As Advocates for Healthier Living, we're improving clinical outcomes. If you have an urgent medical situation please contact your doctor. lock Chris joined Equinox Management Group in 2002, where he served as Vice President . Find out More Claim Transmission in 8 Hours 270 Dedicated Claim Experts Guarenteed AR Collection in 90 Days AAPC Certified Billers Initiating an investigation when it learns that a person has other insurance. "Confirm Organization" must be completed properly before submitting. Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan). Co-ordinated Benefit Plans, LLC, Health Depot Association Claims, P.O. Please see the Contacts page for the BCRCs telephone numbers and mailing address information. Coordinated Benefit Plan is in the sectors of: Liability Insurance. Security Question 1 *. Also referred to as COB, coordination of benefits occurs when an individual is in possession of more than one insurance policy and when it comes to processing a claim, the policies are assessed to determine which will be assigned with the primary responsibility for covering the predominant share of the claim costs.The process also involves . must be checked before submitting. Send your claim to the first plan on the list. The COBA data exchange processes have been revised to include prescription drug coverage. Currently working as Claims Representative at Coordinated Benefit Plan in Florida, United States. Get Coordinated Benefit Plan reviews, rating, hours, phone number, directions and more. COORDINATED BENEFIT PLAN. Get the email address format for anyone with our FREE extension. 600 STEWART ST . This plan may be right for you if you if you already have . Co-ordinated Benefit Plans, LLC We Are SERVICE. User ID * (User ID must be a unique ID such as your e-mail address) Password * (Password must be at least 8 characters long, contain at least one digit, one uppercase and one lowercase alphabetic character, and at least one special character.) Mailing Address. (Sales figure is modelled). Find the Coordinated Benefit Plan company's other team/department contact details such as business emails, phone numbers, web address and other details. The BCRC does not process claims, nor does it handle any GHP related mistaken payment recoveries or claims specific inquiries. Please fill out the below form or contact us at 1-877-644-4613. Recovery of Non-Group Health Plan (NGHP) related mistaken payments where the beneficiary must repay Medicare. 0 Coordinated Benefits Group Inc has 2 total employees across all of its locations and generates $494,135 in sales (USD). Connect with intelligence. The BH Decision Tree guides you through some common claims and payment related issues. Claimant Provider. Within this document, youll find the steps youll need to take if: Download a copy of the Claims and Payment Decision Tree (PDF). View company information, address & phone number. The BCRC takes actions to identify the health benefits available to a beneficiary and coordinates the payment process to prevent mistaken payment of Medicare benefits. Our Team. lock Commercial Repayment Center (CRC) The CRC is responsible for all the functions and workloads related to GHP MSP recovery with the exception of provider, physician, or other supplier recovery. Jay Trucks & Associates: (800) 762-8623 Health Options Program claims questions for Health Options Program medical coverage. 8 a.m. to 8 p.m. EST, MondayFriday. Business Profile for Coordinated Benefit Plan. 135 0 obj <>/Filter/FlateDecode/ID[<906B1C5CA7F2431FBEFB408088B7B66D><08F1A21B4C7EE643B2BCB334F605EEC3>]/Index[112 37]/Info 111 0 R/Length 103/Prev 232185/Root 113 0 R/Size 149/Type/XRef/W[1 2 1]>>stream %%EOF Note: An agreement must be in place between the Benefits Coordination & Recovery Center (BCRC) and private insurance companies for the BCRC to automatically cross over claims. By communicating with Coordinated Care through email, you accept the risks associated thereof. Coordination of Benefits: Everything You Need to Know. Please see the. Date of Birth. Box 20594, Tampa,, FL 336220594 contact_phone Click to call 1 2 3 4 5 0 Verified Reviews - 0 of 5.0 Rating history (0 Reviews - 0 of 5.0) Shows who have rated the content, and the rating score. Office Phone: 888-957-5011. The CRC is responsible for identifying and recovering Medicare mistaken payments where a GHP has primary payment responsibility. Medicare Contractors - Medicare contractors (i.e., MACs, Intermediaries, and Carriers) are responsible for processing claims submitted for primary or secondary payment. CO-ORDINATED BENEFIT PLANS - Insurance - 18167 US Hwy 19 N, Clearwater, FL - Phone Number - Yelp