Be informed of the most important provider news and alerts. AmeriHealth Caritas Introducing telemedicine the option to access non-emergency health care virtually to all of our fully-insured members and their dependents at no additional cost! Medica Healthcare Supplement United Healthcare Provider Number; Authorizations and Notifications: 866-273-9444: Eligibility and Benefits Verifications: 800-348-5548: Claims: 800-348-5548: Claims(WellMed) 800-550-7691: Credentialing: 800-963-6495: Grievances and Appeals: Call the Provider Number Listed on the back of the Members ID card: ", "Highly recommend. Free parking is available outside of the building. *This plan is only accepted at Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and Duke HomeCare & Hospice. Cleveland Clinic Florida accepts a wide variety of insurance and contracted managed care plans at our main campus in Weston, as well as our community hospitals and family health centers throughout the Florida region. Phone number Locations at UNC Health Select a location below to see which insurance companies we contract with for in-network services. Our commitment is to improve a patients quality of life by utilizing the least invasive means possible. All rights reserved. phone and email in both the profile section and the Make Changes area. AmeriHealth Caritas | 23,799 followers on LinkedIn. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. Your calls will be answered by a health provider who can determine whether you need to be seen for care and where. eviCore Headquarters 400 Buckwalter Place Blvd. Member tools and tips . Member Handbook (PDF) program. Home [www.mibluecrosscomplete.com] Patients can rest easy knowing their orthopedic condition is being treated by a team of experienced, dedicated medical professionals. Amerihealth Caritas Phone Number, Payer website and services to function. At North Carolina Orthopaedic Clinic, our team of nationally respected specialists strives to deliver the highest level of care and individual attention to every patient. You may be able to get other services for special situations. Duke Primary Care Pickett Road eviCore Effective November 4, 2022, AmeriHealth Caritas Florida is replacing the existing payer-provider platform with NaviNet. I can finally feel my legs and walk more than 5 minutes", "Dr. Rinkus is amazing. ", "Excellent experienceDr. Van Gelderen had great manner, was attentive and informative. By Phone: Phone hours: Monday - Friday, 9:00 am-5:00 pm Phone: 202-741-3560 Fax: 202.741.3458 Billing Resolution and Feedback. Your calls will be answered by a health provider who can determine whether you need to be seen for care and where. UNC Health contracts with most health insurance companies including, but not limited to, the ones listed here. Providers Through the New Jersey Children's System of Care, PerformCare connects young people and their families statewide to the care they need to be well. Duke MyChart is our easy to use online patient portal that helps you manage your health care online. If you have questions, call Pharmacy Member Services at 1-866-452-1040. Our specialists have access to the latest research, technology, and medical advances, many of which are discovered at Duke Health. You must get special approval for these. If you are in need of financial assistance, please visit our Financial Assistance page. Doctor *Duke HomeCare and Hospice and mental health providers do not participate with the plan. Offering orthopedic services including, sports medicine, cartilage restoration, hand and microvascular surgery, joint replacement, joint reconstruction and spine surgery. Orthocenter: Orthopedic Surgery: Red Bank, Morganville insurance, payment options, etc. AmeriHealth Caritas VIP Care Provider Phone Number: (800) 521-6007: 365 Days from the DOS: AmeriHealth Caritas VIP Care Plus (Michigan) Provider Phone Number, Claims address, Payer ID and Timely filing Limit: 77013: PO Box 853914 Richardson, TX 75085-3914: Find the care you need. Show your AmeriHealth Caritas Louisiana member ID card when you get your prescriptions. Prior Authorization Lookup Tool Use this screening to see if you qualify for coverage. Providers AmeriHealth Find a provider. To request prior authorization contact AmeriHealth Caritas North Carolina's radiology benefits vendor (NIA) via their provider web-portal at radmd.com or by calling 1-800-424-4953 Monday through Friday 8:00 a.m. 8:00 p.m. (EST).. Online: Go to www.ncmedicaidplans.gov to enroll online. You can enroll online, over the phone, by mail or by using the mobile app. Families can use the expanded CSOC