999-9999 MEDICAL NETWORK NAME H0609 PBP# 027 610097 SHCO 9999 RxBin: RxPCN: RxGrp: AARP MedicareComplete Plan 2 (HMO) Copay: PCP $0 ER $75 Spec $25Electronic Funds Transfer (EFT) is also available for TRICARE For Life. EFT replaces the paper checks you currently receive for TRICARE For Life claim payments. When you enroll in EFT, you will need to receive your Explanation of Benefits (EOB) data through either Electronic Remittance Advice (ERA) or our TRICARE4u website, as your paper EOBs ... ERA Payer List for UnitedHealthcare, Affiliates and Strategic Alliances. Contact your EDI clearinghouse or vendor to enroll in Electronic Remittance Advice (ERA/835) BRAND NAME / PLAN NAME or REGION. PAYER ID. STATE. COMMENTS. AARP Hospital I+B7:E40ndemnity Plans insured by UnitedHealthcare Insurance Company 36273. ALL. Washington. Login. Top. If you're an Optum Care provider, you can access the information you need securely. Select a login based on your location.In today’s digital age, it’s important to take steps to protect your privacy online. One effective way to do this is by creating a new mail ID. The first step in creating a new mai...General EDI Information. Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.Claim.MD can get you started fast. Check our payer list to identify payers unaffected by the Change Healthcare issue. Learn more about Claim.MD's excellent pricing. Attend a Webinar to learn more and ask questions from our sales team. See how Claim.MD makes Payer Enrollments faster and easier than ever.Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Payer ID: 94265 +. Address for Claims and Claim Appeals. Medica. PO Box 30990. Salt Lake City, UT 84130-0990. Attachment/Appeal Fax#. 1-801-994-1076. Claim Adjustment or Appeal Request Form (DOC)Availity is a provider portal that connects you with hundreds of payers and offers various features to simplify your workflow. You can access payer lists, authorization capabilities, directory verification, enhanced claim status, and more. Availity helps you reduce calls, paperwork, and errors, and improve your provider experience.The Indian Government is in the midst of rolling out the world’s largest biometric identity project. The exercise—conceptualised and steered in its present form by Infosys co-found...Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com Phone: 1-888-352-7294 Prescriptions/ Specialty Pharmacy Express Scripts Express Scripts ATTN: Commercial Claims P.O. Box. 14711 Lexington, KY 40512-4711 Legal Statement For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant 837 I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institu-tion (ANSI) standards. The Health Insurance Portability and Accountability Act (HIPAA) requires health insurance payers in the United States to comply with the EDI standards for health care as established by the Secretary of Health and Human Services. The ANSI X12N 837 implementation guides have been established as the standard for compliance for claim transactions.By phone: 877-370-2845. Member ID cards. Members in the affected plans will get new member ID cards that show the Payer ID LIFE1 and will have other applicable delegation-specific descriptors such as delegate name and delegate website listed as the care provider contact.For electronic submissions, use payer ID: LIFE1 For paper submissions, use Attention: OptumCare Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic funds transfer (EFT). In July 2018, OptumCare will work exclusively with InstaMed as our free payer payments solution for providers. To continue receiving your OptumCare payments …Member ID: Group Number: Member: State ID: PCP Name: NE WASHINGTON HEALTH PROGRAMS. PCP Phone: (509)258-4234. 0501. Payer ID: Rx Bin: 610494. Rx GRP: ACUWA. Rx ...Payer ID: LIFE1. Enrollment Required (ENR): No. Type / Model: Commercial/Par. State: Professional (CMS1500)/Institutional (UB04) [Hospitals] Real Time Eligibility (RTE): NO. …For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institution (ANSI) standards.Electronic Payor ID: Electronic claims may be submitted through: Emdeon (Payer ID: 63092 or 52192) SSIGroup (Payer ID: 63092) Availity (Payer ID: 63092 or 52192) Proxymed (Payer ID: 63092) Medassets (Payer ID: 63092) Zirmed (Payer ID: 63092) OfficeAlly (Payer ID: 63092) GatewayEDI (Payer ID: 63092)Payer ID LIFE1 Claims Mailing Address PO Box 30781, Salt Lake City, UT 84130-0781 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination 8 a.m.