vantage health plan claims address

Vantage believes that practicing physicians must be actively involved in all aspects of healthcare improvement and cost control. For example, your plan network doctor makes a (favorable) coverage decision for you whenever you receive medical care from him or her or if your network doctor refers you to a medical specialist. PDF Claims Submission Vantage Educational Series Events Registration Form, Member Protections Against Surprise Medical Bills, Vantage Medicare Compliance Program Guidelines Attestation. Access your information anywhere, anytime with the Vantage Portal. Hotline:1-800-973-7707 By communicating with the Envolve family of companies through email, you accept the risks associated thereof. . At Vantage Health Plan, our entire staff is committed to helping they. Member Documents | Vantage Health Plan To partner with Envolve for health benefit solutions, direct your business inquiry to 1-844-234-0810 or fill out the form below requesting more information. Click here to watch a short video on understanding your health care network. Click below to search for Hospitals or Medical Providers in the Vantage Network. You can contact us via mail, email or telephone. If you are asking for a standard appeal, make your standard appeal in writing by submitting a request. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. We hope you are satisfied with the benefits and services available through your plan. The grievance must be submitted within sixty (60) days of the event or incident. For 24-hour access to your personal health information,log in to your account. However, the more information you provide the easier it is for us to provide you with the most accurate response. Contact Us - Peoples Health If you don't know who your administrator is, call Availity Client Services at 800-AVAILITY (282-4548) Monday - Friday, 8 a.m. - 8 p.m., Eastern time. * - Required FieldNot all fields are required. Compliance & Ethics Advanta advocates educate, negotiate and work on behalf of the members to resolve all value-based pricing cases. April 1 September 30:Monday Friday Thank you for allowing Vantage Health Plan, Inc. to offer you and your family affordable health coverage. Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Vantage Educational Series Events Registration Form, Member Protections Against Surprise Medical Bills, Vantage Medicare Compliance Program Guidelines Attestation. Enrollment in Vantage depends on contract renewal. Email:compliance@vhpla.com All other members:8 am 6 pm, Monday Friday, 2023 Vantage Health PlanAll Rights Reserved. You or your doctor can also contact us and ask for a coverage decision if your doctor is unsure whether we will cover a particular medical service or refuses to provide medical care you think that you need. April 1 September 30: Monday-Friday All other members: 8 am - 6 pm, Monday - Friday, Mary Saporito However, the see information yourself provide the easier it shall for us go provide you is the most accurate response. Asking for a standard or fast initial determination. Find the forms and documents most requested by our members here. 8 a.m. to 8 p.m. Box 7003 Troy, MI 48007-7000. show Social Determinants of Health Insights submenu, show Population Health Analytics & Management | Envolve Health submenu. All other members: 8 am - 6 pm, Monday - Friday, Mary Saporito Call 1-888-823-1910 (TTY users call 711) for more information. Pharmacy Prior Authorization Department: 866-399-0928. Fraud, Waste, & Abuse Policy Humana Member Sign in | Humana The secure portal provides providers and doctors offices with real-time access to patients benefits, pre-certifications, and eligibility. Wed love the opportunity to work with you, so give us a call today and see what Vantage has to offer. Hotline:1-800-973-7707 We hope you are satisfied with the benefits and services available through your plan. Metairie, LA 70002 Hours of operation: Monday through Friday, 8 a.m. to 5 p.m. You can contact us via mail, email or telephone. We hope you are satisfied with the benefits and services available through your plan. Click here for more information on the end of the Public Health Emergency. October 1 March 31:Seven Days a Week CLAIM.MD | Payer Information | Vantage Health Plan A. Medicare Advantage members: Wed love the opportunity to work with you, so give us a call today and see what Vantage has to offer. Medica. Vantage has a variety of plans to meet your healthcare needs. 