Exhibit 1 - Insurance Websites.xlsx
XLSX spreadsheet 62 KB Posted
- Attached to
- Accounts Receivable Services Federal contract opportunity
- Solicitation number
- 75H71324Q00040
About this file
This sources sought notice seeks capability statements from interested parties to provide accounts receivable services to the Chemawa Indian Health Center located in Salem, Oregon. The estimated five-year performance period includes option years. Responses are requested to include business name, point of contact, UEI, NAICS code, business size as small or large, business type such as native owned or veteran owned, and a demonstration of capability and capacity to provide the required accounts receivable services. Responses must be submitted electronically in MS Word or PDF format by the specified date to the identified point of contact, referencing the solicitation number. The Portland Area Indian Health Service will use this market research to determine the appropriate acquisition method including whether a set-aside is possible for fiscal year 2024.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Draft Statement of Work.docx | DOCX document | |
| Attachment 2 - IHS-IEE-Representation-Form_Jan-2022.pdf | ||
| Exhibit 4- Batch document example (PI-02032021-3)_Redacted.pdf | ||
| Exhibit 2 -Financial Spread Sheet.xlsx | XLSX spreadsheet | |
| Exhibit 3 - File for low pmt.docx | DOCX document |
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A AARP SUPPLEMENT PH #800-227-7789 https://aarpprovideronlinetool.uhc.com/pw/pwsrv
ALLEGIANCE/CIGNA/LIN PH# 800-342-6510 https://lin1.askallegiance.com/lin/faces/LinLogin.jsp?themeProfile=Ebix
| AMERITAS DENTAL / RELIANCE | PH# 800-487-5553 | https://www.ameritas.com/sign-in/ |
| Note: Go to ECHO for EOB |
| AVAILITY | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome | ||
| AARP MCR ADV | PH# 877-842-3210 | https://www.uhc.com/sign-in | |
| AARP MCR COMPLETE | PH# 888-866-8297 | ||
| PO Box 30974 | |||
| AARP MCR COMPLETE | ph# 888-866-8297 | ||
| po box 31362 | |||
| AARP MCR COMPLETE | PH# 800-945-0135 | ||
| po box 31362 "regular plan" | |||
| AARP EXPRESS SCRIPTS | PH# 800-227-7789 | ||
| ANTHEM BCBS DENTAL | PH# 877-567-1804 | www.anthem.com/ca | |
| Note: Call for EOB they can mail it | |||
| ADVANTEK | www.advantek.com | ||
| AMERIBEN | PH# 800-786-7930 | www.webinquires@ameriben.com | |
| ALLIED BENEFITS | PH# 866-455-8727 | www.alliedbenefits.com | |
| AETNA | OUT | PH# 888-632-3862 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| NOTE: GET EOB thru Availity | |||
| AETNA DENTAL | PH# 800-451-7715 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
AETNA MCR SUPPLMENT PH# 800-624-0756 www.aetnamedicare.com
| ATRIO MCR ADV | PH# 877-672-8620 | https://www.atriohp.com/oregon/providers/ | |
| Note: Need Provider Portal ID# - NP4580 | |||
| AMERICAN NATIONAL LIFE | PH# 800-899-6520 | www.claims@americannational.mcrsupplement.com | |
| Note: you can vall for EOB they can fax it | |||
| ADVANTAGE DENTAL (cco) | PH# 866-268-9616 | www.advantagedenta.com | |
| ARGUS is SS&C | PH# 866-211-9459 | www.health.ssctech.com | |