Provider Directory to search for service providers and organizations. Care is the heart of our work | At AmeriHealth Caritas, were passionate about helping people get care, stay well, and build healthy communities. Find the care you need. You must get special approval for these. Be informed of the most important provider news and alerts. Plan your trip to Duke Primary Care Pickett Road through GoDurham bus route 10B. To request prior authorization contact AmeriHealth Caritas North Carolina's radiology benefits vendor (NIA) via their provider web-portal at radmd.com or by calling 1-800-424-4953 Monday through Friday 8:00 a.m. 8:00 p.m. (EST).. This video helps explain basic insurance terminology and what your insurance company may pay for in regards to your hospital visit. It is called a benefit limit exception. Blue Cross Complete of Michigan. Offering orthopedic services including, sports medicine, cartilage restoration, hand and microvascular surgery, joint replacement, joint reconstruction and spine surgery. Introducing telemedicine the option to access non-emergency health care virtually to all of our fully-insured members and their dependents at no additional cost! You can enroll online, over the phone, by mail or by using the mobile app. ", "Dr. Freidel is an amazing surgeon! Coverage for certain behavioral health, Medicare and commercial plans, as well as TriCare, varies across UNC Health entities. DC AmeriHealth Caritas District of Columbia, your benefits or how to join: Medicaid Enrollee Services 202-408-4720 or 1-800-408-7511 (TTY/TDD 202-216-9885 or 1-800-570-1190) Alliance Enrollee Services 202-842-2810 or 1-866-842-2810 (TTY/TDD 202-216-9885 or 1-800-570-1190) Your health when you can't get in touch with your primary care provider (PCP) Duke Health offers different types of primary care for every member of your family. Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit; Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number; Medical Coding. Submit your complete financial assistance application and supporting documents: Speak with a Financial Navigator Monday through Thursday, 8:30 a.m. 4:30 p.m. and Friday, 8:30 a.m. 12:30 p.m. For your privacy and security, you will need to provide your account number and other information before we can discuss your account. Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. 5 Stars all around. BCBS Prefix List Face masks are required at this location. Keystone First 200 Stevens Drive Philadelphia, PA 19113. Find a provider, pharmacy or drug ", "Dr. Rinkus is very knowledgeable, patient, informative, thoroughhighly recommend. We're currently processing your request and we'll be in touch soon. To request any additional assistance in accessing the guidelines, provide feedback or clinical evidence related to the evidence-based guidelines, please click here. Activate your account by calling 1-888-976-7405 or Billing You can obtain a copy of a specific policy by calling the AmeriHealth Administrators clinical service department at 1-800-952-3404. For media-related inquiries: HealthChoices Capitalarea program and NorthCentral program Provider Services and Claims Inquiries: 18887007370; With board-certified doctors specializing in everything from foot and ankle injuries to neck and back pain management and spinal surgery, the Orthocenter professionals are prepared to advocate for your health. For media-related inquiries: HealthChoices Capitalarea program and NorthCentral program Provider Services and Claims Inquiries: 18887007370; Home [www.mibluecrosscomplete.com] ", "Dr. Mulholland is very professional and very skillful! PerformCare - New Jersey Children's System of Care PerformCare - New Jersey Children's System of Care Working with providers like you, we can deliver quality, cost-effective care and better health outcomes for our members. For media-related inquiries: HealthChoices Capitalarea program and NorthCentral program Provider Services and Claims Inquiries: 18887007370; DC AmeriHealth Caritas Florida is part of the AmeriHealth Caritas Family of Companies. Orthocenter: Orthopedic Surgery: Red Bank, Morganville Specialty Referrals If you need specialty care, your primary care doctor can connect you with the Duke network of specialists who are ranked among the nations best. Aetna Commercial Plans (Other than Aetna Whole Health), Aetna Medicare Advantage Plans (Other than Aetna Prime HMO), AmeriHealth Caritas North Carolina Medicaid, NC State Employees Health Benefit Plan (Active employees), BCBSNC Blue Home with UNC Health Alliance, BCBSNC Medicare Advantage (Other than Experience Health), Carolina Complete Health Medicaid (Centene), Cigna Commercial Plans (Other than Cigna Connect), Contigo Health Plan (WakeMed employees only), FirstCarolinaCare Insurance Company (Commercial Plans), Healthy Blue Medicaid (BCBS of North Carolina), North Carolina State Employee Health Benefit Plan (Medicare Advantage for retirees), TriCare (administered by Humana Military), AmeriHealth Caritas North Carolina Medicaid (via MHP), Carolina Complete Health Medicaid (Centene) (via MHP), Healthy Blue Medicaid (BCBS of North Carolina) (via MHP), UnitedHealthcare Community Plan Medicaid (via MHP), WellCare of North Carolina Medicaid (via MHP). 