8 a.m. to 8 p.m. If we deny your grievance in whole or in part, our written decision will explain why we denied it and will tell you about any dispute resolution options you may have. Vantage believes that practicing physicians must be actively involved in all aspects of healthcare improvement and cost control. This information is not a complete description of benefits. We built this Plan for you and for ourselves in 1977 because of a genuine desire to do the right thing. Thank you for considering Vantage for your health insurance coverage. If you have questions or need help creating your new Provider Portal account, contact Provider Services at 888-823-1910, option 3. And if you ask us, part of doing the right thing means . Electronic Data Interchange (EDI) expand_more. By completing a paper enrollment form and mailing it to OGB. If you have any questions about your benefits andclaims, were happy to help. At Advantage Health Plans Trust, we are community banks. Privacy Policy For Member Services and assistance, please contact the telephone number on the back of your Member ID card. Hotline:1-800-392-9249 Representatives are available on the general line from 7:00 a.m.8:00 p.m. MST. Email:compliance@vhpla.com Medicare Advantage members: Want to learn more about how to use this tool? You have the right to ask us to reconsider and perhaps change a determination decision by making an appeal. Thanks for visiting the Vantage Producer Portal! Please have your tax ID number, provider name, and address exactly as it appears on the W-9 you submitted along with your NPI and phone number. You must make your request within 60 calendar days from the date on the written notice we sent to you to tell you our answer to your request for a coverage decision or coverage determination. April 1 September 30:Monday Friday Payer ID: 94265 +. Box 44036, Baton Rouge, LA 70804 130 Desiard St #300, Ste 300, Monroe, LA, 71201, United States Get directions Latest reviews 3.5 41 reviews 5 22 4 1 3 4 2 2 1 12 Reviews (2) Google reviews (39) Ashley P. on Birdeye 9 months ago I am a self-employed individual having to pay out of pocket for my own insurance plan, therefore, I pay for the lowest (bronze) plan. While there has been a lot of uncertainty about healthcare the past few years, Vantage has continued to do everything we can to make our healthcare coverage work for our members. Healthcare Provider Network - Louisiana Report Fraud Waste and Abuse October 1 March 31:Seven Days a Week You may also call 1-800-MEDICARE (1-800-633-4227). Hotline:1-800-392-9249 When you must file a claim: You receive services outside the United States Another group health plan is primary You use an Out-of-Network provider Submit services on the CMS1500 or a claim form that includes the information shown below: Patient's name, date of birth, address, phone number and relationship to enrollee; Access your information anywhere, anytime with the Vantage Portal. Enroll today or call 888.823.1910for more information. 8 a.m. to 8 p.m. Find the forms and documents most requested by our members here. (888) 823-1910 Toll-Free Attachment/Appeal Fax#. Enrollment in Vantage depends on contract renewal. We hope you are satisfied with the benefits and services available through your plan. Plans | Medicare Advantage | Vantage Health Plan Quality of care issues may be filed in writing or by calling our Member Services department within sixty (60) days of the event or incident. Compliance & Ethics | Envolve Health, Money as a Health Incentive: Is it Effective? A grievance may be filed in writing or by calling our Member Services Department. If you have questions about claims or benefits, we're happy to help. VantagePlus with Medica connects members to more than 4,800 providers, 650 clinics, and 11 hospitals. Access your information anywhere, anytime with the Vantage Portal. Abrazo Advantage Health Plan 03443 837 Also known as Phoenix Advantage Notes CLAIMS & ERA PAYER LIST August 04, 2023 LEGEND: I = Institutional, P = Professional, D = Dental COB = Coordination of Benefits . Access your information anywhere, anytime with the Vantage Portal. Vantage Health Plan: all plans: 610602: NVTD: H5577: MCS Classicare: all plans: 012312: PARTD: H5580: Mercy Care Advantage: all plans: . Call 1-888-823-1910 (TTY users call 711) for more information. Hotline:1-800-973-7707 You have the right to file an expedited grievance whenever we deny your request for an expedited decision about your request for a service, or, whenever we deny your request for an expedited decision about your appeal for a service. 