admission. A claim denied as a duplicate when services were performed more than one time, and payment does not reflect multiple service payment. The time limit for filing claims is one year from the date of service/purchase. This exam includes computerized topography and mapping of the cornea as well as an evaluation of which lenses will fit and provide optimal comfort, vision, and eye health. Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 Or by fax to: 1-877-357-3418 Payments will be mailed to the address on file for the subscriber. For services abroad please utilize the International Claim Form located at www.bcbsglobalcore.com. Group - Fully-insured and administrative services only (ASO). With the Uniform Medical Plan, you may choose from the plans listed below. For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). Box 52890 Bellevue WA 98015 or fax at 1 … Preauthorization. You can verify your address by calling PEBB Customer Service at The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Note: Learn more about when, and how, to submit claim attachments. Host Plan phone: Monday through Friday, 6 a.m. to 5 p.m. (PT). Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 or by fax to: 1 (877) 357-3418 Payments will be mailed to the address on file for the subscriber. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. In August, the Health Care Authority (HCA, which administers the PEBB Program) called for a recovery plan after Regence had amassed more than 300,000 backlogged claims-most of them Medicare claims by retired state workers. Uniform Medical Plan CDHP 2017 Certificate of Coverage (COC) www.hca.wa.gov. UMP is administered by Regence BlueShield and Washington State Rx Services. We provide flexible, affordable health care for members of the School Employees Benefits Board (SEBB) and Public Employees Benefits Board (PEBB) programs.. PSHVN has a large geographic footprint with over 6,500 providers and 1,100 locations. You can also submit claims via mail to our claims address P.O. Fax 1-844-679-7763. Where should I submit claims? Learn about submitting BlueCard claims. Online access to medical claims. You will be prompted to enter your tax identification number (TIN). You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. View our guidelines for claims submission and helpful coding resources. Find forms to request pre-authorization, care management or appeals, or direct overpayment recovery. Regence Uniform Medical Plan (UMP) Insurance Connections Behavior Planning & Intervention is a preferred provider with Regence UMP. Regence BlueShield assumed administration functions for the state’s Uniform Medical Plan (UMP) in January 2011. For prescription, supplies or medical equipment requests, please complete a "Prescription & Durable Medical Equipment Claim Form" (PD001). Box 7968 Madison, WI 53707-7968 www.tricare-overseas.com: Eurasia Africa (All Others) TRICARE Overseas Program P.O. A contact lens exam is not included in the annual eye exam and eye health exam. The remainder goes to Regence, which on behalf of the state pays the rest, or however much the state Uniform Medical Plan allows. To submit a claim online, go to the “Member Dashboard / Claims” section and select the yellow “Submit a Claim” button. We provide Applied Behavioral Analysis (ABA) therapy benefit for Regence UMP members.Regence will cover ABA Therapy. Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. Tacoma, WA 98401-2998. Member claims. Provider claims. You can verify your address by calling PEBB UMP Customer For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). Regence Blue Shield in accordance with the terms of your provider contract with Regence. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. Learn more about our customized editing rules, including clinical edits, bundling edits, and outpatient code editor. No enrollment needed, submitters will receive this transaction automatically, Web portal only: Referral request, referral inquiry and pre-authorization request, Implementation Acknowledgement for Health Care Insurance. Your account at www.regence.com. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan … About Uniform Medical Plan (UMP), administered by Regence BlueShield. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Sound Generations helps individuals understand the basics of Medicare, long-term care and related insurance, plan for retirement, process medical billings, claims and appeals and understand health care reform. We can work with that company to reduce your costs. Phone: 800-732-1209. An authorization must be on file to ensure proper claims payment. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School … Primary member/subscriber ID number* Group/employer name: Uniform Medical Plan . Thank you for choosing Regence for your health care coverage. Access most member eligibility, benefits and claims information online using the Availity Portal. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Regence 1800 Ninth Avenue PO BOX 91015 Seattle, WA 98111-9115 h ttE c' Uniform Medical Plan MEDICAL CLAIM FORM Use this form to submit reimbursement requests for services received from a non-network provider. Providers call 1-888-849-3682. Fax 1-877-663-7526. Download and print helpful material for your office. Please complete a separate form for each family member. 4. Box 202112 Florence, SC 29502-2112 www.tricare-west.com. Claims Department P.O. Preventive care list Check this list to see which preventive services are covered, for whom and how often they are recommended. Our interactive voice response system is also available 24 hours a day, seven days a week when calling the Provider Contact Center. Blue Shield of Idaho PO Box 30270 Salt Lake City, UT 84131-0207. To browse each plan’s network or to find a … The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Prescription Drug Claim Form . Regence BlueShield Regence BlueShield serves select counties in the state of 1800 Ninth Avenue | Seattle, WA 98101 Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association © 2020 Regence BlueShield What’s new at UMP (PEBB) for 2021 A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence … Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Frequently Asked Questions. Learn more about the plans. To help you decide on a plan, it can be helpful to know the network—or the group of doctors, hospitals and pharmacies that are part of the plan. Our Provider Contact Center is available for information that cannot be served by the Availity Portal. Sign up for EFT and quickly receive payment. Use the electronic authorization tool to determine whether pre-authorization is required and submit requests online. Access Regence Group Administrators member forms for appeal submissions, care claims, and authorizations. This includes all applicable professional and facility claims: • Effective April 1, 2019, for professional services • Effective May 1, 2019, for facility services These requirements apply to all Regence plans (group, Individual, Uniform Medical Plan [UMP], Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Contact lenses are medical devices and require an exam to obtain or renew your prescription. This section applies to requests for appeal when: NCCI or CCE coding rules apply to a claim or claim line. Uniform Medical Plan ublic Employees Benefits Board (PEBB) – 10008217 . Provider Contact Center: 1 (800) 253-0838. Learn more about informational, preventive services and functional modifiers. (medical services). Are you covered by Regence and another health insurance company? National BlueCard member benefits and eligibility: Phone 1 (800) 676-2583, Monday through Friday, 7:30 a.m. to 10 p.m. (PT). Claims and correspondence. We accept electronic claims through Availity using payer ID RGA01. 4. PO Box 2998. Fill in this form (sign-in required) to give us information about your other coverage. Claims mailing address. The Uniform Medical Plan (UMP) was built to provide top-quality, affordable healthcare to eligible Washington state public employees (active and retired), Leave Without Pay members, non-Medicare retirees or COBRA members. Provider Contact Center: 1 (800) 253-0838. Group - Fully-insured and administrative services only (ASO) Individual; Medicare Advantage plans; Uniform Medical Plan: 1 (888) 849-3682 . an informed decision. Blue Shield of Idaho PO Box 30270 Salt Lake City, UT 84131-0207. PART 1: *Indicates required information. What are my plan options? Coordination of Benefits, Medicare crossover and other party liability or subrogation. Use this claim form for any reimbursement requests you may have or if you prefer, send a copy of your bill with your Group and ID Numbers written at the top and mail to the address below. Find hearing information and important documents from the Washington state Office of the Insurance Commissioner regarding Regence BlueShield. UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus—UW Medicine Accountable Care Network UMP Plus— Puget Sound Video en español About Uniform Medical Plan Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s Public Employees Benefits Board (PEBB) Program. These are complex claims, Hensley said. Your evidence must support that you followed Regence policy. As a member, you can register and sign in to view your claims and benefits information and get access to members-only tools. Depending on your insurance plan, your out-of-network cost may be … The mission of Sound Generations is to assist and educate people of all ages so they can make informed insurance decisions. What is a Uniform Medical Plan (UMP)? (Medical services). Pre-authorization: Use our online tool to be routed to the home plan's requirements. In Payer Spaces you can access our reimbursement schedules, pricing documents and more.
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