4 You can now visit with a doctor 24/7/365 from your home, office, or on-the-go in most states. Duke Primary Care Pickett Road For more information, visit ncorthoclinic.com. For information on dentures, please visit the AmeriHealth Caritas member handbook (PDF). If you have an appointment, please view the visitor restrictions in place. ProfilePoints measure the overall completeness of a You may be able to get other services for special situations. If you need specialty care, your primary care doctor can connect you with the Duke network of specialists who are ranked among the nations best. Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. The closest bus stop isTower Blvd at Durham-Chapel Hill Blvd. As a returning patient for this doctor, please schedule an appointment using your Duke You can enroll online, over the phone, by mail or by using the mobile app. *Please call Cigna Behavioral Heath to see if the provider is participating in yourplan. Member handbook. Contact Us Feeling under the weather and dont have time to go to the doctor? Opioids are a class of drugs that include illegal substances like heroin as well as prescription painkillers, such as oxycodone, that doctors may prescribe to treat serious and/or chronic pain. Mobile app: Get the free mobile app by searching for NC Medicaid Managed Care on Google Play or the Apple App Store DC Update your address. Very well trained & professional, I would recommend him to family and friends. eviCore A Medicaid and Healthy Michigan Plan Managed Care Health Plan. Learn more. The results of this tool are not a guarantee of coverage or authorization. AmeriHealth Contact us By mail. Doctor MyChart account. Request an Appeal or Reconsideration. Offering orthopedic services including, sports medicine, cartilage restoration, hand and microvascular surgery, joint replacement, joint reconstruction and spine surgery. Locations at UNC Health Select a location below to see which insurance companies we contract with for in-network services. Phone: 1.800.918.8924. AmeriHealth Caritas District of Columbia, your benefits or how to join: Medicaid Enrollee Services 202-408-4720 or 1-800-408-7511 (TTY/TDD 202-216-9885 or 1-800-570-1190) Alliance Enrollee Services 202-842-2810 or 1-866-842-2810 (TTY/TDD 202-216-9885 or 1-800-570-1190) Your health when you can't get in touch with your primary care provider (PCP) Search for a health care provider. Use the tools below to find health care providers in the AmeriHealth Caritas Pennsylvania network. 6 months ago, he moved a tendon to give me a new achilles tendon. Find a provider. Online: Go to www.ncmedicaidplans.gov to enroll online. If you have questions about this tool or a service, call 1-800-617-5727 . Get help from the NC Navigator Consortium by phone, online or by appointment. phone and email in both the profile section and the Make Changes area. Network News is our new email service and will replace faxed communications by December 31, 2022. If you have questions about this tool or a service, call 1-800-617-5727 . With a full staff of top surgeons, physicians, and physician assistants, the Orthocenter team specializes in a number of orthopedic services including spine surgery, joint replacement, sports medicine, and chronic pain treatments. Request a Clinical Consultation. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. With the safety of our patients and team members at the forefront, we are taking the appropriate precautions and using best practices to continue to ensure the highest quality care, protection, support and comfort for all of our patients. AmeriHealth Contact Technical or Web Support. Copyright 2022 UNC Health. Please call 732-741-2313 to schedule your appointment. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Locations at UNC Health Select a location below to see which insurance companies we contract with for in-network services. Top 10 Humana Health Provider Specialties: Family Doctor (68569 providers) Internist (64211 providers) Dentist (56955 providers) Pediatrician (Kids / Children Specialist) (42409 providers) Obstetrician / Gynecologist (OBGYN) (26836 providers) Radiologist (23449 providers) Surgeon (20388 providers) Social Worker (19381 providers) Contact us By mail. RWJBarnabas Health | Comprehensive Healthcare in New Jersey AmeriHealth Administrators uses various policies and criteria, including AmeriHealth medical policy and InterQual , for utilization review determinations. 4 James B. Wilson, DO - Family Medicine 17325 Pagonia Drive Clermont, FL 34711 Phone: (407) 905-6009 Primary Care - Adult 17325 Pagonia Drive Clermont, FL 34711 BCBS Federal Phone Number *Duke Primary Care, Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital are not participating with this plan. ", "Amazing experience with Dr. Lisser, I couldn't say enough good things. *Duke HomeCare and Hospice and mental health providers do not participate with the plan. Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number; Medical Coding. The ordering physician is responsible for obtaining a Prior Authorization number for the requested radiology service. Face masks are required at this location. Ambetter Indiana Member and Provider Services Phone Number: 877-687-1182: Ambetter from NH Health Families - New Hampshire: 68069: 2 Executive Park Drive, Bedford, NH 03110: Amerihealth Caritas Directory Healthcare (1) CPT Codes Guide Healthcare (7) Denial Codes Healthcare (23) Get access to your provider portal. Mobile app: Get the free mobile app by searching for NC Medicaid Managed Care on Google Play or the Apple App Store He is a professional and caring physician.". Activate your account by calling 1-888-976-7405 or Please bring these items to your appointment: We provide equal access for all people and offer a range of free accessibility services to patients and visitors who need them. Please call prior to your visit to determine coverage. Use the tools below to find health care providers in the AmeriHealth Caritas Pennsylvania network. Stay Updated With Our Provider Newsletter. If you have questions, call Pharmacy Member Services at 1-866-452-1040. Learn more about PerformCare. 1 Even when used as prescribed, prolonged opioid use can lead to dependence, which means that individuals can develop uncomfortable withdrawal symptoms Contact us If you have questions about this tool or a service, call 1-800-617-5727 . Phone (appointments): 732-617-9111 | Phone (general inquiries): (732) 617-9111 Address: 25 Kilmer Drive, Building 3, Suite 104, Morganville , NJ 07751 Orthocenter, Holmdel, NJ Provider UNC Health makes no representation or guarantee of benefits or coverage. Our staff will review with you a summary of your insurance coverage for both office visits and indicated procedures. Cleveland Clinic Florida accepts a wide variety of insurance and contracted managed care plans at our main campus in Weston, as well as our community hospitals and family health centers throughout the Florida region. Beginning October 3, 2022, you may register for NaviNet. provider's profile, including items like having a photo, a biography, Or do you have nagging knee pain that isnt too bad so you just live with it? Have you had a knee injury, but still have lingering pain, even though the injury is healed? By showing providers with higher ProfilePoints first, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit; Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number; Medical Coding. we make it easier for you to quickly identify the most informative profiles on Doctor.com. by providers with Doctor.com accounts when editing their profile on Doctor.com. Families can use the expanded CSOC Provider Directory to search for service providers and organizations. Member Handbook (PDF) program. Doctor eviCore Headquarters 400 Buckwalter Place Blvd. Get access to your provider portal. Most lab work and can be done right in our clinic, saving you the time and inconvenience of going elsewhere. Best in the field. Top 10 Humana Health Provider Specialties: Family Doctor (68569 providers) Internist (64211 providers) Dentist (56955 providers) Pediatrician (Kids / Children Specialist) (42409 providers) Obstetrician / Gynecologist (OBGYN) (26836 providers) Radiologist (23449 providers) Surgeon (20388 providers) Social Worker (19381 providers) It is called a benefit limit exception. Phone: Call 1-833-870-5500 (TTY 1-833-870-5588), 7 a.m. to 5 p.m., Monday through Saturday. Find a provider. We have designated specialists for each insurance provider. in Durham, NC. At RWJBarnabas Health, the comprehensive care you need is in