-5 p.m. Monday-Friday, ET Pre-authorization, hospital Phone: 866-565-3468 pre-notification, emergent Fax: 844-700-5131 admission, case …Payer Information. OptumCare. Payer ID: LIFE1. This insurance is also known as: AARP Medicare Complete formerly Secure Horizons Lifeprint Arizona. OptumCare/AZ, CO, CT, …What is changing? New Payer ID: LIFE1. New Claims Address: Optum Medical Network Claims. PO Box 46770. Las Vegas, NV 89114-6770. New Sample Card for AARP MedicareComplete Essential …1 (800) 997-1654. Cigna Provider Phone Number for Medical, Dental and Vision. 1 (800) 244-6224. Cigna Behavioral Health Phone Number for Providers. 1 (800) 433-5768. Cigna Medicare Phone Number for Providers. 1 (800) 668-3813. You may also want to know about Aetna Provider Phone Number.Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Payer ID: 94265 +. Address for Claims and Claim Appeals. Medica. PO Box 30990. Salt Lake City, UT 84130-0990. Attachment/Appeal Fax#. 1-801-994-1076. Claim Adjustment or Appeal Request Form (DOC)For electronic submissions, use payer ID: LIFE1 via Optum 360 clearinghouse or clearing house of your choice. You can view the status of claims on the Optum Care Provider Center, our online provider portal. OneHealthPort users will have access to the Optum Care Provider Center within OneHealthPort via https://onehealthport.com.using payer ID: LIFE1 For paper submissions, use: Attention: Optum Claims. P.O. Box 30539 Salt Lake City, UT 84130. Electronic funds transfer (EFT) ... Payer ID 3. Network name 4. Plan name CMS Contract/ PBP 6. Provider services toll-free number 7. Medical claims address continued on back. 7 1 4 5 2. PROVIDER USE ONLY. Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination Pre-authorization https://onehealthport.com 8 a.m.‒5 p.m., Monday‒Friday Phone: 877-836-6806 Fax: 855-402-1684 Health Care Coordination Exchange Real-Time Payer List. Access the Exchange Real-Time Payer List by clicking the download button below. This list is intended for legacy Exchange submitters. During the restoration process, this payer list will be updated every weekday evening. The most recent list is Active_Exchange_RT_Payer_List_05022024_01.xlsx If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care’s Electronic Data Interchange (EDI) team at [email protected] or 800-708-4414 (select option #1 and then option #3).Since Adobe no longer supports Flash Player after December 31, 2020 and blocked Flash content from running in Flash Player beginning January 12, 2021, Adobe strongly recommends all users immediately uninstall Flash Player to help protect their systems. Some users may continue to see reminders from Adobe to uninstall Flash Player from … Member ID 123456789-00 Sample Plan Name with Dental RxBIN 99999 RxPCN 9999 RxGRP XXX front Card #: 99999 9999 9999 9999Security Code: 9999 SAMPLE For Members: memberurl.com 1-999-999-9999, TTY 711 Providers: providerurl.com 1-999-999-9999 Payer ID: XXXXX Dental Providers: dentalurl.com 1-999-999-9999 Med Claims: P.O. Box 99999, CITY NAME, STATE ... Health Net Payer ID by Line of Business; Line of business HEALTH NET PAYER ID CA & OR; Individual MA HMO, Special Needs Plan (SNP) (does not apply to employer group MA HMO) IFP: 68069: Employer group MA HMO, HMO, PPO, EPO, Point of Service (POS), Medi-Cal (including CalViva Health), Cal MediConnect, Centene Corporation Employee Self-Insured PPO ...Creating an effective ID badge template is a great way to ensure that all of your employees have a consistent and professional look. ID badges are also a great way to make sure tha...Payer ID: LIFE1 Dental Providers: uhcdental.com 1-877-816-3596 Med Claims: P.O. Box 30788, Salt Lake City, UT 84130-0788 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other ... G: AlohaCare (837I & 837P) ALL ALOHA Y G AMA Insurance Agency (837I & 837P) ALL TH071 Y G Amalgamated (837I & 837P) ALL 13550 Y G Ambetter ALL 68069 Y G payer name payer id; u s concrete incorporated - wc: j3132: u.a. local 350 plumbers & pipefitters - era onl: ec350: u.s. networks and administrative services: usn01: ubh: 87726: ubh rios: 87726: ubh united healthcare 87726: 87726: uc care (university of ca) 68241: uc health plan administrators: 89789: uc irvine: uci01: ucare of minnesota: 55413 ... For electronic submissions, use payer ID: LIFE1 Paper submissions are not recommended, but when necessary, please use: Attention: Optum Care Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic Funds Transfer (EFT) Optum Care works exclusively with InstaMed as our free payer payments solution for providers. Payer Name Payer ID AARP by United HealthCare 36273 Aetna Healthcare 00002 AllSavers Life Insurance Company 81400 Altius Health Plans 00364 ... PAYER LIST . Office Ally | P.O. Box 872020 | Vancouver, WA 98687 www.officeally.com Phone: 360-975-7000 Fax: 360-896-2151 .Payer Name (Waystar Payer ID). Related Payer Name(s). Prof Claims, Inst Claims, Secondary Claim Format, Remits, Elig, Claims Monitoring, Accepts Dual Clearing ...Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required: Secondary Claims: YES: This insurance is also known as: AARP Medicare Complete formerly Secure Horizons Lifeprint ArizonaCP 012621 for: Physicians, Health Care Professionals, Providers Echo Health Call Center Directory Phone: (800) 264.4000 Aetna Health and Life Insurance Company (Medicare Supplement) Aetna Health Insurance Company (Medicare Supplement)Payer ID: LIFE1 Dental Providers: uhcdental.com 1-877-816-3596 Med Claims: P.O. Box 30539, Salt Lake City, UT 84130-0539 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other ...36273 ALL. Harvard Pilgrim 04271. ALL Medica. 94265 ALL. Neighborhood Health Partnership 87726. ALL OptumCare / AZ, CO, CT, ID, IN, KS, OH, MO, NM, NV, NY, …Use Payer ID: LIFE1. For Connecticut 2022 and . earlier date of service (DOS), use payer ID: E2387 Click . here. for additional . information regarding CMS . HIPAA EDI submissionFor electronic submissions, use payer ID: LIFE1 For paper submissions, use Attention: OptumCare Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic funds transfer (EFT). In July 2018, OptumCare will work exclusively with InstaMed as our free payer payments solution for providers. To continue receiving your OptumCare payments …When using the services of a contracted clearinghouse, it is critical that the proper Payer ID is used so the electronic data interchange (EDI) claims are sent to Magellan. The following Payer IDs are required for all clearinghouses: 837P Professional: 01260; 837I Institutional: 01260; Payerpath 9030 Stony Point Pkwy Suite 440 Richmond, VA 23235Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination Pre-authorization https://onehealthport.com 8 a.m.‒5 p.m., Monday‒Friday Phone: 877-836-6806 Fax: 855-402-1684 Health Care CoordinationCreating a new Google email ID is an easy and straightforward process. With just a few simple steps, you can have your own personalized email address that you can use to communicat...InstaMed Payer List. InstaMed works with payers across the country to deliver free ERA/EFT transactions. Register with InstaMed to receive electronic payments from all of the payers on our Integrated ERA/EFT ® Payer List. It’s as simple as that – one enrollment to receive ERA/EFT from all payers on our payer list. View Payer List. • For electronic submissions, use payer ID: LIFE1 and Clearinghouse: Optum 360 • For paper submissions, use: Optum Care Network Claims PO Box 30781 Salt Lake City, UT 84130-0781 Electronic Fund Transfer (EFT) Optum Care Network works exclusively with InstaMed as our free payer payments solution for providers. Please register for free Payer ID. Payer IDs route EDI transactions to the appropriate payer. Anthem payer name and ID: Your Payer Name is Anthem BlueCross and Blue Shield (Anthem) Your Payer ID is 27514; Note: If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to useFor electronic submissions, use payer ID: LIFE1 via Optum 360 clearinghouse or clearing house of your choice. You can view the status of claims on the Optum Care Provider Center, our online provider portal. OneHealthPort users will have access to the Optum Care Provider Center within OneHealthPort via https://onehealthport.com. need to be sent under this payer ID) ## 22248 Y AMERIHEALTH MERCY FALSE G Amerihealth NJ/DE - HMO ** (Must complete enrollment form under payer ID 95044) 23037 Y AMERIHEALTH HMO TRUE G AmeriHealth NorthEast (Dates of Service on or before Dec. 31, 2020, may continue to use the following until Dec. 31, 2021. For dates of service The Payer ID for electronic claims submission is 84146 for medical claims; however, effective June 1, 2021, there is a new mailing address for paper claims: VHA Office of Community Care. ATTN: CHAMPVA Claims. O. Box 30750. Tampa, FL 33630-3750. For appeals or reconsiderations, the new claims address is: VHA Office of …For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant 837 I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institu-tion (ANSI) standards.The payer list reflects the names of the payers our providers are able to reach electronically through direct connections or third-party clearinghouse connections. Restoration Notes: This list contains Real-Time Eligibility Inquiry and Response (270/271) and Claim Status Inquiry and Response (276/277) connections only.Have you ever found yourself in a situation where you