|
Company
|
Online
Claims
|
Address
|
Contact
|
|
ALLIANCE PPO
|
No
|
8245 Boone Blvd,
Ste 401
Vienna, VA 22182
Claims: PO Box 934 Frederick, MD
21705
|
800-342-6141 #3 to verify benefits
800-342-9474 x3 Professional Services
|
|
AMERICAN PSYCH SYSTEMS PPO
|
|
6705 Rockledge Drive,
Suite 200
Bethesda, MD 20817-1850
|
800-752-7242
www.apscare.com
|
|
CAREFIRST BCBS
Includes Federal Employee claims for providers East of Rt. 123
|
Yes
|
Claims: 550 12th Street, SW
Washington, DC 20065
|
800-842-5975 to verify benefits
www.carefirst.com/
|
|
CIGNA/MCC
PPO
|
Yes
|
11095 Viking Drive,
Suite 350
Eden Prairie, MN 55344
Claims: Get address from client.
|
customer service # from client for PPO to verify benefits
800-926-2273 #3 #0 CIGNA BH to verify benefits
800-433-5768
Ann Arnold, Provider Relations Rep 800-274-7603 x 5604
http://apps.cignabehavioral.com/
|
|
Kaiser Permanente
(APS)
|
No
|
Claims: KP Referral Unit
POB 6415
Rockville, VA 20849-6415
|
Client calls for auth, form faxed to provider
1-800-777-7902 Claims
1-800-810-4766 Provider Service Center
301-816-6360 fax for provider relations
|
|
MAGELLAN VA-AETNA US HEALTHCARE
|
Some
|
7168 Columbia Gateway Drive,
Suite C
Columbia, MD 20146
|
800-788-4005
x5 Provider Relations
314-595-3913Data Quality fax
www.magellanprovider.com/
|
|
MAMSI
|
No
|
4 Taft Court
Rockville, MD 20850-5327
|
800-342-6141 #3 to verify benefits
www.mamsi.com/providers/
|
|
OPT CHOICE, MDIPA
|
|
Claims: PO Box 930
Frederick, MD 21705
|
Must have referral from psychiatrist and mail Consultant Treatment Plan with each claim.
Get phone # of 3rd party co from MAMSI to call for benefits
|
|
NCPPO
|
|
PO Box 5537
Springfield, VA 22150
|
800-346-1520 BH Customer Service
800-272-5911 x547 Network Services Claudia
703-914-1573 fax
|
|
TRICARE (thru MHN)
Fiscal year starts 06/30/04
|
|
1600 Los Gamos Dr
Suite 300
San Rafael, CA
94903
|
800-541-3353 (Provider Relations)
www.mhn.com/
or
www.tricare.osd.mil
|
|
TRIGON (Richmond)
Includes Federal Employee claims for providers West of
Rt. 123
|
Through EDI
|
Claims: PO Box 27401
Richmond, VA 23279
|
800-533-1120 #3 #0 #0 to verify benefits
800-991-6045 MH Services call for auth
800-346-1520
800-715-4283 Provider Network Admin
804-354-3700 Provider Network Mgmt fax
800-991-7259 Point of Care Support
https://www.trigon.com/providers/i ndex.jhtml (secure site)
|
|
UNITED BEHAVIORAL HEALTH
|
Some
|
PO Box 1459
Minneapolis, MN 55440-1459
|
800-853-9383
763-732-6855 fax
www.ubhonline.com
866-209-9230 Online Support Center
|
|
VALUE OPTIONS
|
Yes
|
3110 Fairview Park Drive
Falls Church, VA 22042
|
800-824-7762 to verify benefits & provider relations
800-397-1630
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