| ACI is CARDINAL CHOICE | PH# 888-293-9229 | www.visit.aci.com | |
| APWU - AMERICAN POSTAL WORKER UNTION | PH# 800-222-2798 | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note: go to ECHO for EOB | |||
| AVESIS - VISION | PH# 800-952-6674 | www.avesis.com | |
| AITHER HEALTH | PH# 844-899-5612 | www.aitherhealth.com | |
| ACI - SEE CARDINAL CHOICE - CHUB | |||
| ALL SAVERS RX | PH# 800-999-3404 | www.allsaversconnect.com | |
| ASSURANCE - CHANGE HEALTHCARE | https://asp03.arm.changeheathcare.com | ||
| ANTHEM BCBS MCR SUPPLEMENT - CA | PH# 800-333-3882 | ||
| AMERICAN FAMILY INSURANCE | PH# 800-692-6326 x 78-84 | ||
| Note: no website for EOB | |||
| AMERICAN POSTAL WORKERS | https://www.providerpayments.com/Inquiry.aspx | ||
| UNION HEALTH PLAN | |||
| Note: EOB thru ECHO | |||
| ANTHEM LIFE & HEALTH INSUR | PH # 800-676-2583 | www.anthem.com/ca | |
| Note: Med bills to local BCBS | |||
| ANTHEM BC DENTAL | 877-567-1804 | ||
| AGL - SHARED SERVICES | 866-697-5750 | ||
| WPS LOCAL 187 - BCBS processes claims | |||
| for them |
https://lin1.askallegiance.com/lin/faces/LinLogin.jsp?themeProfile=Ebixhttps://www.providerpayments.com/Login.aspx?ReturnUrl=%2Fhttp://www.aetnamedicare.com/http://www.avesis.com/http://www.aitherhealth.com/http://www.allsaversconnect.com/https://asp03.arm.changeheathcare.com/http://www.anthem.com/cahttp://www.anthem.com/cahttp://www.advantek.com/http://www.webinquires@ameriben.comhttp://www.alliedbenefits.com/http://www.claims@americannational.mcrsupplement.comhttp://www.advantagedenta.com/http://www.health.ssctech.com/http://www.visit.aci.com/ B
| BCBS OF WYOMING | PH# 800-442-2376 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| BOON GROUP | PH# 866-868-4139 | https://www.boongroup.com/benefit-services/ |
| BARRACUDA/ATRIO WEBSITE | www.providerportal@atrophy.com | |
| BCBS OF ARIZONA | PH# 800-232-2345 | www.azblue.com |
| BANKERS LIFE /COLONIAL PENN | PH# 800-800-2254 | www.bankerslife.com |
| BCBS OF CALIFORNIA | PH# 800-541-6652 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| BCBS OF ILLINOIS | PH# 800-323-7208 or | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| PH# 800-538-8833 | ||
| BCBS OF ILLINOIS - DENTAL | 800-367-6401 | https://www.dnoaconnect.com/#!/ |
| get EOB thru DNAO | ||
| BCBS OF MICHIGAN | PH# 800-448-0525 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| BCBS OF TEXAS | PH# 800-521-2227 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| BCBS OF WISCONSIN | PH# 800-448-0525 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| BRIDGE SPAN | PH# 877-395-4942 | www.bridgespan.org |
| BLUE VIEW VISION/ | PH# 866-723-0515 | |
| FIRST ADMERICAN ADMINISTRATORS | ||
| 800-432-3990 | address - 1133 SW Topeka, Kansas 66629 | |
| BCBS OF KANSAS | ||
| *dental claims* |
http://www.providerportal@atrophy.comhttp://www.azblue.com/http://www.bankerslife.com/http://www.bridgespan.org/ C
| CARE OREGON HEALTH SHARE | PH# 800-224-4840 | www.payspanhealth.com/appshell/ |
| Note: get EOB from PAYSPAN |
| CARE OREGON BEHAVIORAL HEALTH | PH:503-416-4100 | https://signin.phtech.com/IdentityServerWeb/core/login?signin=c1fa076fc362c90ab83f4f70c58ada50 | |