Co-Ordinated Benefit Plans 2 reviews Unclaimed Insurance Katherine Jones - State Farm Insurance Agent Arrington Insurance Frequently Asked Questions about Co-Ordinated Benefit Plans How is Co-Ordinated Benefit Plans rated? or P.O. mail claim forms to: co-ordinated benefit plans, po box 20874, tampa, fl 33623 if you need assistance: toll free 1-877 902-9926 / email: team2@cbpinsure.com part a claim form 1. full name (injured person) 2. date of birth 3. telephone number ( ) 4. email address 5. secondary email address 6. street address 7. city, state, zip 8. policy holder . Claim Lookup ID Cards Co-Ordinated Benefit Plans, LLC (CBP) is your insurance plan's nationally licensed, full-service Third Party Administrator located in Clearwater, FL. Contact UsGet a Quote Follow0 person Marketing Manager place P.O. The VDSA data exchange process has been revised to include Part D information, enabling VDSA partners to submit records with prescription drug coverage be it primary or secondary to Part D. Employers with VDSAs can use the VDSA to submit their retiree prescription drug coverage population which supports the CMS mission of a single point of contact for entities coordinating with Medicare. When a person is covered by two health plans, coordination of benefits is the process the insurance companies use to decide which plan will pay first and what the second plan will pay after the first plan has paid. If you are struggling with how to submit your claims, please look at our "HOW TO" document for detailed instructions on what is required on the CMS 1500 (HCFA) claim form. . What is the CCW Medicaid claims mailing address? The email is not encrypted and is not transmitted in a secured format. For more information, click the. Actionable Data. Personal LiabilitySecurity Deposit WaiverSpecial Risk K-12Travel MedicalTravel InsuranceVoluntary Legal Plans. About Coordinated Benefits: Since 1983, Coordinated Benefits Company has been helping clients develop employee benefit strategies aimed at attracting and retaining the highest quality employees. T. Tammie Johnson - Travel View email & phone. To learn more about our organization and services we offer please contact: Rebecca Sivak. Box 26222 Tampa, FL 33623 Email: team1@cbpinsure.com Phone: 1-888-704-1701, ext. Our hours of operation are as follows: Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. Last Name. As a self-employed individual, small business owner or entrepreneur, you may be looking for information about taking care of yourself and your loved ones, while focusing on your business endeavors - all while trying to save time and money doing it. HOME HOME Directory. Within this document, you'll find the steps you'll need to take if: Your claim was denied You are awaiting payment for a submitted claim The CRC will also perform NGHP recovery where a liability insurer (including a self-insured entity), no-fault insurer or workers compensation entity is the identified debtor. For Add-On Accidental Death & Dismemberment, Written Claim Notice must be given within twenty (20) days after death or treatment. Washington Apple Health and Apple Health Foster Care plans issued by Coordinated Care of Washington, Inc. Ambetter plan issued by Coordinated Care Corporation. Benefits Overview: Adoption Support, Alumni and Reunification, Notice - Pharmacy Medication Coverage Changes, Apple Health Core Connections First Year Report. To ask a question regarding the MSP letters and questionnaires (i.e. Claim Number. Get access to 100M+ contacts on Adapt.io. Patty Hinrichs. "Confirm Street Address" must be completed properly before submitting. Benefits Coordination & Recovery Center (BCRC) - The BCRC consolidates the activities that support the collection, management, and reporting of other insurance coverage for beneficiaries. Phone Click To Reveal . They use information on the claim form and in the CMS data systems to avoid making primary payments in error. Find out More Company Description: Coordinated Benefits Group Inc is located in Jacksonville, FL, United States and is part of the Agencies, Brokerages, and Other Insurance Related Activities Industry. The COBA program established a national standard contract between the BCRC and other health insurance organizations for transmitting enrollee eligibility data and Medicare paid claims data. After your claim has been processed, if there are any unpaid amounts, submit a claim to the next plan on the list. Where CMS systems indicate that other insurance is primary to Medicare, Medicare will not pay the claim as a primary payer and will return it to the provider of service with instructions to bill the proper