More flexibility: Download the Express Scripts mobile app to manage your medicines, find nearby pharmacies and use your virtual ID card while on the go. Tier IV is for Specialty drugs. Claims and Customer Service: PO Box 576, Arnold, MD 21012. Need to check a claim status? Call Us (844) 693 - 5863 Submit a Claim Clearing House Payer ID - FH205 Paper Claims PO BOX 278 Arnold, MD, 21012 Interested in Seeing More Flume Health Patients? Request Authorizations Medical: Our utilization management partners at MedWatch process medical authorizations for us. If you or your dependent are not experiencing a medical emergency, consider visiting a St. Josephs/Candler Urgent Care Center. Please check your ID card for the correct number to call. Maximum Out of PocketOne PersonTwo People, For detailed medical plan benefits, please view the 2021 Schedule of Benefits andMedical Plan Document, Basic Plan Plus Plan. Our concierge team can provide additional information on how to submit these appeals. Check our frequently asked questions or call (888) 897-1887. Just verify that your name or the name of your facility is on the pass. Learn all about Firefly Health and how to join our team. Request to Join Flume Community or call for more information (844) 693 - 5863 Perks of Joining the Flume Community Patients Choose You For All Other Members: 1-878-222-4411. Your formulary offers a wide selection of clinically-sound, cost-effective generic and brand-name prescription drugs. For additional information please contact our concierge. Turn to your care coordinators for help with: . This is how we reward members for seeing the high-value providers we recommend.. Pharmacy: Our partners at Capital Rx process pharmacy authorizations for us. By using mail order or 90-day at retail for maintenance medications, you can receive a 90-day supply at reduced co-pay. Complete coverage and care for your employees. Appeals related to pre-certification or medical necessity should be submitted to our medical management partners directly. To submit an authorization, you can: Here is a list of services that require prior authorization.. We use First Health for our plans network thats Aetnas network. The program includes a retail prescription plan and mail order for maintenance medications. More confidence: Talk with a pharmacist from the privacy of your home any time, from anywhere. In some cases, issues can be resolved by providing additional information, as requested by the Flume team. For your convenience, most centers are open on evenings and weekends and now offer virtual visits. The primary Preferred Provider Organization (PPO) Network for the City of Savannah is the Care Network which utilizes the St. Josephs / Candler Clinics and Hospitals. Box 1027 2 East Bay Street Savannah, GA 31401. City Manager; City Attorney; Clerk of Council; Infrastructure and Development; P.O. The Care Network Repricing PO Box 788 Arnold, MD 21012. If you have a question about how a claim was processed, you can call our concierge at (844) 693-5863 to get more information about the determination or try to resolve the issue. By Mail Sana Benefits Claims P.O. Heres what to know. All other appeals must be submitted in writing to providers@flumehealth.com or to our mailing address, Flume Health, Inc.228 Park Ave SPMB 42263New York, New York 10003-1502. Urgent care co-pays are $15.00 (Plus Plan) or $20.00 (Basic Plan). The City of Savannahs Plan is a self-funded group health plan. Departments. Clinical resources, and health & wellness advice. From claims to Care Passes, learn how to work with Firefly Health. Both plans include free preventive care services (with in-network providers only) and a four-tier prescription drug plan. Contact Us - Claimsbridge Contact Us Get in Touch with Us " * " indicates required fields Last Mailing Address Innovative Healthware Services 1511 Ritchie Highway Suite 205 Arnold, Maryland 21012 Telephone 410-349-3222 Follow Us LATEST PUBLICATIONS Meet ClaimsBridge at the SIIA Engage National Conference View Site Map. Got an employer-sponsored Firefly health plan? To find a location near you or to schedule a virtual visit, go to https://sjcurgentcare.com/, City of SavannahP.O. More savings: Compare prices of medicines at multiple pharmacies. To submit an authorization, call (888) 897-1887 or submit a prior authorization form: Here is a list of drugs that require prior authorization., If a member shows you a Care Pass in the Firefly Health app, you shouldnt charge them anything their plan covers the full cost of their visit. If you have any questions, call us at. St. Joseph/Candler Urgent Care Centers, from Georgia Emergency Associates is your in-network urgent care provider. For your convenience, we have created a