| Note: Go to PH TECH for EOB | |||
| CARDINAL CHOICE - CHUB | PH# 888-293-9229 | www.visit-aci.com | |
| Note: is thru ACI | |||
| CAPITOL DENTAL | PH# 800-955-7376 | www.payspanhealth.com/appshell/ | |
| Note: EOB thru PAYSPAN | |||
| CORNERSTONE PREFERRED | PH# 281-580-6865 | www.cprtpa.com | |
| CCO TRILLIUM RX | PH# 800-364-6331 | ||
| Note: goes thru CVS/CAREMARK | |||
| CVS/CAREMARK | PH# 800-345-5413 | www.rxservices.cvscaremark.com | |
| Note: EOB thru PNC | |||
| CRES/OPTUM RX | |||
| Note: Optum goes thru PNC | |||
| CIGNA HEALTHCARE | OUT | PH# 800-882-4462 | https://www.onehealthport.com/sso |
| CIGNA HEALTH & LIFE INSURANCE | PH# 800-244-6224 | www.myproviderhq.com |
| CIGNA DENTAL | PH# 8880336-8258 | www.fairhealthconsumer.org |
CIGNA VISION PH# 877-478-7557 https://www.onehealthport.com/
| CHAMP VA | PH# 800-733-8387 | |
| Note: No website to get EOB you have to call 2-4 wks delivery time | ||
| CHAMP VA 610593 RX - is thru Catamaran | ||
| CATARMAN CORP - RX | PH# 877-633-4701 | |
| Note: go to OPTUM RX for 835 | ||
| CCO WILLAMETTE VALLEY - RX | PH# 800-78802949 | |
| Note: Goes thru Medimpact - PNC | ||
| CCO INTERCOMMUNITY RX - goes thru OPTUM - PNC | ||
| CIGNA PHARMACY MGMT. use to be ARGUS - is now SS&C - PNC | PH# 866-211-9459 | |
| CHOICE RX is thru PROCARE RX | ||
| CYPRESS ANCILLARY goes thru LUCENT HEALTH | PH# 855-556-0285 | |
| COAST WISE /ZENITH FIRST CHOICE | PH# 800-955-7376 | www.zenith-american.com |
| COASTAL ADMINISTRATIVE | PH# 855-373-8232 | |
| Note: Unable to sign in web site doesn't recognize tax id | ||
| CAS-CAPT DTL/6TH DEGREE HLTH | PH# 800-525-6800 | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F |
| Note: go to ECHO for EOB | ||
| COLONIAL PENN LIFE INS COMP | https://online.instamed.com/providers/Form/Account/Login | |
| CENTENE CORP/TRILLIUM | www.payspanhealth.com/appshell/ | |
| Note: EOB thru PAYSPAN |
https://signin.phtech.com/IdentityServerWeb/core/login?signin=c1fa076fc362c90ab83f4f70c58ada50http://www.payspanhealth.com/appshell/http://www.visit-aci.com/http://www.cprtpa.com/http://www.rxservices.cvscaremark.com/http://www.myproviderhq.com/http://www.fairhealthconsumer.org/http://www.zenith-american.com/http://www.payspanhealth.com/appshell/http://www.payspanhealth.com/appshell/ D
| DELTA DENTAL NATIONWIDE | https://production.deltadental.auth0.com/login?state=hKFo2SA5REt0dzVBTWlZclR2VGh5dTlMTDVDR0hvbk5mc3BYMaFupWxvZ2luo3RpZNkgVFcwZW95Y0cxdzFRRHpxV09TQkNVMjR6UWp1dDBIR2ejY2lk2SBOYjJ1QlJvQW1UOXl0REZLRGxyOGwwQkJobU9xRnE1RQ&client=Nb2uBRoAmT9ytDFKDlr8l0BBhmOqFq5E&protocol=oauth2&redirect_uri=https%3A%2F%2Fidentity.deltadental.com%2Foidc-callback&scope=openid%20profile%20email&response_type=code | |
| Note: Use same sign on as Moda Dental | ||
| DIRECT DENTAL ADMINISTRATORS | PH# 855-866-2615 | www.providerservices@directdentalplns.com |
| DELTA DENTAL OF OREGON | PH# 888-217-2365 | www.modahealth.com |
| Nore: Delta DTL of OR is MODA Dental | ||
| DELTA DENTAL OF CALIFORNIA | PH# 888-335-8227 or | www.deltadentalins.com |
| PH# 888-217-2365 | ||
| DELTA DENTAL OF WASHINGTON | PH# 800-554-1907 | www.deltadentalwa.com |