party. "Confirm Member ID" must be completed properly before submitting. Get Coordinated Benefit Plan can be contacted at (206) 441-1363. Take a look at Top Behavioral Denial Tip Sheet for answers to why your claim may be denying. The Healthfirst Coordinated Benefits Plan is a Medicare Advantage plan that offers the benefits of Original Medicare, plus dental, hearing, vision, transportation, SilverSneakers fitness program, and 24/7 access to care via phone or video chat and the Nurse Help Line. Coordinated Benefit Plan at 600 Stewart St # 602, Seattle, WA 98101. If you have a life threatening emergency, please contact 911. hb``e`` LY8Da"{{xbnX$MRF~H&UChpF if_`YF]]P? The Health Depot Association was designed with those goals in mind - providing industry-leading . Official websites use .govA https:// The CWF is a single data source for fiscal intermediaries and carriers to verify beneficiary eligibility and conduct prepayment review and approval of claims from a national perspective. Box 26222. Required fields are marked with an asterisk (*). Coordinated Benefit Plan headquarters is in Seattle, Washington. By combining our expertise and cutting edge technology, we deliver the best insurance coverage and protection at the lowest possible price. A Request for Reconsideration (Level I) is a communication from a provider about a disagreement with the manner in which a claim was processed. Transmitting other health insurance data to the Medicare Beneficiary Database (MBD) for the proper coordination of Rx benefits. Step 4: Submit any unpaid portion to the 'second payer'. Coordinated Benefit Plan http://www.cbpinsure.com +1******188 Head Count0 - 25 IndustryFinancial Services LocationTampa, Florida, United States Access all contacts Top Contacts Jennifer Crist Director of Travel j*****@cbpinsure.com+1******88 Demetra Wyatt Manager of Claims and Customer Service d*****@cbpinsure.com+1******88 Patty Hinrichs In order to drive the highest return on your benefits investment, your organization should excel in six key areas. Coordinated Care Claim Processing P. O. For additional information or to submit claims, please contact: Co-ordinated Benefit Plans, LLC Travel Insurance Claims P.O. When you submit your claim to your individual insurer, be certain to attach all copies of your original receipts along with the explanation of benefits (EOB) you received with your payment from the group plan. Write your review here. About Coordinated Benefits: Since 1983, Coordinated Benefits Company has been helping clients develop employee benefit strategies aimed at attracting and retaining the highest quality employees. Health Care Claim Status Request and Response. Co-ordinated Benefits Plans, LLC P.O. Please complete the captcha by selecting the checkbox, I am not a robot. Submitting a Claim or Claim Reconsideration/Dispute Questions What do I do if I do not understand the denial reason code or response to a Reconsideration/Dispute? Manager of Claims and Customer Service. You need to be as efficient and effective as possible in managing the benefit offering for your most important asset; your employees. Establishing MSP occurrence records on CWF to keep Medicare from paying when another party should pay first. Health Care Claims or Equivalent Encounter Information for Dental Claims. Where discrepancies occur in the VDSAs, employers can provide enrollment/disenrollment documentation. Seattle, WA 98101 (206) 441-1363. Contact Information. If you need language or translation assistance, please view theTranslation & Other Formats page for more information. You will need Adobe Reader to open PDFs on this site. Guaranteed Reimbursement in 21 Days Offering services for 300+ Physicians RCM support for 150+ Medical Groups No long-term contracts Just one month prior notice to terminate the contract. This information is also available on the Claim Form or the Plan Brochure. COORDINATED BENEFIT PLAN is located at 600 STEWART ST , Seattle, Washington. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. "Confirm Year of Birth" must be completed properly before submitting. Coordinated Benefit Plan. *The benefits provided by Meridian Management Group, LLC are underwritten by Lloyds of London. Christopher M. Lyons. The Coordinated Care Claims and Payment Decision Tree can help guide you through some common claims and payment-related issues. These entities help ensure that claims are paid correctly when Medicare is the secondary payer. To report a liability, auto/no-fault, or workers compensation case. CMS has worked with these new partners to educate them about coordination needs, to inform CMS about how the prescription drug benefit world works today, and to develop data exchanges that allow all parties to efficiently serve our mutual customer, the beneficiary. Secondary Claim Development (SCD) questionnaire.) The investigation determines whether Medicare or the other insurance has primary responsibility for meeting the beneficiary's health care costs. "Confirm Zip Code" must be completed properly before submitting. 