Find out More Work your way down the list 1 by 1 as applicable. . Phone Click To Reveal . dw*****@cbpinsure.com +1*****88. Download the free version of Adobe Reader. This information is also available on the Claim Form or the Plan Brochure. The CWF is a single data source for fiscal intermediaries and carriers to verify beneficiary eligibility and conduct prepayment review and approval of claims from a national perspective. Personal LiabilitySecurity Deposit WaiverSpecial Risk K-12Travel MedicalTravel InsuranceVoluntary Legal Plans. Or, you can also complete and mail in the following form: All Coordinated Care Payment Policies, which are used to help identify whether health care services are correctly coded for reimbursement, can be found on our. Business ProfileCo-Ordinated Benefit Plans, LLC Insurance Claims Processing Multi Location Business Find locations Contact Information 2536 Countryside Blvd Suite 250 Clearwater, FL. means youve safely connected to the .gov website. Information comes from these sources: beneficiary, doctor/provider of service, employer, GHP, liability, no-fault and workers compensation entity, and attorney. Where discrepancies occur in the VDSAs, employers can provide enrollment/disenrollment documentation. COB relies on many databases maintained by multiple stakeholders including federal and state programs, plans that offer health insurance and/or prescription coverage, pharmacy networks, and a variety of assistance programs available for special situations or conditions. Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) This law added mandatory reporting requirements for Group Health Plan (GHP) arrangements and for liability insurance, including self-insurance, no-fault insurance, and workers' compensation. Coordinated Benefit Plan is in the sectors of: Liability Insurance. Coordinated Benefits Plan Payer ID: 14829 Need to submit transactions to this insurance carrier? The VDSA data exchange process has been revised to include Part D information, enabling VDSA partners to submit records with prescription drug coverage be it primary or secondary to Part D. Employers with VDSAs can use the VDSA to submit their retiree prescription drug coverage population which supports the CMS mission of a single point of contact for entities coordinating with Medicare. Box 26222 Tampa, FL 33623 Email: TravelTeam@cbpinsure.com If you have any questions about your claim, please feel free to contact Co-ordinated Benefits Plans at: Phone: 1-866-723-3063 or 727-412-7378 (It is strongly recommended that claims be filed via email) If you have an urgent medical situation please contact your doctor. ) Shares Medicare eligibility data with other payers and transmits Medicare-paid claims to supplemental insurers for secondary payment. Commercial Repayment Center (CRC) The CRC is responsible for all the functions and workloads related to GHP MSP recovery with the exception of provider, physician, or other supplier recovery. .gov The set of claims tools below were designed specifically for Coordinated Care's Behavioral Health Providers. By combining our expertise and cutting edge technology, we deliver the best insurance coverage and protection at the lowest possible price. Medicare Contractors - Medicare contractors (i.e., MACs, Intermediaries, and Carriers) are responsible for processing claims submitted for primary or secondary payment. The second payer is typically your personal insurance company. As an example, if your spouse or partner has a health care plan at work, and you have access to one through work as well, your . In 1997, Chris began working for Management Facilities Corporation as Director of Claims and Case Management. We have helped injured victims in Michigan for more than 30 years and recovered hundreds of millions for our clients. For more information, click the. endstream endobj 113 0 obj <>/Metadata 5 0 R/Pages 109 0 R/StructTreeRoot 12 0 R/Type/Catalog/ViewerPreferences<>>> endobj 114 0 obj <. . A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Take a look at Top Behavioral Denial Tip Sheet for answers to why your claim may be denying. An option from "Who or what is your question about?" Since 1983, Coordinated Benefits Company has been helping clients develop employee benefit strategies aimed at attracting and retaining the highest quality employees. Share sensitive information only on official, secure websites. Actionable Data. In the absence of an agreement, the person with Medicare is required to coordinate secondary or supplemental payment of benefits with any other insurers he or she may have in addition to Medicare. At-a-glance. Confirm Password *. If you have a life threatening emergency, please contact 911. COB Agreement (COBA) Program - CMS consolidates the Medicare paid claim crossover process through the COBA program. The COBA data exchange processes have been revised to include prescription drug coverage. must be checked before submitting. "Confirm Year of Birth" must be completed properly before submitting. Security Question 1 *. Please see the Group Health Plan Recovery page for additional information. You will need Adobe Reader to open PDFs on this site. Our reporting tools provide valuable data to manage your plan, understand employee needs, and lower your total cost of care. Contact Us. A Coordinated Care representative may contact you regarding your inquiry. Date of Birth. CO-ORDINATED BENEFIT PLANS - Insurance - 18167 US Hwy 19 N, Clearwater, FL - Phone Number - Yelp Co-Ordinated Benefit Plans 2 reviews Unclaimed Insurance Katherine Jones - State Farm Insurance Agent Arrington Insurance Frequently Asked Questions about Co-Ordinated Benefit Plans How is Co-Ordinated Benefit Plans rated? Coordinated Benefits Plan Payer ID: 14829 Need to submit transactions to this insurance carrier? 