reach! If you require a copy of the guidelines that were used to make a determination on a specific request of treatment or services, please email the case number and request to: reqcriteria@eviCore.com. Our doctors are available to see adult men and women for preventive care or physical exams. Phone number At RWJBarnabas Health, the comprehensive care you need is in reach! Be informed of the most important provider news and alerts. A Duke Primary Care Pickett Road examroom. Driving directions. Insurance Phone: 1-833-641-2140 (Monday Friday, from 8 a.m. - 5 p.m. CT) As an AmeriHealth Caritas Louisiana provider, you're our partner in member care. Request an Appeal or Reconsideration. AmeriHealth Caritas Opioids are a class of drugs that include illegal substances like heroin as well as prescription painkillers, such as oxycodone, that doctors may prescribe to treat serious and/or chronic pain. Register Now. Provider's Hub. I am now pain free. Find a Doctor, Medicine, or Pharmacy What Are Opioids? As an AmeriHealth Caritas Pennsylvania member, you have a network of committed health care providers ready to take care of you. Amerihealth Caritas Phone Number, Payer Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. If you have or suspect you have been exposed to COVID-19, take these precautions before you seek care. Contact us Insurance AmeriHealth Withdrawal AmeriHealth New Jersey Contact Us Services from a non-participating provider. BCBS Federal Phone Number North Carolina Orthopaedic Clinic What Are Opioids? Provider Playbooks. The results of this tool are not a guarantee of coverage or authorization. Schedule an appointment with our primary care doctors in Durham. "Very pleased with the group. AmeriHealth Caritas VIP Care Provider Phone Number: (800) 521-6007: 365 Days from the DOS: AmeriHealth Caritas VIP Care Plus (Michigan) Provider Phone Number, Claims address, Payer ID and Timely filing Limit: 77013: PO Box 853914 Richardson, TX 75085-3914: AmeriHealth Caritas Florida is part of the AmeriHealth Caritas Family of Companies. Find the care you need. Show your AmeriHealth Caritas Louisiana member ID card when you get your prescriptions. The closest bus stops areSW Durham Dr at Witherspoon Blvd and SW Durham Dr at Realm Homes. Billing If you need to cancel or reschedule your appointment, please call us 24 hours prior to your appointment time. We work with all insurance carriers. AmeriHealth New Jersey Blue Cross Complete of Michigan. My UNC Chart is our secure, online patient portal where you can apply for financial assistance, submit your supporting documents, and more. Working with providers like you, we can deliver quality, cost-effective care and better health outcomes for our members. Learn more. A Medicaid and Healthy Michigan Plan Managed Care Health Plan. If you Beginning October 3, 2022, you may register for NaviNet. Total number of Providers on Doctor.com who Accept Humana Health: Most popular medical specialty of providers who accept Humana Health: Humana Health providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Humana Health: Average Overall User Rating for providers who take Humana Health. You can conveniently apply for UNC Health financial assistance through your existing My UNC Chart account or a new one you create. ", "Absolutely the best. AmeriHealth Administrators uses various policies and criteria, including AmeriHealth medical policy and InterQual , for utilization review determinations. Your email address * * * * * Affiliations. Insurance Dental care Your providers are your partners in care. BCBS Prefix List Your calls will be answered by a health provider who can determine whether you need to be seen for care and where. Provider Playbooks. Network News is our new email service and will replace faxed communications by December 31, 2022. ", "Dr. Lisser is excellent. Corporate mailing address and main phone number: AmeriHealth Caritas Corporate Office 3875 West Chester Pike Newtown Square, PA 19073 Phone: 1-215-937-8000. Radiation Oncology Solution | Clinical Guidelines - eviCore Plan your trip to North Carolina Orthopaedic Clinic through GoDurham bus route 10 or GoTriangle bus route 400. AmeriHealth Caritas | 23,799 followers on LinkedIn. Office Hours Monday to Friday, 8:15 am to 4:45 pm Connect With Us 441 4th Street, NW, 900S, Washington, DC 20001 Phone: (202) 442-5988 Fax: (202) 442-4790 BCBS Provider Phone Number Duke MyChart gives you secure access to view your test results, schedule appointments, request prescription refills, and communicate with your care team.
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