Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Blue Shield of Idaho PO Box 30270 Salt Lake City, UT 84131-0207. Provider claims. an informed decision. UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus—UW Medicine Accountable Care Network UMP Plus— Puget Sound Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence … The time limit for filing claims is one year from the date of service/purchase. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. (medical services). Regence BlueShield Regence BlueShield serves select counties in the state of 1800 Ninth Avenue | Seattle, WA 98101 Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association © 2020 Regence BlueShield What’s new at UMP (PEBB) for 2021 You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). Note: The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. To submit a claim online, go to the “Member Dashboard / Claims” section and select the yellow “Submit a Claim” button. Group - Fully-insured and administrative services only (ASO). This section applies to requests for appeal when: NCCI or CCE coding rules apply to a claim or claim line. As a member, you can register and sign in to view your claims and benefits information and get access to members-only tools. A claim denied as a duplicate when services were performed more than one time, and payment does not reflect multiple service payment. A contact lens exam is not included in the annual eye exam and eye health exam. Fill in this form (sign-in required) to give us information about your other coverage. Overseas (Active Duty) TRICARE Active Duty Claims P.O. Claims and correspondence. You can also submit claims via mail to our claims address P.O. Learn more about our customized editing rules, including clinical edits, bundling edits, and outpatient code editor. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan … Pre-authorization: Use our online tool to be routed to the home plan's requirements. About Uniform Medical Plan (UMP), administered by Regence BlueShield. Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 Or by fax to: 1-877-357-3418 Payments will be mailed to the address on file for the subscriber. To browse each plan’s network or to find a … Box 7968 Madison, WI 53707-7968 www.tricare-overseas.com: Eurasia Africa (All Others) TRICARE Overseas Program P.O. Coordination of Benefits, Medicare crossover and other party liability or subrogation. Tacoma, WA 98401-2998. UMP is administered by Regence BlueShield and Washington State Rx Services. This includes all applicable professional and facility claims: • Effective April 1, 2019, for professional services • Effective May 1, 2019, for facility services These requirements apply to all Regence plans (group, Individual, Uniform Medical Plan [UMP], Your evidence must support that you followed Regence policy. Learn more about the plans. Sign up for EFT and quickly receive payment. Even though I am "out-of-network" with all Regence, Health Management Administrators (HMA), and Uniform Medical Plans, I am happy to submit claims on your behalf for your out-of-network benefits. Primary member/subscriber ID number* Group/employer name: Uniform Medical Plan . The mission of Sound Generations is to assist and educate people of all ages so they can make informed insurance decisions. Fax: 800‐207‐8235, ATTN: Rx Claims Department . With the Uniform Medical Plan, you may choose from the plans listed below. (Medical services). Uniform Medical Plan ublic Employees Benefits Board (PEBB) – 10008217 . View our guidelines for claims submission and helpful coding resources. Regence Uniform Medical Plan (UMP) Insurance Connections Behavior Planning & Intervention is a preferred provider with Regence UMP. Uniform Medical Plan CDHP 2017 Certificate of Coverage (COC) www.hca.wa.gov. Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 or by fax to: 1 (877) 357-3418 Payments will be mailed to the address on file for the subscriber. Our interactive voice response system is also available 24 hours a day, seven days a week when calling the Provider Contact Center. Provider Contact Center: 1 (800) 253-0838. Learn about submitting BlueCard claims. Our Provider Contact Center is available for information that cannot be served by the Availity Portal. Preventive care list Check this list to see which preventive services are covered, for whom and how often they are recommended. You can verify your address by calling PEBB Customer Service at Find hearing information and important documents from the Washington state Office of the Insurance Commissioner regarding Regence BlueShield. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. Box 202112 Florence, SC 29502-2112 www.tricare-west.com. For services abroad please utilize the International Claim Form located at www.bcbsglobalcore.com. Are you covered by Regence and another health insurance company? A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. These are complex claims, Hensley said. Fax 1-844-679-7763. An authorization must be on file to ensure proper claims payment. Access Regence Group Administrators member forms for appeal submissions, care claims, and authorizations. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. We can work with that company to reduce your costs. Contact lenses are medical devices and require an exam to obtain or renew your prescription. Video en español About Uniform Medical Plan Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s Public Employees Benefits Board (PEBB) Program. admission. Regence BlueShield assumed administration functions for the state’s Uniform Medical Plan (UMP) in January 2011. Box 52890 Bellevue WA 98015 or fax at 1 … Download and print helpful material for your office. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Claims Department P.O. We provide Applied Behavioral Analysis (ABA) therapy benefit for Regence UMP members.Regence will cover ABA Therapy. Regence 1800 Ninth Avenue PO BOX 91015 Seattle, WA 98111-9115 h ttE c' Uniform Medical Plan MEDICAL CLAIM FORM Use this form to submit reimbursement requests for services received from a non-network provider. Preauthorization. Regence Blue Shield in accordance with the terms of your provider contract with Regence. What is a Uniform Medical Plan (UMP)? PART 1: *Indicates required information. The remainder goes to Regence, which on behalf of the state pays the rest, or however much the state Uniform Medical Plan allows. Member claims. The Uniform Medical Plan (UMP) was built to provide top-quality, affordable healthcare to eligible Washington state public employees (active and retired), Leave Without Pay members, non-Medicare retirees or COBRA members. What are my plan options? 4. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School … Use this claim form for any reimbursement requests you may have or if you prefer, send a copy of your bill with your Group and ID Numbers written at the top and mail to the address below.
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