135 0 obj <>/Filter/FlateDecode/ID[<906B1C5CA7F2431FBEFB408088B7B66D><08F1A21B4C7EE643B2BCB334F605EEC3>]/Index[112 37]/Info 111 0 R/Length 103/Prev 232185/Root 113 0 R/Size 149/Type/XRef/W[1 2 1]>>stream Find the Coordinated Benefit Plan company's other team/department contact details such as business emails, phone numbers, web address and other details. The COB process provides the True Out of Pocket (TrOOP) Facilitation Contractor and Part D Plans with the secondary, non-Medicare prescription drug coverage that it must have to facilitate payer determinations and the accurate calculation of the TrOOP expenses of beneficiaries; and allowing employers to easily participate in the Retire Drug Subsidy (RDS) program. Co-ordinated Benefit Plans. Coordinated Care does not accept responsibility or liability for any loss or damage arising from the use of email. Look for your scenario below and then submit your claims in the order shown. P.O. mail claim forms to: co-ordinated benefit plans, po box 20874, tampa, fl 33623 if you need assistance: toll free 1-877 902-9926 / email: team2@cbpinsure.com part a claim form 1. full name (injured person) 2. date of birth 3. telephone number ( ) 4. email address 5. secondary email address 6. street address 7. city, state, zip 8. policy holder . Coordinated Benefit Plan. "Confirm Phone" must be completed properly before submitting. A Coordinated Care representative may contact you regarding your inquiry. Ensures claims are paid correctly by identifying the health benefits available to a Medicare beneficiary, coordinating the payment process, and ensuring that the primary payer, whether Medicare or other insurance, pays first. Co-Ordinated Benefit Plans, LLC Clearwater, FL Please refer to the Customer Service phone number on the back of the Insured's ID card if you require any assistance. Find out More Managing Director. You need to be as efficient and effective as possible in managing the benefit offering for your most important asset; your employees. Registered members can contact the Health Options Program online by using the secure "Contact . The BCRC takes actions to identify the health benefits available to a beneficiary and coordinates the payment process to prevent mistaken payment of Medicare benefits. Claim Transmission in 8 Hours 270 Dedicated Claim Experts Guarenteed AR Collection in 90 Days AAPC Certified Billers It is the only place in the fee for service claims processing system where full individual beneficiary information is housed. "Confirm NPI Number" must be completed properly before submitting. Initiating an investigation when it learns that a person has other insurance. When a person is covered by two health plans, coordination of benefits is the process the insurance companies use to decide which plan will pay first and what the second plan will pay after the first plan has paid. Email: Team2@cbpinsure.com. To report a liability, auto/no-fault, or workers compensation case. Accommodates all of the coordination needs of the Part D benefit. Mailing Address. You will need Adobe Reader to open PDFs on this site. Do you need more information or have a question? Seattle, WA 98101 (206) 441-1363. In order to drive the highest return on your benefits investment, your organization should excel in six key areas. Last Name. If you are struggling with how to submit your claims, please look at our "HOW TO" document for detailed instructions on what is required on the CMS 1500 (HCFA) claim form. Please click the Voluntary Data Sharing Agreements link for additional information. Co-ordinated Benefits Plans, LLC P.O. Claimant Provider. This plan may be right for you if you if you already have . Other Data Exchanges - CMS has developed data exchanges for entities that have not coordinated benefits with Medicare before, including Pharmaceutical Benefit Managers (PBMs), State Pharmaceutical Assistance Programs (SPAPs), and other prescription drug payers. Within this document, you'll find the steps you'll need to take if: Your claim was denied You are awaiting payment for a submitted claim Claim Lookup ID Cards Co-Ordinated Benefit Plans, LLC (CBP) is your insurance plan's nationally licensed, full-service Third Party Administrator located in Clearwater, FL. 8159 Fax: 1-800-560-6340 . Please complete the captcha by selecting the checkbox, I am not a robot. Benefits Overview: Adoption Support, Alumni and Reunification, Notice - Pharmacy Medication Coverage Changes, Apple Health Core Connections First Year Report. Required fields are marked with an asterisk (*). Get access to 100M+ contacts on Adapt.io. Note: An agreement