WebP.O. Box 61010 Virginia Beach, VA 23466-1010 Medicare prior authorizations Phone: 1-866-805-4589 Fax: Home health, durable medical equipment, therapies and discharge … WebP.O. Box 62429 Virginia Beach, VA 23466-2429 ... P.O. Box 61599 Virginia Beach, VA 23466-1599 Provider grievances (Not related to claims payment, and should be submitted in writing) Simply Healthcare Plans, Inc. Grievance and Appeals Team 4200 W. Cypress St., Suite 900 Tampa, FL 33607

Provider Communications OHIO

WebP.O. Box 61599 Virginia Beach, VA 23466 Provider name*: NPI number: Rendering provider NPI number: TIN: Street address: City: State: ZIP code: Provider type: ☐ MD ☐ Ambulatory surgery center ☐ Ambulance ☐ Hospital WebP.O. Box 61599 Virginia Beach, VA 23466-1599 Member First/Last Name: Member Date of Birth: Member Coverage: Medicaid ... psychosocial stressors dsm

Claim Payment Appeal — Submission Form

WebClaim correspondence (check the appropriate box below): Claim correspondence is defined as additional requested information necessary in order for a claim to be considered clean, … WebP.O. Box 61599 Virginia Beach, VA 23466-1599 Member first/last name: Member date of birth: Member coverage: Medicaid Medicare member ID: _____ Provider first/last name: … WebFeb 18, 2024 · P.O. Box 105187 Atlanta, GA 30348: Mailing Address for Appeals: P.O. Box 61599 Virginia Beach, VA 23466: Payer ID: 00630: Fax Number: 866-406-2803: Home plan email address : N/A: Other Related Prefix. BCBS Alpha Prefix from WAA to WZZ Home Plan; BCBS Prefix WFR; BCBS Prefix WFY; BCBS Prefix WFZ; Kathryn Belvin. hot air balloon bali