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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