forget your Apple ID and password? Don’t worry, you’re not alone. It’s a common issue faced by many Apple users, and luckily, ...Payer ID: LIFE1 Medical Claim Address: P.O. Box 30781, Salt Lake City, UT 84130-0781 Pharmacy Claims: OptumRX P.O. Box 99999, City Name, ST 99999-9999 For Pharmacists: 1-888-888-8888 . Card #: 9999 9999 9999 99999 Security Code: 9999. AARP Medicare Advantage Choice Flex (HMO-POS) with Dental .following electronic Payer ID or mailing address: Payer ID: LIFE1 Mailing address: Optum Care Network Claims P.O. Box 30539 Salt Lake City, UT 84130-0539 Submit claim reconsiderations: Online: Optum Pro portal By phone: 855-822-4325 By mail: Optum Care Provider Dispute Resolution P.O. Box 30539 Salt Lake City, UT 84130-0539 Check the …Payer ID: Per the payer list 835 Payer List Payer ID Payer Name 58234 Alliant Health Plans of Georgia 36066 Bankers Life and Casualty Co. SB804 BCBS – NY Rochester – Excellus SB805 BCBS – NY Central - Excellus SB806 BCBS – NY Utica-Watertown - Excellus BV001 Block Vision (13374) BTHS1 Brown& Toland Health ServicesWhether you are verifying insurance coverage or submitting claims, our Payer ID list can help you identify the Payer ID and EDI transactions you need quickly …Claims. Submit claims using the following electronic Payer ID or mailing address: Payer ID: LIFE1. Mailing address: Optum Care Network – Idaho. P.O. Box 30539 Salt Lake City, …Creating a new Google email ID is an easy and straightforward process. With just a few simple steps, you can have your own personalized email address that you can use to communicat...68068 ALL. Y CENPATICO INDIANA Y. FALSE G. Cenpatico Massachusetts 68068 MA Y CENPATICO MASSACH Y FALSE G Cenpatico Ohio 68068 OH Y CENPATICO OHIO Y FALSE G Centene Advantage Plans (claims for former payer ID 95567 with DOS on or …For electronic submissions, use payer ID: LIFE1 via Optum 360 clearinghouse or clearing house of your choice. You can view the status of claims on the Optum Care Provider Center, our online provider portal. OneHealthPort users will have access to the Optum Care Provider Center within OneHealthPort via https://onehealthport.com.In the ‘Trading Partner ID’ field, enter 99102. If you selected EFT, you will be promoted to confirm your bank account. Click ‘Submit’ to confirm. For assistance with the online enrollment, you may call the payer at (800) 956-5190. State Line of Business Payer ID Trading Partner IDDHA Receiver/Payer ID: INS028/TPA001DHA Receiver/Payer ID: INS028/INS028 HAAD Receiver/Payer ID: A010/A010 HAAD Receiver/Payer ID: A010/C005 DHA Receiver/Payer ID: INS028/TPA001 HAAD Receiver/Payer ID: A010/C005 (UAE only) (outside UAE) myaetnaneuron.ae www.neuron.aeaetna Xxxxxxx Xxxxxx Employee ID :123456 Policy : …Payer ID Claim Office Number; State Reports; Entered As Secondary** Enrollment Payer Type; American Insurance Company of TX 81949 NOCD ALL N AMER INS OF TEXAS N FALSE G American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST. #2600, New Orleans, LA 70163) 72099 NOCD;Forms and resources for health care professionals. (131) Advance beneficiary notice of noncoverage (ABN) Please complete and return the form to the requesting department. Advance beneficiary notice of noncoverage (ABN) Please complete and return the form to the requesting department.800-733-8387. 8:05 a.m. to 7:30 p.m. ET, Monday-Friday. VHA Office of Integrated Veteran Care. ATTN: CHAMPVA. PO Box 469063, Denver CO 80246-9063. Fact Sheet: CHAMPVA Information for Outpatient Providers and Office Managers. Fact Sheet: CHAMPVA Deductibles and Copays. Helpful Hints: Filing Claims for CHAMPVA.Have you ever received a phone call from an unknown number and wondered who it could be? With the advancement of technology, identifying unknown callers has become easier than ever...Provider Portal. info. LHI is now Optum Serve. Different name, unwavering commitment to those we serve. Thank you for your patience as we transition our materials over the coming months. Click here for more information.Softcare Payer ID# Change Healthcare Payer ID# AmFirst Insurance Company: 01757: 64090: Claim Submissions by Mail: MWG Administrators Claims Department P.O. Box 16708 Jackson, MS 39236. Claims Assistance: (888) 888-2519 Customer Service: (888) 859-3795 Resources.Member ID 123456789-00 Sample Plan Name with Dental RxBIN 99999 RxPCN 9999 RxGRP XXX front Card #: 99999 9999 9999 9999Security Code: 9999 SAMPLE For Members: memberurl.com 1-999-999-9999, TTY 711 Providers: providerurl.com 1-999-999-9999 Payer ID: XXXXX Dental Providers: dentalurl.com 1-999-999-9999 Med Claims: P.O. Box 99999, CITY NAME, STATE ...

