The BCRC is permitted to state whether Medicare is primary or secondary, but cannot provide the name of the other insurer. For additional information, click the COBA Trading Partners link. What is Medical Billing and Medical Billing process steps in USA? Those on Medicaid can print a temporary Medicaid card from their MyACCESS Account. In such situations, the other health plan may have the legal obligation to meet the beneficiary's health care expenses first before Medicare. We’ll help you find the best Medicare plan for you. Medicaid 1-800-887-6888 (TTY: 711) MSP data may be updated, as necessary, based on additional information received from external parties (e.g., beneficiaries, providers, attorneys, third party payers). info@simplyhealthcareplans.com. This is required in order to submit claims. Mailing Address: Accept the return of inappropriate Medicare payment. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance. Medicare and Medicaid customer service For eligibility/benefits and claims inquiries: 1-800-457-4708 Providers are encouraged to review the Electronic Exceptional Claim Submission Quick Reference Guide, found on the, Each exceptional claim should have its own, For additional information on exceptional claims see the Medicaid. The Benefits Coordination & Recovery Center (BCRC) consolidates the activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries. For General Questions About Medicaid 1-334-242-5000. Sign in with your Florida Medicaid account (use new password if you recently completed a reset). We offer a variety of plans, including 5-star HMO plans, and ways to save. COVID-19 related exceptional claims can be submitted via paper claim or electronically, Each COVID-19 related exceptional claim requires this specific COVID-19. Call us 7 days a week, 8 a.m. to 8 p.m., at: 1-855-216-6134 (TTY 711). Call us 7 days a week, 8 a.m. to 8 p.m., at: 1-855-216-6134 (TTY 711), Medicare 1-877-577-0115 (TTY 711) Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. The purpose of the COB program is to identify the health benefits available to a Medicare beneficiary and to coordinate the payment process to prevent mistaken Medicare payment. 600 Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. 1-844-405-4297 (TTY: 711) Provider Enrollment is comprised of three business units, the Managed Care, Facility, and Home and Community-based Services Unit, the Practitioner and Supplier Unit, and the Provider Eligibility and Compliance Unit. The Medicare Learning Network (MLN) is a CMS initiative to ensure Medicare physicians, providers and supplies have immediate access to Medicare coverage and reimbursement rules in a brief, accurate, and easy to understand format. Medicare claims paying offices can terminate records on the CWF when the provider has received information that MSP no longer applies (e.g., cessation of employment, exhaustion of benefits). Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims , medical records, or expenses, log into MyMedicare.gov , or CMS also relies on providers and suppliers to ask their Medicare patients about the presence of other primary health care coverage, and to report this information when filing claims with the Medicare program. Insurer information. 9250 W. Flagler St., Ste. 833-607-6518 (Medicare Advantage Plans - Anthem Medicare Preferred PPO) 888-287-0032 (Taft Hartley) Delaware: 800-633-2563 800-572-2872: DC: 800-842-5975 877-225-7268 (National Service Accounts - NASCO) 800-676-2583 (Blue Card Eligibility) 877-228-7268 (Blue Card Eligibility Out of Area Claims) Florida: 800-7272-2227 800-676-2583 (Blue Card Eligibility) For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. This also offers a centralized, one-stop customer service approach for all MSP-related inquiries, including those seeking general MSP information. Nondiscrimination and Accessibility notice. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. 7500 Security Boulevard, Baltimore, MD 21244, Medicare Secondary Payer Fact Sheet (PDF), COBA Trading Partners - January 31, 2015 (PDF), Your Medicare provider number (UPIN/OSCAR/NSC). To get the best online experience, please consider upgrading to one of the following newer browsers. If you are the treating physician of a child and you would like to attest to the eligibility of your patient for the CMS plan, please review the CMS Clinical Eligibility Attestation for Physicians and a list of qualifying chronic and serious conditions. If physicians have questions about the CMS Clinical Eligibility Attestation, please contact a CMS plan nurse at 1-855-901-5390. The COBA Trading Partners document in the Download section below provides a list of automatic crossover trading partners in production, their identification number, and customer contact name and number.
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