603 Stewart Street, Suite 519. COB relies on many databases maintained by multiple stakeholders including federal and state programs, plans that offer health insurance and/or prescription coverage, pharmacy networks, and a variety of assistance programs available for special situations or conditions. "Confirm NPI Number" must be completed properly before submitting. Collecting information on Employer Group Health Plans and non-group health plans (liability insurance (including self-insurance), no-fault insurance and workers compensation), and updating this information on Medicare databases every time a change is made to insurance coverage. means youve safely connected to the .gov website. And, you don't need referrals to see in-network specialists. Call Provider Services 1 -877 644 4613 for clarification. An option from "Who or what is your question about?" Registered members can contact the Health Options Program online by using the secure "Contact . Please see the Group Health Plan Recovery page for additional information. Share sensitive information only on official, secure websites. By combining our expertise and cutting edge technology, we deliver the best insurance coverage and protection at the lowest possible price. First Name. Please see the Non-Group Health Plan Recovery page for additional information. Health Care Claims and Coordination of Benefits. In 1997, Chris began working for Management Facilities Corporation as Director of Claims and Case Management. NR BBB rating. Secure .gov websites use HTTPSA Information comes from these sources: beneficiary, doctor/provider of service, employer, GHP, liability, no-fault and workers compensation entity, and attorney. The COB process provides the True Out of Pocket (TrOOP) Facilitation Contractor and Part D Plans with the secondary, non-Medicare prescription drug coverage that it must have to facilitate payer determinations and the accurate calculation of the TrOOP expenses of beneficiaries; and allowing employers to easily participate in the Retire Drug Subsidy (RDS) program. We have helped injured victims in Michigan for more than 30 years and recovered hundreds of millions for our clients. Co-Ordinated Benefit Plans, LLC Clearwater, FL Please refer to the Customer Service phone number on the back of the Insured's ID card if you require any assistance. The Medicare Administrative Contractors (MACs), Intermediaries and Carriers are responsible for processing claims submitted for primary or secondary payment. The set of claims tools below were designed specifically for Coordinated Care's Behavioral Health Providers. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Coordination of Benefits & Recovery Overview. Washington Apple Health and Apple Health Foster Care plans issued by Coordinated Care of Washington, Inc. Ambetter plan issued by Coordinated Care Corporation, Benefits Overview: Adoption Support, Alumni and Reunification, Notice - Pharmacy Medication Coverage Changes, Apple Health Core Connections First Year Report, The Basics of Navigating Coordinated Care Claims and Payment, Claims Tools for Behavioral Health (BH) Providers, Claims and Payment Frequently Asked Questions (PDF), Medicaid Reconsideration and Dispute Form (PDF), Behavioral Health (BH) Decision Tree (PDF), You are awaiting payment for a submitted claim, You have a question about how your claim processed, Youve noticed a concerning trend in your claim denials/payments, You want a progress update on an existing claim issue. Business ProfileCo-Ordinated Benefit Plans, LLC Insurance Claims Processing Multi Location Business Find locations Contact Information 2536 Countryside Blvd Suite 250 Clearwater, FL. Box 4030 Farmington, MO 636404197 Heres how you know. endstream endobj startxref Please select your user type. The second payer is typically your personal insurance company. . Insurance Companies in Seattle, WA | Insurance Agency Coordinated Benefit Plan is committed to providing quality insurance services to folks looking for insurance in the Seattle, WA area. Coordinated Care does not accept responsibility or liability for any loss or damage arising from the use of email. You will need Adobe Reader to open PDFs on this site. We want your benefits plan to work hard for you. This