| DELTA DENTAL OF MICHIGAN | 800-524-0149 | www.deltadentalmi.com |
DELTA DENTAL OF MINNESOTA ph# 800-448-3815
DELTA DENTAL OF KANSAS PH# 800-234-3375
DELTA DENTAL OF TENNESSEE PH# 800-223-3104
DELTA DENTAL OF KENTUCKY PH# 800-955-2030
DELTA DENTAL OF VIRGINIA PH# 800-237-6060 www.deltadentalva.com
DELTA DETAL OF MISSOURI PH# 800-335-8266
DELTA DENTAL OF IDAHO PH# 800-356-7586 https://go.deltadentalid.com/providers
| D-CIGNA HEALTH SPRINGS RX is thru OPTUM - PNC | PH# 877-633-4701 | |||
| DOMINIONAL NATIONAL/DENTAL | PH# 888-518-5338 | www.dominionnational.com | ||
| Note: they consider WOSU as out of network | ||||
| unable to go to website to obtain EOB | ||||
| D-ARRP Medicare RX is thru OPTUM - PNC | Provider Relations no longer takes calls you must email to provider.relations@optum.com … as of 110223. | |||
| D-ENVISION (MCR) is thru ELIXIR | PH# 800-361-4542 | |||
| Note: email pharmacy payable - pharmacypayables@elixir.com | ||||
| D-PROVIDENCE MCR RX | PH# 866-211-9459 | https://www.treasury.pncbank.com/idp/esec/login.ht | ||
| Note: thru SS&C - PNC | ||||
| D-REGENCE is thru PRIME THERAPEUTICS - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |||
| D-ATRIO 015574 is thru MEDIMPACT - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |||
| D-PRESCRIPTION SOLUTIONS is thru OPTUM RX - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |||
| D-KAISER is thru OPTUM RX - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |||
| D-CAREMARK is thru CAREMARK | ||||
| D-ARGUS is thru SS&C - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |||
| D-HUMANA is thru SS&C - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |||
| D-AMWINS is thru ELIXIR | ||||
| Note: Email RX Options for 835 | ||||
| D-SAMARITAN is thru OPTUM - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht |
http://www.providerservices@directdentalplns.comhttp://www.modahealth.com/http://www.deltadentalins.com/http://www.deltadentalwa.com/http://www.dominionnational.com/http://www.deltadentalmi.com/http://www.deltadentalva.com/https://go.deltadentalid.com/providers E
| EBMS | PH# 800-777-3575 | https://mibenefits.ebms.com/auth/login |
| ECHO | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note: HMA, Ameritas Life Insurance American | ||
| Postal Workers, WC Earhart, CAS Benefits | ||
| Reliance Standard Life Insurance, Symetra, | ||
| Highmark, United Concordia, Meritain, | ||
| Tricare Dental, Hhealth Smart, RGA Blue Cross, | ||
| USAA Principal Life, Physician Mutual Insurance | ||
| ELIXIR RX - is thru RX Options | PH# 800-361-4542 | |
| Note: Email for 835'S pharmacyaccountingissues@elixirsolutions.com | ||
| EXPRESS SCRIPTS | PH# 201-269-6813 | www.esiprovider.com |
| EXPRESS SCRIPTS - TRICARE RX | PH# 877-363-1304 | https://www.treasury.pncbank.com/idp/esec/login.ht |
| Note: 835 thru PNC | ||
| EYEMED - SEE FIRST AMERICAN | PH# 888-581-3648 | |
| ENVOLVE VISION (CCO) | PH# 844-353-6874 |
https://mibenefits.ebms.com/auth/loginhttps://www.providerpayments.com/Login.aspx?ReturnUrl=%2Fhttp://www.esiprovider.com/ F
| BCBS FEDERAL EMPLOYEE PROGRAM (FEP) | PH# 877-668-4654 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome | |
| Note: Contact Brooke Westerman for any questions @brooke.westerman@regence.com | |||
| get EOB thru Availity | |||
| FEP BLUE DENTAL | PH# 855-504-2583 | ||
| Note: Call for EOB - no website available | |||
| FIRST CHOICE HEALTH /cypress benefits | PH# 800-955-7376 | www.fchn.com | |
| FIRST AMERICAN ADMINISTRATORS/FIRST BLUE VISION/EYEMED | PH# 888-581-3648 | ||
| Note: they consider WOSU as out of network and will not send EOB |
http://www.fchn.com/ G GEHA PH # 800-821-6136 https://www.geha.com/
| GEHA-CONNECTION DENTAL | https://www.geha.com/ |
| Note: go thru GEHA for EOB |
| GPA - PHCS | PH# 866-206-3224 | www.gpatpa.com | ||
| GUARDIAN TRUST DENTAL/GUARDIAN LIFE INSUR | PH# 800-459-9401 | www.guardiananytime.com |
https://www.geha.com/http://www.gpatpa.com/http://www.guardiananytime.com/https://www.geha.com/ H
| HEALTH COMP | PH# 800-442-7247 | https://healthcomp.com/ | |
| HARRISON ELECTRIC TRUST FUND BENEFIT PLAN | |||
| HIGHMARK | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | ||
| Note: get eob thru ECHO | |||
| HMA | IN | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note: go to ECHO for EOB | |||
| HEALTH SMART | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | ||
| Note: get EOB thru ECHO | |||
| HEALTH SHARE - BEHAVIORAL HEALTH | PH# 888-519-3845 | www.healthshareoregon.org/providers | |
| Note: All Care OR Behav Hlth goes thru PHT TECH | |||
| HEALTHNET - MCR ADV | PH# 888-445-8913 | www.heathnetoregon.com | |
| Note: you can call for EOB they can fax | |||
| HEALTHNET - COMMERCIAL | PH# 888-802-7001 | https://www.onehealthport.com/sso |
| HUMANA | PH: 800-448-6262 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| Note: Claims info call | ||
| Provider Integrity Dept. - call if | PH# 800-438-7885 | |
| a ck has been recvd w no EOB & | ||
| unable to pull EOB from Availity |
| HUMANA MCR RX | PH# 866-211-9459 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome |
| Note: email a4@dsthealth.com for 835 | ||
| HEALTH SMART | https://webexchange.healthsmart.com/webexchange | |
| HEALTH PARTNERS | PH# 800-444-4558 | www.healthpartners.com/provider |
| Note: they are a paperless company | ||
| HARRISON ELECTRIC - NECA-IBEW | PH# 503-574-7500 | www.memberbenefitsonline.com |
| Note: Harrison Trust Claims |
https://healthcomp.com/http://www.heathnetoregon.com/https://webexchange.healthsmart.com/webexchangehttp://www.healthpartners.com/providerhttp://www.memberbenefitsonline.com/http://www.healthshareoregon.org/providers I
| INTERCOMMUNITY | PH# 888-435-2396 | https://online.instamed.com/providers/Form/Account/Login |
| Note go thru Instamed for EOB | ||
| INSTAMED | PH# 215-789-3680 | https://online.instamed.com/providers/Form/Account/Login |
| Note: Intercommunity CCO, USFHP, | ||
| Colonial Penn, United American, | ||
| Samaritann Choice CCO |
| INDIVIDUAL ASSURANCE COMP. | PH# 888-524-3629 |
| Note: MCR Supplmnt. |
https://online.instamed.com/providers/Form/Account/Loginhttps://online.instamed.com/providers/Form/Account/Login J
K
| KAISER RX is Medimpact - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | ||
| Note: Kaiser MedImpact RX | |||