1-800-869-7093. . 3284to get started. For most beneficiaries, Part B has a monthly premium of $164.90 and a deductible of $226.00 for 2023. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. 130 DeSiard Street, Suite 300Monroe, LA71201Local: (318) 361-0900Toll-Free: (888) 823-1910TTY: 711 (for the hearing impaired) Claims - Molina Healthcare Grievances & Appeals | Medicare Advantage | Vantage Health Plan Medicare Plans. Archer, Atascosa, Austin, Bastrop, Bandera, Bee, Bell, Bexar, Blanco, Bosque, Brazoria, Brooks, Burleson, Burnet, Caldwell, Cameron, Chambers, Clay, Collin, Colorado, Comal, Cooke, Coryell, Dallas, Denton, Dimmit, Duval, Ellis, El Paso, Erath, Falls, Fannin, Fayette, Fort Bend, Freestone, Galveston, Goliad, Gonzales, Grimes, Guadalupe, Hamilton,. IEHP Contact Us We are boosting your experience! 8 a.m. to 8 p.m. Vantage Medical Group Hotline:1-800-973-7707 Thank you for allowing Vantage Health Plan, Inc. to offer you and your family affordable health coverage. Medicaid Plans. Hawaii Mainland Administrators-2012-2022. We hope you are satisfied with the benefits and services available through your plan. Vantage Health Plan - Birdeye For Providers - Healthcare Management Administrators Thank you for considering Vantage for your health insurance coverage. Thank you for your patience. Wed love the opportunity to work with you, so give us a call today and see what Vantage has to offer. Under Original Medicare, most beneficiaries are not required to pay a premium for Part A and the beneficiary is still responsible for the $1,600 deductible for Part A for 2023. In other words, if you want to know if we will cover a medical service before you receive it, you can ask us to make a coverage decision for you. 1-800-952-3455 (TTY: 711) Privacy Policy Find Your Plan. This information is not a complete description of benefits. Have your ID Card with you so set-up is fast and easy. October 1 March 31: Seven Days a Week Please update your internet browser bookmarks to https://members.vantagehealthplan.com/ or click the link below! 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(318) 361-0900 Local Privacy Policy All other members:8 am 6 pm, Monday Friday, 2023 Vantage Health PlanAll Rights Reserved. CIGNA HealthCare / Connecticut General Life Insurance Company, Bulletin 2023-04: Military Personnel Discount, LDI WebmailLDI Employees Vantage believes that practicing physicians must be actively involved in all aspects of healthcare improvement and cost control. Call 1-888-823-1910 (TTY users call 711) for more information. Documents & Forms Members. Hotline:1-800-392-9249 How to Join. A type of coverage determination that, if approved, allows you to get a drug that is not on your plan sponsors formulary (a formulary exception). Terms & Conditions Privacy Policy Vantage Health Plan (Vantage) is an HMO with a Medicare contract. Find the forms and documents most requested by our members here. Vantage Educational Series Events Registration Form, Member Protections Against Surprise Medical Bills, Vantage Medicare Compliance Program Guidelines Attestation. If your request is for a Medicare Part B prescription drug, we will give you an answer within 72 hours after we receive your request. Claims and Payments | UnitedHealthcare Community Plan of Louisiana YES. Vantage believes that practicing physicians must be actively involved in all aspects of healthcare improvement and cost control. Report Fraud Waste and Abuse If you are providedservices from outside of your network, you may receive what is sometimes referred to as a "surprise" medical bill. 8 a.m. to 8 p.m. All other members:8 am 6 pm, Monday Friday, 2023 Vantage Health PlanAll Rights Reserved. Vantage Health Plan Member Portal. Want to learn more about how to use this tool. 8 a.m. to 8 p.m. Email:compliance@vhpla.com Electronic Services Available (EDI) Professional/1500 Claims. Health insurance plans for businesses to offer their employees. A fast coverage determination means we will answer within 24 hours. April 1 September 30:Monday Friday To partner with Envolve for health benefit solutions, direct your business inquiry to1-844-234-0810 or fill out the form below requesting more