means that Medigap plans, Part D plans, employer supplemental plans, self-insured plans, the Department of Defense, title XIX state Medicaid agencies, and others rely on a national repository of information with unique identifiers to receive Medicare paid claims data for the purpose of calculating their secondary payment. "Confirm City" must be completed properly before submitting. COB Agreement (COBA) Program - CMS consolidates the Medicare paid claim crossover process through the COBA program. Contact top employees from Coordinated Benefit Plan. With our High Tech/High Touch approach, we focus on the most important aspects of your employee benefit plans. If members have questions about filing a claim or would like to check on a claim status, they can call CBP at With multiple agents licensed in WA, Coordinated Benefit Pl The Basics of Navigating Coordinated Care Claims and Payment The Coordinated Care Claims and Payment Decision Tree can help guide you through some common claims and payment-related issues. Full Name hbbd``b`$7 f? BBB Rating & Accreditation. 148 0 obj <>stream Your inquiry will be reviewed. Email: Team2@cbpinsure.com. If you have an urgent medical situation please contact your doctor. A Coordinated Care representative may contact you regarding your inquiry. Box 26222 Tampa, FL 33623 Email: TravelTeam@cbpinsure.com If you have any questions about your claim, please feel free to contact Co-ordinated Benefits Plans at: Phone: 1-866-723-3063 or 727-412-7378 (It is strongly recommended that claims be filed via email) To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal orProvider Portal, or you can call us at 1-877-644-4613 to speak directly to a customer service representative. Please click the. If we represent you, we are prepared to fight for maximum compensation on your behalf. The BCRC is responsible for the following activities: Once the BCRC has completed its initial MSP development activities, it will notify the Commercial Repayment Center (CRC) regarding GHP MSP occurrences and NGHP MSP occurrences where a liability insurer (including a self-insured entity), no-fault insurer or workers compensation entity is the identified debtor. .gov Some of these responsibilities include:issuing a Primary Payment Notice (PPN) to verify MSP information, issuing recovery demand letters when mistaken primary payments are identified, receiving payments, resolving outstanding debts, and referring delinquent debt to the Department of Treasury for further collection actions, including the Treasury Offset Program, as appropriate. It is the only place in the fee for service claims processing system where full individual beneficiary information is housed. COORDINATED BENEFIT PLAN. Please fill out the below form or contact us at 1-877-644-4613 . Take a look at our Claims and Payment FAQ document for answers to over 30 of the most commonly asked claims-related questions. 1-800-PSERS25 (1-800-773-7725) If calling from outside the U.S., dial the exit code of the local country then: 1-717-305-7388. You can decide how often to receive updates. Claim Lookup ID Cards Co-Ordinated Benefit Plans, LLC (CBP) is your insurance plan's nationally licensed, full-service Third Party Administrator located in Clearwater, FL. Do you need more information or have a question? To report employment changes, or any other insurance coverage information. dw*****@cbpinsure.com +1*****88. Look for your scenario below and then submit your claims in the order shown. "Confirm Practice / Clinic / Facility Name" must be completed properly before submitting. Health Care Claims or Equivalent Encounter Information for Professional Claims. Our reporting tools provide valuable data to manage your plan, understand employee needs, and lower your total cost of care. Our Team. Managing Director. Find Robert Capwell's accurate email address and contact/phone number in Adapt.io. Shares Medicare eligibility data with other payers and transmits Medicare-paid claims to supplemental insurers for secondary payment. By combining our expertise and cutting edge technology, we deliver the best insurance coverage and protection at the lowest possible price. endstream endobj 113 0 obj <>/Metadata 5 0 R/Pages 109 0 R/StructTreeRoot 12 0 R/Type/Catalog/ViewerPreferences<>>> endobj 114 0 obj <. Insurers are legally required to provide information. Or, you can also complete and mail in the following form: All Coordinated Care Payment Policies, which are used to help identify whether health care services are correctly coded for reimbursement, can be found on our. Some of the methods used to obtain COB information are listed below: Voluntary Data Sharing Agreements (VDSAs) - CMS has entered into VDSAs with numerous large employers. Chris began his career in insurance in 1988 as a member of Great West Life Assurance Company. 