| mail to - po box 509098 | |||
| San Diego, CA 92150 | Ph# 800-788-2949 | email: claims@medimpact.com | |
| FAX# 858-790-7100 |
| KAISER MCR | PH# 877-221-8221 | https://www.onehealthport.com/ |
| KAISER | PH# 800-813-2000 | https://www.onehealthport.com/ |
| KAISER DENTAL | PH# 866-441-1221 | https://www.onehealthport.com/ |
| KAISER - WASHINGTON | PH# 206-901-4636 | |
| KAISER SELF FUNDED | PH# 866-800-3402 | www.kpclaims.com |
| Note: call for EOB |
http://www.kpclaims.com/ L
| LOOMISCO - goes thru CIGNA | PH# 800-346-1223 | www.loomisco.com |
| LIN/ALLEGIANCE/CIGNA | https://lin1.askallegiance.com/lin/faces/LinLogin.jsp?themeProfile=Ebix | |
| LIBERTY DENTAL PLAN | www.libertydentalplan.com | |
| LINECO DENTAL | PH# 800-323-7268 | www.lineco.org |
| LUCENT HEALTH | PH# 855-556-0285 | www.lucenthealth.com/cypress |
| Note: First Choice Hlth/Cypress | ||
| LIFEWISE | PH# 800-817-3056 | www.lifewise.com |
http://www.libertydentalplan.com/http://www.loomisco.com/http://www.lineco.org/http://www.lucenthealth.com/cypresshttp://www.lifewise.com/ M MODA OUT ph# 866-923-0409 https://www.onehealthport.com/
MODA MCR PH# 800-962-1533 https://www.onehealthport.com/
MODA RX / NAVITUS PH# 844-235-8015
| MODA DENTAL is DELTA DTL OF OR | PH# 888-217-2365 or | https://www.modahealth.com |
| PH# 888-873-1393 | ||
| MAGELLIN RX is PARTNERS RX | ||
| MERITAIN/AMERITAS | PH# 866-300-8449 | https://meritain.com/providers |
| Note: get EOB thru ECHO | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| MEDICARE | PH# 855-252-8782 | https://home.idm.cms.gov/sso/signin/login.html?fromURI=https%3A%2F%2Fidm.cms.gov%2Fapp%2Fcms_novitasphere_1%2Fexk1i17oejRRTRhiP297%2Fsso%2Fsaml%3FRelayState%3DY3R4PUgxdlB0RnZGUlhvS1ZydGFaU1RKcVB4dV8yMnJEaUUtUGxuRkVRYWFOOElXUHlMZHdTZUotMGZ0WmFIbmI1QjMxeW8wdFRzeVRzdWFQUzVEcDgyYVNHVDdoZ0xSWHJhekY3dE53M0xBeWRvbWFoRHJsemd4TFF0ZlhvZlpkUmgwODlBVUlub3I0Z1hya09PcjdkMWFtU1hrdUNDckptckhLWWkyTVVQT1hZdlFTSEhvREYxb3FaYm5tM0V0TEpWN1FZbk5CZ2VlY2dQeABodHRwczovL3d3dy5ub3ZpdGFzcGhlcmUuY29tL2hwcC9wYWdlcy9ob21lLmpzZg%253D%253D |
| MERICARE DUAL is thru EXPRESS SCRIPS - PNC | ||
| MANHATTAN LIFE | www.manhattanlife.com | |
| MHN BEHAVIORAL HEALTH | PH# 800-977-8216 | www.mhn.providersservices@healthnet.com |
| Note: EOB come thru PNC | ||
| MUTUAL OF OMAHA | PH# 844-419-6550 or | www.mutualofomaha.com |
| PH# 800-775-1000 | ||
| MUTUAL OF OMAHA DENTAL | PH# 855-218-1466 | |
| Note: True Assurance | PH# 888-559-0779 | www.trueassure.com |
| MEDICO INS COMP. | PH# 402-398-0881 | www.gomedico.com |
| METLIFE DENTAL | PH# 877-638-3379 | www.metdental.com |
| Note: Call for EOB cannot go online | ||
| Email : dentalinfo@metlife.com | ||
| MEDIMPACT RX - PNC | https://www.treasury.pncbank.com/idp/esec/login.ht | |
| MAGELLIN RX | PH# 800-441-6001 | |
| MEDICA IS BEHAV HLTH thru OPTUM | https://www.uhcprovider.com/ | |
| Note go thru UHC for EOB | ||
| MEDIMPACT RX - Kaiser Claims | PH# 800-788-2949 | Email: claims@medimpact.com |
| Mail to PO Box 509098 | ||
| San Diego, CA 92150 | ||
| RX claim send electronically - but some claims can drop to paper |