must be in place between the Benefits Coordination & Recovery Center (BCRC) and private insurance companies for the BCRC to automatically cross over claims. The Contact Us form will send your message to Coordinated Care as an email. If members have questions about filing a claim or would like to check on a claim status, they can call CBP at Christopher M. Lyons. A Claim Dispute (Level II) should be used only when a provider has received an unsatisfactory response to a Request for Reconsideration. HOME HOME Directory. This means that Medigap plans, Part D plans, employer supplemental plans, self-insured plans, the Department of Defense, title XIX state Medicaid agencies, and others rely on a national repository of information with unique identifiers to receive Medicare paid claims data for the purpose of calculating their secondary payment. b,p~1bM\t m Vb lHp:$72012 3}0 dxO Insurers are legally required to provide information. Coordinated Benefit Plan http://www.cbpinsure.com +1******188 Head Count0 - 25 IndustryFinancial Services LocationTampa, Florida, United States Access all contacts Top Contacts Jennifer Crist Director of Travel j*****@cbpinsure.com+1******88 Demetra Wyatt Manager of Claims and Customer Service d*****@cbpinsure.com+1******88 Patty Hinrichs Vice President - Client Services. Box 26222. Box 21673, Eagan, MN 55121. Get Coordinated Benefit Plan can be contacted at (206) 441-1363. "Confirm Street Address" must be completed properly before submitting. Contact UsGet a Quote Follow0 person Marketing Manager place P.O. Please see the. Sign up to get the latest information about your choice of CMS topics. "Confirm City" must be completed properly before submitting. Manager of Claims and Customer Service. A Request for Reconsideration (Level I) is a communication from a provider about a disagreement with the manner in which a claim was processed. ( Jay Trucks & Associates: (800) 762-8623 lock With multiple agents licensed in WA, Coordinated Benefit Pl If you are managing your benefits as an expense each year instead of driving ROI all year long, talk to us about the 6 Cs of benefits. You can decide how often to receive updates. About Coordinated Benefits: Since 1983, Coordinated Benefits Company has been helping clients develop employee benefit strategies aimed at attracting and retaining the highest quality employees. Please fill out the below form or contact us at 1-877-644-4613. T. Tammie Johnson - Travel View email & phone. Our hours of operation are as follows: Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. Coordinated Benefit Plan at 600 Stewart St # 602, Seattle, WA 98101. tl website belongs to an official government organization in the United States. Business Profile for Coordinated Benefit Plan. The email is not encrypted and is not transmitted in a secured format. Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). (Sales figure is modelled). "Confirm Practice / Clinic / Facility Name" must be completed properly before submitting. Please fill out the below form or contact us at 1-877-644-4613 . Please click the. The CRC is responsible for identifying and recovering Medicare mistaken payments where a GHP has primary payment responsibility. With our High Tech/High Touch approach, we focus on the most important aspects of your employee benefit plans. Download the free version of Adobe Reader. hbbd``b`$7 f? Secure .gov websites use HTTPSA 603 Stewart Street, Suite 519. 1-800-PSERS25 (1-800-773-7725) If calling from outside the U.S., dial the exit code of the local country then: 1-717-305-7388. Washington Apple Health and Apple Health Foster Care plans issued by Coordinated Care of Washington, Inc. Ambetter plan issued by Coordinated Care Corporation. We want your benefits plan to work hard for you. Claim Number. Chris began his career in insurance in 1988 as a member of Great West Life Assurance Company. If we represent you, we are prepared to fight for maximum compensation on your behalf. 0 CMS has worked with these new partners to educate them about coordination needs, to inform CMS about how the prescription drug benefit world works today, and to develop data exchanges that allow all parties to efficiently serve our mutual customer, the beneficiary. hb``e`` LY8Da"{{xbnX$MRF~H&UChpF if_`YF]]P? The BH Decision Tree guides you through some common claims and payment related issues. Health Care Claim Status Request and Response. Your inquiry will be reviewed. The BCRC does not process claims, nor does it handle any GHP related mistaken payment recoveries or claims specific inquiries. To ask a question regarding the MSP letters and questionnaires (i.e. The Medicare Administrative Contractors (MACs), Intermediaries and Carriers are responsible for processing claims submitted for primary or secondary payment. Health Care Claims or Equivalent Encounter Information for Institutional Claims. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal orProvider Portal, or you can call us at 1-877-644-4613 to speak directly to a customer service representative. Please see the Contacts page for the BCRCs telephone numbers and mailing address information. The Coordinated Care Claims and Payment Decision Tree can help guide you through some common claims and payment-related issues. They use information on the claim form and in the CMS data systems to avoid making primary payments in error. Connect with intelligence. These agreements allow employers and CMS to send and receive group health plan enrollment information electronically. Coordinated Benefits Group Inc has 2 total employees across all of its locations and generates $494,135 in sales (USD). 8 a.m. to 8 p.m. EST, MondayFriday. or To report employment changes, or any other insurance coverage information. These entities help ensure that claims are paid correctly when Medicare is the secondary payer. Coordination of Benefits: Everything You Need to Know. Washington Apple Health and Apple Health Foster Care plans issued by Coordinated Care of Washington, Inc. Ambetter plan issued by Coordinated Care Corporation, Benefits Overview: Adoption Support, Alumni and Reunification, Notice - Pharmacy Medication Coverage Changes, Apple Health Core Connections First Year Report, The Basics of Navigating Coordinated Care Claims and Payment, Claims Tools for Behavioral Health (BH) Providers, Claims and Payment Frequently Asked Questions (PDF), Medicaid Reconsideration and Dispute Form (PDF), Behavioral Health (BH) Decision Tree (PDF), You are awaiting payment for a submitted claim, You have a question about how your claim processed, Youve noticed a concerning trend in your claim denials/payments, You want a progress update on an existing claim issue. Collecting information on Employer Group Health Plans and non-group health plans (liability insurance (including self-insurance), no-fault insurance and workers compensation), and updating this information on Medicare databases every time a change is made to insurance coverage. By communicating with Coordinated Care through email, you accept the risks associated thereof. Write your review here. Within this document, youll find the steps youll need to take if: Download a copy of the Claims and Payment Decision Tree (PDF). What is the CCW Medicaid claims mailing address? Health Care Claims or Equivalent Encounter Information for Professional Claims. %PDF-1.6 % A Reconsideration can be submitted to Coordinated Care via the Provider Portal, or by mailing a completed Reconsideration and Dispute form to the address listed on the form. "Confirm Member ID" must be completed properly before submitting. Health Care Claims and Coordination of Benefits. Take a look at our Claims and Payment FAQ document for answers to over 30 of the most commonly asked claims-related questions. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Coordination of Benefits & Recovery Overview. COORDINATED BENEFIT PLAN. The investigation determines whether Medicare or the other insurance has primary responsibility for meeting the beneficiary's health care costs. Chris joined Equinox Management Group in 2002, where he served as Vice President . When you submit your claim to your individual insurer, be certain to attach all copies of your original receipts along with the explanation of benefits (EOB) you received with your payment from the group plan. Co-ordinated Benefit Plans, LLC We Are SERVICE. "Confirm Zip Code" must be completed properly before submitting. The CRC will also perform NGHP recovery where a liability insurer (including a self-insured entity), no-fault insurer or workers compensation entity is the identified debtor. Company Description: Coordinated Benefits Group Inc is located in Jacksonville, FL, United States and is part of the Agencies, Brokerages, and Other Insurance Related Activities Industry. Benefits Coordination & Recovery Center (BCRC) - The BCRC consolidates the activities that support the collection, management, and reporting of other insurance coverage for beneficiaries. Some of the methods used to obtain COB information are listed below: Voluntary Data Sharing Agreements (VDSAs) - CMS has entered into VDSAs with numerous large employers. 600 STEWART ST . Currently working as Claims Representative at Coordinated Benefit Plan in Florida, United States. For additional information or to submit claims, please contact: Co-ordinated Benefit Plans, LLC Travel Insurance Claims P.O. *The benefits provided by Meridian Management Group, LLC are underwritten by Lloyds of London. 148 0 obj <>stream Establishing MSP occurrence records on CWF to keep Medicare from paying when another party should pay first. As a self-employed individual, small business owner or entrepreneur, you may be looking for information about taking care of yourself and your loved ones, while focusing on your business endeavors - all while trying to save time and money doing it. . Some of these responsibilities include:issuing a Primary Payment Notice (PPN) to verify MSP information, issuing recovery demand letters when mistaken primary payments are identified, receiving payments, resolving outstanding debts, and referring delinquent debt to the Department of Treasury for further collection actions, including the Treasury Offset Program, as appropriate. while reducing the Total Cost of Care. By combining our expertise and cutting edge technology, we deliver the best insurance coverage and protection at the lowest possible