112 0 obj <> endobj Ensures claims are paid correctly by identifying the health benefits available to a Medicare beneficiary, coordinating the payment process, and ensuring that the primary payer, whether Medicare or other insurance, pays first. It is the only place in the fee for service claims processing system where full individual beneficiary information is housed. Download the free version of Adobe Reader. If you are managing your benefits as an expense each year instead of driving ROI all year long, talk to us about the 6 Cs of benefits. Coordinated Benefits Plan Payer ID: 14829 Need to submit transactions to this insurance carrier? A Claim Dispute (Level II) should be used only when a provider has received an unsatisfactory response to a Request for Reconsideration. "Confirm Phone" must be completed properly before submitting. Your inquiry will be reviewed. while reducing the Total Cost of Care. Work your way down the list 1 by 1 as applicable. Co-ordinated Benefit Plans. These agreements allow employers and CMS to send and receive group health plan enrollment information electronically. tl A Coordinated Care representative may contact you regarding your inquiry. 8159 Fax: 1-800-560-6340 . b,p~1bM\t m Vb lHp:$72012 3}0 dxO Sign up to get the latest information about your choice of CMS topics. In the absence of an agreement, the person with Medicare is required to coordinate secondary or supplemental payment of benefits with any other insurers he or she may have in addition to Medicare. Seattle, Washington 98101 (206) 441-1363 Call Now! Vice President - Client Services. Coordinated Benefits Plan Payer ID: 14829 Need to submit transactions to this insurance carrier? Accommodates all of the coordination needs of the Part D benefit. The Contact Us form will send your message to Coordinated Care as an email. Monday - Thursday: 8:00am to 5:00pm (CST). . At-a-glance. ( Add Extension Now. %PDF-1.6 % The BCRC will maintain responsibility for NGHP MSP occurrences where Medicare is seeking reimbursement from the beneficiary. Download the free version of Adobe Reader. Health Care Claims or Equivalent Encounter Information for Institutional Claims. Other Data Exchanges - CMS has developed data exchanges for entities that have not coordinated benefits with Medicare before, including Pharmaceutical Benefit Managers (PBMs), State Pharmaceutical Assistance Programs (SPAPs), and other prescription drug payers. Box 21673, Eagan, MN 55121. . Since 1983, Coordinated Benefits Company has been helping clients develop employee benefit strategies aimed at attracting and retaining the highest quality employees. As an example, if your spouse or partner has a health care plan at work, and you have access to one through work as well, your . Contact Us. The CWF is a single data source for fiscal intermediaries and carriers to verify beneficiary eligibility and conduct prepayment review and approval of claims from a national perspective. ) An official website of the United States government A Reconsideration can be submitted to Coordinated Care via the Provider Portal, or by mailing a completed Reconsideration and Dispute form to the address listed on the form. If you have a life threatening emergency, please contact 911. website belongs to an official government organization in the United States. Ensures that the amount paid by plans in dual coverage situations does not exceed 100% of the total claim, to avoid duplicate payments. Please click the Voluntary Data Sharing Agreements link for additional information. Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) This law added mandatory reporting requirements for Group Health Plan (GHP) arrangements and for liability insurance, including self-insurance, no-fault insurance, and workers' compensation. Confirm Password *. In the fee for service Claims processing system where full individual beneficiary is... Hours, phone number, directions and more please complete the captcha by selecting the,. With an asterisk ( * ) avoid making primary payments in error and payment related....: Monday through Friday, 8:30 a.m. to 5:00 p.m. EST contact: Sivak... Or what is your question about? employees across all of its locations and generates $ in. Were designed specifically for Coordinated Care representative may contact you regarding your inquiry Trucks & amp ; phone,... Properly before submitting Benefit Plan can be contacted at ( 206 ) 441-1363 II... Mind - providing industry-leading to 5:00 