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WEBFind answers to your questions. Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. The information you're accessing may not be provided by …

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Login Providers Excellus BlueCross BlueShield

WEBCreate an Account. Check eligibility and benefits for members. Review claim status and request claim adjustments. View fee schedules, policies, and guidelines. Manage …

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Medical Policies Providers Excellus BlueCross BlueShield

WEBThe Health Plan has adopted eviCore’s medical policies and guidelines as a basis for the determination of medical necessity and appropriateness of care. Please refer member …

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B-8179 Application for Practitioner Enrollment CRED ONLY

WEBApplication for Practitioner Enrollment. This application is only used for participation with Excellus Health Plan. Copies of your licenses, malpractice (Liability) insurance, and W-9 …

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Contact Us Providers Excellus BlueCross BlueShield

WEBAlaura Daniels (585) 327-3579 [email protected] . Children's Behavioral Health Services: All Rochester, CNY, Southern Tier and Utica region counties

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Join Our Network Providers Excellus BlueCross BlueShield

WEBRefer to our Practitioner List. Step 2. Include all required documents along with your application. A checklist is located within the application. Step 3. Email the application …

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Become a Participating Provider

WEBBecome a Participating Provider. All providers must maintain a physical practice location within the Health Plan’s geographic service area to be considered for in network …

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NAVIGATING BEHAVIORAL HEALTH SERVICES EXPANSION

WEBINTRODUCTION OF HEALTH & RECOVERY PLAN (HARP) 5 What is HARP? HARP is a managed care plan/product that coordinates physical, mental health and substance use …

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Tips for Completing the CMS-1500 Claim Form

WEB1. TYPE OF HEALTH INSURANCE COVERAGE R Select “Other” 1A. INSURED ID NUMBER R Enter the subscriber’s identification number 2. PATIENT’S NAME R Last …

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IMPORTANT INSTRUCTIONS FOR COMPLETING THIS FORM

WEBRev. 07/2021 NY-PAF-1086 *1086* 202 Pain Management 101 Physical Therapy. 147 Prosthetics 701 Speech Therapy. 411 Surgical Procedures 310 Vision (Purchase Price)

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Medical Provider Registration

WEBHospital, Group Practice or Facility. If you are a provider or administrator who is part of a single or multi-specialty group practice, hospital or health care facility that provides …

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Practitioner Requirements Providers Excellus BlueCross BlueShield

WEBLicensed Mental Health Counselor [LMHC] Medical Doctor [MD] Midwife - Home Birth [CNM] Midwife [CNM] Nurse Practitioner, Primary Care; Nurse Practitioner, Psychiatry

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WELCOME TO NAVIGATING THE BLUES!

WEBSubmit all claims as soon as possible after rendering service (or after the processed date of a primary payer’s explanation of benefits or EOB) Professional providers: 120-day claim …

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Page MEDICAL POLICY

WEBThe member receives an Out-of-Network Referral authorizing medically necessary Non-Participating Provider Services at the in-network benefit level (see II.G. Out-of-Network …

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Provider Registration Providers Excellus BlueCross BlueShield

WEBDental Care. Register for secure access to our site as either a Medical or Dental provider.

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Prior Authorization Lookup Providers Excellus BlueCross …

WEBPrior Authorization Lookup. Use this tool to determine whether a procedure requires prior authorization for this specific member. This lookup tool is for medical services and …

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Coordination of Benefits Questionnaire

WEBCoordination of Benefits Questionnaire 07-06 Page 2 Section B If this does not apply, skip to Section C. MEDICARE INFORMATION Do the policyholder and/or dependent(s) have …

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February 2024 Connection Provider Newlsetter

WEBWe have programs to assist members achieve optimal physical and mental health with the help of registered nurse care managers, registered dietitians, social workers and …

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IMPORTANT INSTRUCTIONS FOR COMPLETING THIS FORM

WEBPlease read these instructions carefully before completing this form. Thank you! For each authorization request, please print a new formdirectly from our website. Do not make …

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