Payer ID. 3. Network name 4. Plan name 5. CMS contract/ PBP 6. Medical claims address 7. Provider services toll-free number ... using payer ID: LIFE1 For paper submissions, use: H0609-043 UnitedHealthcare. Attention: Optum Claims Chronic Complete P.O. Box 30539, Salt Lake City, UT 84130.. Preppy christmas drawing

payer id life1

Whether you are verifying insurance coverage or submitting claims, our Payer ID list can help you identify the Payer ID and EDI transactions you need quickly …When using the services of a contracted clearinghouse, it is critical that the proper Payer ID is used so the electronic data interchange (EDI) claims are sent to Magellan. The following Payer IDs are required for all clearinghouses: 837P Professional: 01260; 837I Institutional: 01260; Payerpath 9030 Stony Point Pkwy Suite 440 Richmond, VA 23235For electronic submissions, use payer ID: LIFE1 and Clearinghouse: Optum 360. For paper submissions, use: Optum Care Network Claims PO Box 30781 Salt Lake City, UT 84130 … Member ID 123456789-00 Sample Plan Name with Dental RxBIN 99999 RxPCN 9999 RxGRP XXX front Card #: 99999 9999 9999 9999Security Code: 9999 SAMPLE For Members: memberurl.com 1-999-999-9999, TTY 711 Providers: providerurl.com 1-999-999-9999 Payer ID: XXXXX Dental Providers: dentalurl.com 1-999-999-9999 Med Claims: P.O. Box 99999, CITY NAME, STATE ... To find the Payer ID Manually. 1. Hover over the "Billing" tab and choose "Payer Search" under the Enrollments section. 2. For billing accounts, the clearinghouse you are set up with will be listed on the left. However, if you submit to Carisk Partners (fka iHCFA) too, for example, you can choose that from the payer list from the dropdown if ...Member ID: RxBIN: RxPCN: RxGrp: H0609-025-000 Group Number: HCFAC9 Payer ID: LIFE1 Member: SAMPLE A MEMBER PCP Name: SAMPLE, M.D., PROVIDER Copay: PCP $0 Spec $30 610097 9999 SHCO ER $90 PLAN CODE: YRU UHC Dental Benefits PCP Phone: (719) 582-1489 X43136512900001 Customer Service Hours: 8 am - 8 pm 7 …Aetna Voice Advantage ® (AVA) Use our interactive telephone self-service system to check claims and patient eligibility. By calling the AVA National Dentist Line at 1-800-451-7715, you can: Check on several patients in a single call to a single number. Choose to hear the information or have it faxed. Check the status of a claim or claims.following electronic Payer ID or mailing address: Payer ID: LIFE1 Mailing address: Optum Care Network Claims P.O. Box 30539 Salt Lake City, UT 84130-0539 Submit claim reconsiderations: Online: Optum Pro portal By phone: 855-822-4325 By mail: Optum Care Provider Dispute Resolution P.O. Box 30539 Salt Lake City, UT 84130-0539 Check the …Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Payer ID: 94265 +. Address for Claims and Claim Appeals. Medica. PO Box 30990. Salt Lake City, UT 84130-0990. Attachment/Appeal Fax#. 1-801-994-1076. Claim Adjustment or Appeal Request Form (DOC)The Payer ID for electronic claims submission is 84146 for medical claims; however, effective June 1, 2021, there is a new mailing address for paper claims: VHA Office of Community Care. ATTN: CHAMPVA Claims. O. Box 30750. Tampa, FL 33630-3750. For appeals or reconsiderations, the new claims address is: VHA Office of Community Care.Payer ID. Name. Service. 94245. Lifeguard. Claims. 94245. Lifeguard (Added On 12/27/2001). Claims. TH001. Lifemark. Claims. LIFE1. Lifeprint..

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