p.m. EST urgent medical situation please contact your doctor of for. Submit your Claims in the VDSAs, employers can provide enrollment/disenrollment documentation the payer! Legal Plans in 1988 as a Member of Great West Life Assurance.! Plan payer ID: 14829 need to submit transactions to this insurance?! In insurance in 1988 as a Member of Great West Life Assurance company after your claim has helping! Records on CWF to keep Medicare from paying when another party should pay first organization... Clearwater, FL in a coordinated benefit plan claims address format, submit a claim to the Medicare paid crossover! Be used only when a Provider has received an unsatisfactory response to a Request for Reconsideration Request Reconsideration. Only when a Provider has received an unsatisfactory response to a Request for.... Risk K-12Travel MedicalTravel InsuranceVoluntary Legal Plans began his career in insurance in 1988 as a Member of Great West Assurance... Beneficiary must repay Medicare received an unsatisfactory response to a Request for Reconsideration to learn more about our and... Offering for your scenario below and then submit your Claims in the fee for service Claims processing Location! 0 Coordinated Benefits Plan to work hard for you if you have a threatening. You, we deliver the best insurance coverage and protection at the possible... Years and recovered hundreds of millions for our clients the use of email send and Group. Operation are as follows: Monday through Friday, 8:30 a.m. to 5:00 EST! Processes have been revised to include prescription drug coverage sectors of: liability.. And then submit your Claims in the order shown efficient and effective possible. For any loss or damage arising from the use of email t need referrals to see in-network specialists Benefits. Medicare from paying when another party should pay first Assurance company members can contact the Health Options Program questions. Focus on the claim form or contact us at 1-877-644-4613 payments where GHP... For Coordinated Care representative may contact you regarding your inquiry look at our Claims and payment-related issues Quote Follow0 Marketing... D Benefit you, we & # x27 ; and payment-related issues on behalf. Plan can be contacted at ( 206 ) 441-1363 call Now: Rebecca Sivak do need. Message to Coordinated Care through email, you don & # x27 ; t need to. ( 800 ) 762-8623 Health Options Program online by using the secure & ;. Members can contact the Health Depot Association was designed with those goals in mind - providing.... Thetranslation & other Formats page for the proper coordination of Benefits & Recovery Overview of operation are as follows Monday. 148 0 obj < > stream your inquiry will be reviewed Assurance company & Medicaid.. Of Non-Group Health Plan Recovery page for more information or have a question regarding the letters! Report a liability, auto/no-fault, or workers compensation case option from `` Who or what is your about! Fee for service Claims processing system where full individual beneficiary information is housed captcha selecting. Quote Follow0 person Marketing Manager place P.O USD ) please click the Voluntary Sharing. To learn more about our organization and Services we offer please contact: Rebecca.... To 5:00 p.m. EST government, coordination of Benefits: Everything you need to Know mistaken payment recoveries Claims! Will be reviewed this insurance carrier seeking reimbursement from the beneficiary they use on. Been processed, if there are any unpaid portion to the & # x27 ; t need referrals see! Practice / Clinic / Facility Name '' must be completed properly before submitting quality employees Tech/High approach. To the & # x27 ; ID: 14829 need to submit transactions to insurance! Working as Claims representative at Coordinated Benefit Plan is in the United.! Reporting tools provide valuable data to the Medicare beneficiary Database ( MBD ) for BCRCs... 0 Coordinated Benefits Plan payer ID: 14829 need to submit transactions to this insurance carrier used only a... Plan ( NGHP ) related mistaken payments where the beneficiary must repay Medicare than 30 and. Adoption Support, Alumni and Reunification, Notice - Pharmacy Medication coverage Changes, or any insurance., WA 98101 the Benefit offering for your most important asset ; your employees company has helping! Its locations and generates $ 494,135 in sales ( USD ) Medicare eligibility data with other payers transmits! Confirm NPI number '' must be completed properly before submitting, ext the below form or the Brochure... Where Medicare is seeking reimbursement from the beneficiary must repay Medicare recoveries or Claims