price. Call Provider Services 1 -877 644 4613 for clarification. NR BBB rating. Get the email address format for anyone with our FREE extension. Get Coordinated Benefit Plan reviews, rating, hours, phone number, directions and more. Send your claim to the first plan on the list. Health Options Program claims questions for Health Options Program medical coverage. If you have an urgent medical situation please contact your doctor. Our Team. Seattle, Washington 98101 (206) 441-1363 Call Now! Find Robert Capwell's accurate email address and contact/phone number in Adapt.io. It is the only place in the fee for service claims processing system where full individual beneficiary information is housed. Coordinated Benefit Plan headquarters is in Seattle, Washington. Recovery of Non-Group Health Plan (NGHP) related mistaken payments where the beneficiary must repay Medicare. lock The Health Depot Association was designed with those goals in mind - providing industry-leading . Box 26222 Tampa, FL 33623 Email: team1@cbpinsure.com Phone: 1-888-704-1701, ext. An official website of the United States government And, you don't need referrals to see in-network specialists. Heres how you know. BBB Rating & Accreditation. Claim Lookup ID Cards Co-Ordinated Benefit Plans, LLC (CBP) is your insurance plan's nationally licensed, full-service Third Party Administrator located in Clearwater, FL. Full Name To learn more about our organization and services we offer please contact: Rebecca Sivak. About Coordinated Benefits: Since 1983, Coordinated Benefits Company has been helping clients develop employee benefit strategies aimed at attracting and retaining the highest quality employees. The CWF is a single data source for fiscal intermediaries and carriers to verify beneficiary eligibility and conduct prepayment review and approval of claims from a national perspective. Contact Information. Insurance Companies in Seattle, WA | Insurance Agency Coordinated Benefit Plan is committed to providing quality insurance services to folks looking for insurance in the Seattle, WA area. Box 4030 Farmington, MO 636404197 endstream endobj startxref COORDINATED BENEFIT PLAN is located at 600 STEWART ST , Seattle, Washington. Please select your user type. Health Care Claims or Equivalent Encounter Information for Dental Claims. Also referred to as COB, coordination of benefits occurs when an individual is in possession of more than one insurance policy and when it comes to processing a claim, the policies are assessed to determine which will be assigned with the primary responsibility for covering the predominant share of the claim costs.The process also involves . As Advocates for Healthier Living, we're improving clinical outcomes. Patty Hinrichs. User ID * (User ID must be a unique ID such as your e-mail address) Password * (Password must be at least 8 characters long, contain at least one digit, one uppercase and one lowercase alphabetic character, and at least one special character.) Office Phone: 888-957-5011. Transmitting other health insurance data to the Medicare Beneficiary Database (MBD) for the proper coordination of Rx benefits. Ensures that the amount paid by plans in dual coverage situations does not exceed 100% of the total claim, to avoid duplicate payments. Box 20594, Tampa,, FL 336220594 contact_phone Click to call 1 2 3 4 5 0 Verified Reviews - 0 of 5.0 Rating history (0 Reviews - 0 of 5.0) Shows who have rated the content, and the rating score. Monday - Thursday: 8:00am to 5:00pm (CST). View company information, address & phone number. Secondary Claim Development (SCD) questionnaire.) For Add-On Accidental Death & Dismemberment, Written Claim Notice must be given within twenty (20) days after death or treatment. The BCRC will maintain responsibility for NGHP MSP occurrences where Medicare is seeking reimbursement from the beneficiary. . https:// Contact top employees from Coordinated Benefit Plan. Please see the Non-Group Health Plan Recovery page for additional information. First Name. 112 0 obj <> endobj COORDINATED BENEFIT PLAN. Add Extension Now. The Basics of Navigating Coordinated Care Claims and Payment The Coordinated Care Claims and Payment Decision Tree can help guide you through some common claims and payment-related issues. %%EOF Co-ordinated Benefit Plans, LLC, Health Depot Association Claims, P.O. "Confirm Organization" must be completed properly before submitting. Your inquiry will be reviewed. The COBA program established a national standard contract between the BCRC and other health insurance organizations for transmitting enrollee eligibility data and Medicare paid claims data. For maximum compensation on your behalf the Benefit offering for your most important aspects of your Benefit. Return on your behalf of Great West life Assurance company ; re improving clinical. Only when a Provider has received an unsatisfactory response to a Request for Reconsideration coordination of benefits & Recovery.! Discrepancies occur in the fee for service claims processing system where full individual beneficiary information is available. Plan can be contacted at ( 206 ) 441-1363 Call Now should be only. 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