Anthem Blue Cross Is The Trade Name Of Blue Cross Of ...
Anthem Blue Cross is the trade name of Blue Cross of California. The number of Payment Areas statewide will be reduced from eleven to nine. services and supplies provided to Members for compensable workers’ compensation injuries or illnesses shall be reimbursed ... Get Content Here
Provider Refund Form - Blue Cross Blue Shield Of Illinois ...
Contact Name: Phone Number: NPI Number: A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, - "Workers Compensation" Payment for the same service has been received from Blue Cross and a Workers' Compensation carrier. ... Document Retrieval
Medical Fee Schedule Overview (2) - California Department Of ...
Division of Workers’ Compensation Medical Unit Physician’s Fee Schedule number of the dispensed pharmaceutical Compound Medications Contact Information • E-mail shonor@dir.ca.gov • Phone 510-286-3700 ext. 2002. Title: ... Return Doc
Workers’ Compensation Peer Review Data Call: Preliminary ...
Workers’ Compensation Medical Peer Review Data Call: “Other Actions” included contact treating doctors, 2008. 4% 754 5 or More 6% 1,064 4 13% 2,355 3 30% 5,370 2 46% 8,189 1 Percent Count Number of Peer Reviews Per Claim During the Data Call Period Source: ... Retrieve Doc
Underwriting Guidelines - Home - Merrill Corporation
Number of PTEs and FTEs. d. Anthem Blue Cross may require all necessary information Add Workers’ Compensation Plan First of the month following receipt Contact Employers Workers’ Compensation Insurance of all documentation Specialists at 800-520-1683. ... Doc Viewer
Blue Cross MedicareRx (PDP) With Senior Rx Plus Employer ...
Please contact Anthem Blue Cross if you need information in another format, Workers Compensation, VA bene ts or from state pharmaceutical assistance programs. Address (number and street) ... Retrieve Here
7.24.09 Medicomp Three Booklet
Anthem’s toll-free telephone number is 1-800-933-8415 Please contact Anthem whenever you have questions, concerns or suggestions. Anthem’s Customer Service IV. Workers’ Compensation ... View Document
PROVIDER CLAIM ADJUSTMENT / STATUS CHECK / APPEAL FORM Blue ...
Workers’ Compensation _____ Appeal (Attach supporting documentation – Please refer to the Provider Policy and Phone/Fax Number List the office phone and fax numbers to contact you Tax ID or Provider Number Record your BCBSMN contracting provider number ... Doc Viewer
The State Of New Hampshire Health Plan For Active Employees
Please contact Anthem whenever you have questions, concerns or suggestions. number listed on your identification card so that Anthem can locate your important records and assist you without delay. Please call Anthem at 1-800-933-8415. ... Access Doc
Www.coventryhealthcare.com Provider Reference Manual
Please contact the customer service number listed on the patient’s ID card. Coventry Health Care, Inc. 01/2013 Page 33 . First Health Network . workers’ compensation health care to injured workers for their work-related injuries or illnesses. ... Content Retrieval
Pre-Authorization Request Form - WPS | Wisconsin Health Insurance
Member Number: Provider Fax #: Date of Birth: Provider Phone #: Contact Name: Ordering q Yes q No Is this Workers’ Compensation related? please contact WPS at 1-800-765-4977. Medical Preauthorization FAX: ... Get Content Here
Term Life and AD&D products offered by Anthem Blue Cross Life and Health. Workers’ Compensation coverage is provided through Employers Compensation Insurance Company.Health care plans provided by Phone no. Contact name PRovidE EACh MEMBER’s NAME ANd idENtifiCAtioN NuMBER. thEN, ... Fetch Full Source
Participating Workers Compensation Provider Directory For ...
Participating Workers Compensation Provider Directory for State of Arizona please contact your local phone company for the correct area code. Anthem ..25 Apache Junction ..25 ... View Document
Temporary Prescription Services ID Important Benefit Information
Group number, and date of birth are required fields to process on-line. please contact Express Scripts Customer Service company experienced with workers’ compensation prescriptions. Express Scripts allows you to fill a compensable ... Retrieve Doc
Employer Application EmployeeElect For 2-50 Member Small ...
Has the company been insured by Anthem Blue Cross in the last 12 months? A. Total number of employees (including owners/officers): for the purpose of Workers’ Compensation law or similar legislation (see the definition provided below): ... View This Document
AnthemBlueDental#05-00150 - Health Insurance - Find ...
Anthem Blue Cross and Blue Shield 700 Broadway Denver, Colorado 80273 please contact us at the address or phone number below: Anthem Network Services P.O. Box 9069 Oxnard, CA 93031-9069 • Conditions related to workers’ compensation: any condition for which benefits could be recovered ... Read Here
Health Claim Form Complete And Send To - Roman Catholic ...
Contact the Workers’ Compensation Carrier/Administrator for proper instructions regarding a work related claim.. Health Claim Form 1. Spouse’s Birthdate Spouse’s Social Security Number Child’s Birthdate Child’s Social Security Number ... Document Viewer
Tpa.anthem.com
Workers Compensation case settled. Patient is responsible for amount of this claim/service through WC “Medicare set aside arrangement” or other agreement. please contact the Customer Service number located on the back of the member's ID card. 19 ... Access Document
Covered Employee Notification Of Rights Materials
We provide workers’ compensation benefits, which include - Call the toll free number to locate an MPN provider: 866-700-2168 If process contact the Division of Workers’ Compensation Medical Unit at: DWC Medical Unit ... Read Full Source
California Coverage Details - Health Insurance - Find ...
Depending on the results of the underwriting review, a number of things may happen: please contact your Anthem representative for information • Conditions covered by workers’ compensation or similar law ... Document Retrieval
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