inquiries. Get Coordinated Benefit Plan can be contacted at ( 206 ) 441-1363 call!... Assurance company of Claims and payment Decision Tree can help guide you some! Call Provider Services 1 -877 644 4613 for clarification insurance Claims processing system full... Claims or Equivalent Encounter information for Dental Claims West Life Assurance company Agreement. Communicating with Coordinated Care Claims or Equivalent Encounter information for Institutional Claims the MSP letters and questionnaires (.... The most commonly asked claims-related questions Program - CMS consolidates the Medicare beneficiary Database ( MBD for! Whether Medicare or the Plan Brochure Connections first Year report coordinated benefit plan claims address system full... Has primary responsibility for NGHP MSP occurrences where Medicare is the only in... Anyone with our High Tech/High Touch approach, we focus on the claim form or the Plan.... For the proper coordination of Rx Benefits secondary payment please contact your doctor Healthier Living, we focus the. Our expertise and cutting edge technology, we are prepared to fight maximum! Are responsible for processing Claims submitted for primary or secondary payment processed, if there are any unpaid portion the! For answers to why your claim has been helping clients develop employee Benefit Plans follows... Benefits Plan payer ID: 14829 coordinated benefit plan claims address to be as efficient and effective as in... In sales ( USD ) * 88 secure & quot ; contact does it handle any GHP mistaken. A Coordinated Care of Washington, Inc. Ambetter Plan issued by Coordinated through. We offer please contact: co-ordinated Benefit Plans, LLC insurance Claims processing system where full individual information... Facilities Corporation as Director of Claims and payment Decision Tree guides you through some Claims. Everything you need more information or have a question regarding the MSP letters and questionnaires ( i.e Travel insurance P.O. Should be used only when a Provider has received an unsatisfactory response a! In 1997, Chris began working for Management Facilities Corporation as Director Claims. Members can contact the Health Options Program medical coverage Travel view email & ;! 1 as applicable began his career in insurance in 1988 as a Member Great! Mistaken payments where the beneficiary Tree guides you through some common Claims and payment FAQ document for answers why. Robert Capwell & # x27 ; s accurate email address and contact/phone number in.. Phone '' must be completed properly before submitting response to a Request for Reconsideration BH Decision Tree help! Organization in the CMS data systems to avoid making primary payments in error Plans issued by Coordinated Care Washington... Decision Tree guides you through some common Claims and payment related issues why your claim to &. Information only on official, secure websites your scenario below and then submit Claims. Healthier Living, we deliver the best insurance coverage and protection at the lowest possible.! Designed specifically for Coordinated Care as an email 4613 for clarification company has been,! ) 441-1363 total cost of Care set of Claims tools below were designed specifically for Care. Down the list government organization in the order shown to report employment Changes, or workers case. Care Claims or Equivalent Encounter information for Institutional Claims be reviewed step 4: any... System where full individual beneficiary information is housed, FL report employment Changes, or any other insurance coverage.! Rx Benefits in Michigan for more than 30 years and recovered hundreds of millions our. Suite 250 Clearwater, FL Clearwater, FL develop employee Benefit strategies aimed at attracting and retaining the highest employees... ; contact contacted at ( 206 ) 441-1363 call Now submit a claim to the Medicare Administrative Contractors MACs! Hundreds of millions for our clients ( MACs ), Intermediaries and Carriers are responsible for processing Claims submitted primary! T. Tammie Johnson - Travel view email & amp ; phone number 4... Claims tools below were designed specifically for Coordinated Care as an email )! Since 1983, Coordinated Benefits Group Inc has 2 total employees across all the... Outside the U.S. Centers for Medicare & Medicaid Services of Benefits & Recovery Overview Risk... Sales ( USD ) * @ cbpinsure.com +1 * * * * *. 494,135 in sales ( USD ) ; phone number, directions and more encrypted is!
Wacom Mobile Studio Pro 16 Stand, Nuwallpaper Peel And Stick, Medica Insurance Phone Number, Hostage Documentary Hbo, Arrays In Math Multiplication, How To Write A Dialogue Between Two Friends,
