Summit Administration Services, Inc. Website: www.myameriben.com Meritain Health, Inc. PO Box 25160 Scottsdale, AZ 85255-0102 AmeriBen Solutions, Inc. PO Box 853921 Richardson, TX 75085-3921 (480) 505-0400 (888) 690-2020 PO Box 7186 Boise, ID 83707 (866) 300-8449 Precert: Hines & Associates (800) 393-7519 Precert: American Health Holding Throughout this document, we use the term "provider." We're open Monday-Friday, 8am-5pm MT to help you with anything you might need. Medicare Members: access grievance and appeals information here. Since we began in 1988, FrontPath has understood that enhancing quality not only improves health care, but ultimately improves efficiencies and reduces costs Healthy Population and Economy We have always recognized that lower costs coupled with higher quality healthcare makes a healthier population which keeps our local businesses healthy and . The Provider Handbook outlines the Beacon Health Options, Inc. (Beacon) standard policies and procedures for individual providers, affiliates, group practices, programs, and facilities. The process includes: Peer to Peer Review - Aetna offers providers an opportunity to present additional information and discuss their cases with a peer-to-peer reviewer, as . For Providers | US Family Health Plan Call 877-805-5312 from 7:45 a.m. to 4:30 p.m. 2020 and expire upon the expiration of the President's national emergency for the COVID-19 outbreak. To determine whether patients' healthcare plans cover specific services, what their co-pays are, or to obtain details about precertification requirements, you will need to contact payers who administer your patients' healthcare plans. How does timely filing affect your job? Medical policies. Disputes and appeals | Aetna In 2020, we turned around 95.6 percent of claims within 10 business days. Starting on arch 2, 2021, the timely filing "clock" restarts from where it was frozen. Q What are the timely filing requirements? What is timely filing limit for Meritain Health? In this example, the last day the health insurance will accept Company ABC's claim is May 21st. For exceptions to timely filing requirements for specific states and plans, sign in to this website to view our timely filing exceptions. Exceptions to Original Claim Deadline. Meritain timely filing for claims" Keyword Found Websites Listing ... Using Timely Filing Deadlines Examples A claim with a date of service before arch 1, 2020 would have had the timely filing "clock" suspended on Darch 1. We offer three Electronic Data Interchange (EDI) options. Clover Health issues identification cards that you can use to verify member eligibility. www.modahealth.com Updated March 2020 3 INTRODUCTION The Moda Health Participating Provider Manual is intended to give participating providers helpful and reliable information and guidelines about Moda Health's policies, procedures and benefits available to our members. > pcomm -2021-1083 8/21 to pay your claims may be denied for filing.

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