information. Click below to search for Hospitals or Medical Providers in the Vantage Network. October 1 March 31:Seven Days a Week You may also make your complaint to the Quality Improvement Organization. Institutional/UB Claims. Medicare Advantage members: Access your information anywhere, anytime with the Vantage Portal. Medicare Compliance Officer, 130 DeSiard Street, Suite 300Monroe, LA 71201(318) 361-0900 Local(888) 823-1910 Toll-FreeTTY 711 (for the hearing impaired), 130 DeSiard Street, Suite 300Monroe, LA71201Local: (318) 361-0900Toll-Free: (888) 823-1910TTY: 711 (for the hearing impaired) Health insurance companies are required to provide links to their websites containing information about their networks of contracted hospitals, facilities and providers. Enroll today or call 888.823.1910 for more information. About Us \. Report Fraud Waste and Abuse Click below to search for Hospitals or Medical Providers in the Vantage Network. To register for the new Provider Portal, please go to https://providers.vantagehealthplan.com/ to create a new account. Vantage has a variety of plans to meet your healthcare needs. April 1 September 30:Monday Friday This information is not a complete description of benefits. Contact . Holiday Season Healthy Eating Yes, it Can be Done! Customer Help & Sell At Vantage Health Plan, our entire staff is committed to helping you. Thank you for considering Vantage for your health insurance coverage. Home | Blue Cross and Blue Shield of Louisiana Please complete the captcha by selecting the checkbox, I am not a robot. (Note: Claims received with an ICD-9 code will be rejected with a notice to re-bill using ICD-10 . Hotline:1-800-973-7707 You have many options when considering your Medicare coverage. What is a formulary exception? . Frequently Asked Questions | 2023 Annual Enrollment - Group Benefits 130 DeSiard Street, Suite 300Monroe, LA71201Local: (318) 361-0900Toll-Free: (888) 823-1910TTY: 711 (for the hearing impaired) Vantage Member Portal General Newsletters 130 DeSiard Street, Suite 300 Monroe, LA 71201 Local: (318) 361-0900 Toll-Free . Home Page - My ASP.NET Application - Vantage Health Plan Thank you for allowing Vantage Health Plan, Inc. to offer you and your family affordable health coverage. Vantage Plans eliminate premium for Part D. Medicare beneficiaries often try to reduce their deductibles and coinsurance with Original Medicare by purchasing Medicare Supplement Policies, for which they pay a monthly premium for as well. Helpful Links Report Fraud Waste and Abuse Email:compliance@vhpla.com Compliance & Ethics We are boosting your experience! PDF documents Privacy Policy Medicare beneficiaries who have Part A are automatically enrolled in Part B, unless they inform the Social Security Administration otherwise. Vantage has a variety of plans to meet your healthcare needs. Hotline:1-800-973-7707 The email is not encrypted and is not transmitted in a secured format. With a Vantage Plan, beneficiaries will still have to pay their Part B premiums. This information is not a complete description of benefits. A standard coverage decision for providing coverage for the medical care you want means we will give you an answer within 14 calendar days after we receive your request for a medical item or service. Enroll today or call 888.823.1910 for more information. Thank you for allowing Vantage Health Plan, Inc. to offer you and your family affordable health coverage. Electronic Services Available (EDI) Need to submit transactions to this insurance carrier? To start your appeal, you (or your representative or your doctor) must contact us. Medicare Advantage members: A network refers tothe groups of doctors, labs,hospitals, surgery centers and others who have a contract with your health care provider to provide medical care. Wed love the opportunity to work with you, so give us a call today and see what Vantage has to offer. 8 a.m. to 8 p.m. Want to learn more about how to use this tool. Five Healthy Dessert Swaps to Enjoy During the Holiday Season! Mississippi. For more information or to request services, contact: n LabCorp at 1-800-345-4363 or labcorp.com n Quest Diagnostics at 1-866-697-8378 or questdiagnostics.com Relay Service 711 Member Services 1-866-805-4589 Plan Effective Date: RXBIN #: RXPCN #: MEDDADV RXGRP #: AGPCARE RXID #: 99999999901 Plan: -009 Amerigroup Plan Name

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