1-888-872-2531. 800-852-1360. Box 8069 Little Rock, AR 72203-8069 Blue Advantage: Provider Directory | Blue Cross and Blue Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Enrollment in either Blue Advantage plan depends on contract renewal. Happy New Year from Vantage Medicare Advantage! For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. New Directions (Still applies if insurance is secondary payor.) To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. Blue Advantage Families and Children from Blue Plus is a Minnesota Medical Assistance program (Minnesota's state Medicaid program). For authorization, call New Directions at 1-877-801-1159. Provider tools & resources Log in to Availity Learn about Availity Prior Authorization Lookup Tool Prior Authorization Requirements Claims Overview Member Eligibility & Pharmacy Overview Secure Online Contact Form Contact us 24 hours a day, seven days a week through our secure online inquiry form. Blue Cross and Blue Shield of Louisiana Medicare Advantage Finding a Provider | BCBSLA Help Center . No referrals. Contact Us | Vantage Health Plan If you have questions or concerns about your health insurance coverage, we'd love to hear from you. Baton Rouge (Corporate Office) 5525 Reitz Avenue. Please call us toll-free at 1-844-386-7491, TTY 711. patient referrals. Nurses can help you manage chronic conditions, have a healthy pregnancy and more. Health Advantage P.O. AccessBlue. 1901 Market Street Philadelphia, PA 19103. HMO/SNP Medicare Advantage plans. Features of our Horizon Medicare Blue Advantage (HMO) Plan: Primary Care Physician (PCP) selection is required. To verify coverage or benefits or determine pre-certification or pre-authorization requirements for a particular member, call 1-1.800.676.2583 or send an electronic inquiry through your established connection with your local Blue Plan. Please refer to the Evidence of Coverage (EOC) for . For Blue Medicare Advantage (HMO) products only, members must use plan providers except in emergency or urgent care situations. Explore all the information related to Blue Advantage Provider Portal Louisiana here. Wellcare is the Medicare brand for Centene Corporation, an HMO. Enrollment in either Blue Advantage plan depends on contract renewal. Blue Cross Medicare Advantage. Certain services/supplies require prior authorization. Blue Medicare Advantage (BMA) has implemented several different supplemental meal benefits on a number of its plans. Select your state to contact an Ambetter representative in your service area. Complete the Provider Email Sign-Up Form to receive email updates with the latest information, including Partners in Health Update SM. TTY users should call 711. 225-295-2556 - Group. Choose a directory from the Directories column under the Find a Doctor dropdown menu at the top of the page. Contact Phone/Fax/Internet Member/Provider Customer Service (excluding Blue Cross Medicare Advantage Dual Care (HMO D SNP) (To obtain benefits, eligibility or claims status) 1-877-774-8592; Hours of operation: 8 a.m. - 8 p.m., MST, 7 days a week. Dental professionals. Voicemail: Call 1-866-704-0109, TTY 711. 3. 1-866-805-4589 (TTY: 711) Amerigroup. 225-295-2527 - Individual. Email addresses. 1-800-716-2299, option 2 - for credentialing questions 1-800-716-2299, option 3 - for provider data management questions Baton Rouge, LA 70809. Email us. Blue Advantage, BlueRx & C Plus with PMD. DHH Medicaid Telephone Numbers. Members who only receive behavioral health services through Healthy Blue will get their pharmacy benefits through Louisiana Medicaid Pharmacy Fee For Service Program. You must complete the credentialing and contracting . Enter the portal name you want to search for! : 75897FF4 To: City of Baton Rouge/Parish of East Baton Rouge City of Baton Rouge/Parish of East Baton Rouge (Referred to as "Group"), as of January 1, 2019, ("Benefit To file an appeal or grievance for your medical benefit coverage or your prescription drug coverage, contact Keystone 65 Customer Service at 1-800-645-3965 or Personal Choice 65 Customer Service at 1-888-718-3333; TTY/TDD users should call 711, 7 days a week, 8 a.m. to 8 p.m.; or you can complete and submit online the Request for Medicare Prescription Drug Coverage Determination or the Request . Subscriber Name: Enter name of contract holder from Blue Advantage identification card. No referral required for network specialists, doctors or hospitals. Provider relations (Humana/ChoiceCare) For participation status, requests to join the network and contract-related questions 800-626-2741 Open 8 a.m. to 5 p.m. Central time, Monday through Friday. Written by Blue Cross and Blue Shield of Louisiana Updated over a week ago We have made it easy for our members to find a provider! 1-800-822-2761. Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporat ed as Louisiana Health Service & Indemnity Company. Phone: 1-800-888-2998. We credential all providers who want to enroll in our networks, except hospital-based physicians. Choose a directory from the Directories column under the Find a Doctor dropdown menu at the top of the page. New Directions is an independent company that serves as the behavioral health manager for Blue Cross and Blue Shield of Louisia na and HMO Louisiana, Inc. Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer our Blue Advantage HMO and Blue Advantage Plus HMO network in all 254 Texas counties. Built-in prescription drug coverage. Email customer service; Email about website-related comments. Customer Services for Medicare Prescription Drug plans (Part D) 1-844-765-5160 (TTY: 711) Customer Service for Special Needs Plans. Medicare Advantage PPO provider enrollment. Blue Cross Medicare Advantage SM - 877-774-8592 Health Education Programs. See a Doctor Online 24/7. Click on the Find a Doctor link at the top of any page on bcbsla.com. Calls will be returned the next business day. Written by Blue Cross and Blue Shield of Louisiana Updated over a week ago We have made it easy for our members to find a provider! Fax the Behavioral Health - Level of Care Request Form to us at the number listed on the cover sheet. To request pre-certification: Call 1-800-524-4010. Choice of plans, including $0 premium option. PCDMstatus@bcbsla.com. Recipient Eligibility Verification System (REVS) 1-800-776-6323 or (225) 216-7387. From April 1 to September 30, on weekends and holidays you may be required to leave a message. This Minnesota Medical Assistance health care program is for families, children under age 21, pregnant women and adults under age 65 who receive Medical Assistance. If you have Medicare Part D Drug coverage, you'll still get your medications reimbursed through your Part D plan. 1-888-267-2955. Enrollment in Healthy Blue depends on contract renewal. Hearing Impaired 1-800-846-5277 TTY Callers (TTY) Contact Louisiana Relay Service (LRS) for assistance. (TTY 711) M-F (8 a.m. - 8 p.m. Central) Individual & Family Products. Please note that as a Blue Advantage member, you must continue to pay . BLUE CROSS AND BLUE SHIELD OF LOUISIANA P. O. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) ASA and Meritain - use phone number on member's ID card Enrollment in Healthy Blue depends on contract renewal. 130 DeSiard Street, Suite 300 Monroe, LA 71201. Blues Enroll. Customer Service. Revised: 03222021 Blue Cross Medicare Advantage Provider Quick Reference Guide Note: If your request is for a service covered under a capitated independent physician association (IPA), medical group, or other delegated entity responsible for claim payment, please make your request for verification directly to the For behavioral health providers submit claim or clinical appeals online, access training, resources and more. Additionally, providers can contact the Care Coordinator at 1-888-341-5030 concerning patient referrals. Provide LRS with the Blue Cross toll-free number (1-800-495-2583) to direct your call to the correct department. Mailing address. Provider Relations. 2. Locate your designated AmeriHealth Provider Network Services (PNS) team contact.. Mailing Addresses. Call us. Talk to a Doctor Anywhere, Anytime. Email. Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. TTY (866) 524-5144 (for the hearing impaired) An online resource for group members to manage your benefit enrollment. 1-888-543-9212. Blue Advantage makes it easy to stay healthy and save money. Alexandria 1-800-473-2783 or (225) 924-5040. These are benefits not covered by Medicare but are covered under the Medicare Advantage plan. For more information about Blue Advantage, visit www.bcbsla.com/blueadvantage or call 1-800-608-3509, TTY 711, 8 a.m. to 8 p.m., 7 days a week. Predetermination of Benefits Exceptions The information in this section does not apply to HMO Illinois, Blue Advantage HMO, Blue Precision HMO, Please call us toll-free at 1-866-842-3278. Virginia Beach, VA 23466-2947. Credentialing & Recredentialing. Blue Cross and Blue Shield of Louisiana and its subsidiaries HMO Louisiana Inc. 800-495-2583 800-810-2583 Blue Card Maine. This is not a guarantee of benefits payment or eligibility. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Enter last name, followed by first name and middle initial. For a faster response, please consider leaving a voicemail or sending an email. Health Education Programs. Contact Cigna Customer Service at 1 (800) 997-1654 or visit this page to find specific phone numbers for plan and coverage questions or a claims mailing address. Box 62947. Blue Advantage, BlueRx & C Plus with PMD. 1-888-267-2955. Please note that as a Blue Advantage member, you must continue to pay . Phone Number. Select to leave a voicemail and leave your name, phone number, member ID number if available and a brief message. In the case of an adverse determination, the providers will be notified by both a phone call and a letter. Select your network and enter . Healthy Blue is an HMO D-SNP plan with a Medicare contract and a contract with the Louisiana Medicaid program. ). 3. : 75897FF4 To: City of Baton Rouge/Parish of East Baton Rouge City of Baton Rouge/Parish of East Baton Rouge (Referred to as "Group"), as of January 1, 2019, ("Benefit The Provider Service Center helps with contracting, patient services, precertification and many other questions. 4) Intensive outpatient program. P.O. Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. Select your network and enter . 1-888-543-9212. Nurses can help you manage chronic conditions, have a healthy pregnancy and more. An online resource for group members to manage your benefit enrollment. Shop plans for Medicare, Medical, Dental, Vision & Employers. If a member with an HMO product obtains routine care from an out-of-network provider without prior approval from Blue KC, neither Medicare nor Blue KC will be responsible for the costs. 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