standardized form you may use to submit an appeal (button to form below). There are two easy ways to submit claims to Sana. Looking for primary care that actually gets you? Created Date: If your issues cannot be resolved informally, as a provider you have the right to appeal the determination of any denied services or claim by filing an appeal with us. For Short Term Medical Members: 1-878-222-4415. or call for more information(844)693 - 5863, Many of our plans incentivize members to choose Flume Community providers, Once approved, sign a simple 1-page agreement, and begin seeing patients. At network pharmacies, your co-payment is determined by the tier on which the prescription is placed (Tier I, Tier I or Tier III). The City offers two medical plan options to meet your individual needs. More convenience: Get up to 90-day supplies of your long-term medicine sent to your home. To submit an authorization, you can: Complete an online precertification form Timeframes for filing an appeal vary depending on applicable state or federal requirements. Turn to your care coordinators for help with: Members may contact a Quantum Health Care Coordinator at 1-866-360-7926 Monday - Friday from 8:30 AM to 10:00 PM to help with any questions you might have about your benefits. Need to check a claim status? Find the latest information on your medicine, including possible side effects and interactions. Facility providers will be reimbursed at the Allowable Charge, as described below. Medical: Our utilization management partners at MedWatch process medical authorizations for us. Express Scripts is the City of Savannah pharmacy drug provider; you mail fill your prescriptions at most pharmacies (Wal-Mart, Kroger, CVS, Walgreens, etc.) Send claims electronically to Payer ID FH205. Call us at (888) 897-1887. Welcome. Get free standard shipping from the Express Scripts Pharmacy. If you belong to First Health, you accept our plan, no problem. Order refills, check order status, and track shipments. Call to Confirm Data Miners, LP Data Miners, LP ELIANCE MAX . 1-561-756-8130 Corporate Headquarters American Financial Security Life Insurance Company Boca Raton, FL 33432 Get directions Claims and Customer Service PO Box 576, Arnold, MD 21012 For Short Term Medical Members: 1-878-222-4415 For All Other Members: 1-878-222-4411 You can also visit the Quantum Health member portal atwww.cityofsavannahhealthplan.com or download the MyQHealth appget access to your health plan benefits and personal healthcare information! Healthcare can be confusing; your Care Coordinators are here to make it easier. Allowable Charge "Allowable Charge" for a treatment, supply or other services rendered is Electronically Electronic/Payor ID: 50114. Or submit an HCFA 1500 (CMS-1500) form to Firefly Health PO Box #278 Arnold, MD 21012. Or submit an HCFA 1500 (CMS-1500) form to Firefly Health PO Box #278 Arnold, MD 21012. Go to express-scripts.com , select Register or download the Express Scripts mobile app for free from your mobile devices app store and select Register. Call us at (888) 897-1887. To check that a member has active coverage, call us at (888) 897-1887. Care Coordinators can also help you find a provider, order a new ID card, and even transfer you to a nurse for questions about your treatment plan. Healthcare can be confusing; your Care Coordinators are here to make it easier. The claims administration is provided through UMR and Quantum Health provides the coordination of benefits. PO Box 477 Arnold, MD 21012 . Box 10272 East Bay StreetSavannah, GA 31401, United Healthcare Plan Benefits & How to Enroll, Retiree City Group Medical Plan (under 65), COS Retirement Plan Actuarial Valuation and Review 2021, Anything that can make the healthcare process easier. PO Box 788 Arnold, MD 21012. Print forms and ID cards, if needed. Were grateful for the tremendous care you provide to our members, and we want to make that as easy as possible for you. Submit Claims: PO BOX 598, Arnold, MD 21012:aiPHCS Specific Services. Urgent care clinics are well-prepared to handle a wide array of pressing, but not life-threatening, health issues. Your information is secure and confidential. If you have any questions, call us at (888) 897-1887. The centers provide numerous services which includes stitches, X-rays, lab work, splinting, casts, shots, and assist with diagnosing colds, infections, allergic reactions, asthma and more. Box 855 Arnold, MD 21012 Registering is safe and simple. If you take maintenance medications, you may order a 90-day supply through Express Scripts mail order service or at any CVS Retail Pharmacy and save money. Care Coordinators. How will providers be reimbursed?
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