https://www.modahealth.com/https://meritain.com/providershttp://www.manhattanlife.com/http://www.mhn.providersservices@healthnet.comhttp://www.mutualofomaha.com/http://www.trueassure.com/http://www.gomedico.com/http://www.metdental.com/ N
| NAVITUS RX | ||
| Note: Email for 825 - Remittanceinquiry@navitus.com | ||
| NOVITAS - MCR | https://home.idm.cms.gov/sso/signin/login.html?fromURI=https%3A%2F%2Fidm.cms.gov%2Fapp%2Fcms_novitasphere_1%2Fexk1i17oejRRTRhiP297%2Fsso%2Fsaml%3FRelayState%3DY3R4PXltRlZsTm1WajJMYWpKbmFOMHlMMHNCYU5jam95ekpGUExBTVNUMlhnUTVDRmlMZHdTZUotMGZ0WmFIbmI1QjMxeW8wdFRzeVRzdWFQUzVEcDgyYVNHVDdoZ0xSWHJhekY3dE53M0xBeWRvbWFoRHJsemd4TFF0ZlhvZlpkUmgwODlBVUlub3I0Z1ZQbHVpcjdkMWFtU1hrdUNDckptckhLWWkyTVVQT1hZdlFTSEhvREYxb3FaYm5tM0V0TEpWN1FZbk5CZ2VlY2dQeABodHRwczovL3d3dy5ub3ZpdGFzcGhlcmUuY29tL2hwcC9wYWdlcy9ob21lLmpzZg%253D%253D | |
| Ninety degree (90 degree) | PH# 888-408-5318 | |
| NESIKA HEALTH/SHASTA | PH# 800-317-1342 | |
| Note: call for EOB |
O
| ONE HEALTH PORT | https://www.onehealthport.com/sso | |
| EOB'S for Aetna, Cigna, Kaiser, Lifewise | ||
| Pacific Source, Providence, Samaritan | ||
| Asuris, Moda, Premera BCBS, Provider One, | ||
| Bridgespan, First Choice, Molina, Regence BCBS, | ||
| Health Net | ||
| OR CLAIMS/TRILLIUM | PH# 844-867-1156 | www.payspanhealth.com/appshell/ |
| Note: EOB thru PAYSPAN |
| OPTUM RX | PH# 800-880-1188 | https://professional.optumrx.com/providerportal/faces/RemittanceAdvice.jsp |
| Note: Optum thru PNC | Optum email is - provider.relations@optum.com … provider relations no longer takes calls you must email for 835 information 110223 | |
| ODS RX is thru Medimpact - PNC | ||
| OPTUM/CHAMP VA 610593 | PH# 888-546-5503 or | |
| PH# 877-633-4701 for 835 | ||
| OPTUM BEHAVIORAL HEALTH | 800-711-4577 | www.providerexpress.com |
https://www.onehealthport.com/ssohttp://www.payspanhealth.com/appshell/http://www.providerexpress.com/ P
| PH TECH | Email: phaohpclaims@phtech.com | https://signin.phtech.com/IdentityServerWeb/core/login?signin=ea4c716aa07aecb86d20350ef35461d5 |
| Note: Yamhill, Care OR Behavioral Health | PH# 800-478-2818 | |
| Health Share Behavioral Health get EOB thru PH TECH | ||
| Capitol Dental, Providence Health Assurance | ||
| Umpqua Health Assurance | ||
| PNC BANK | PH# 888-622-9114 or | https://www.treasury.pncbank.com/idp/esec/login.ht |
| Note: when calling give | 800-669-1518 | |
| lock box # CLE395479 and our | ||
| Acct# 1017301058 | ||
| you can also EMAIL -- ECPFIRA@PNC.COM for missing payment/check |
PROVIDENCE HEALTH ASSURANCE PH# 503-574-8200 BASED ON PROVIDER THEY PROCESS OUR CLAIMS AS EITHER IN AND OR OON
| PROVIDENCE BEHAVIORAL HEALTH | PH# 800-711-4577 | https://www.uhc.com/sign-in |
| Note: BH thru Optum |
| PROVIDENCE RX 06680000 OR PROVIDENCE RX | PH# 800-878-4445 | https://www.treasury.pncbank.com/idp/esec/login.ht |
| Note: is thru SS&C - 835 thru PNC |
RX-Providence Health Plan goes thru Express Scripts - PNC https://www.treasury.pncbank.com/idp/esec/login.ht
PROVIDENCE HSO (CCO) PH# 800-898-8174 https://phtech,com
PROVIDENCE CORE - SEE HARRISON ELECTRIC PH# 503-574-7500
| PREMERA BCBS | www.premera.com/provider | |
| Note: use ONE HEALTH PORT sign-on | ||
| PARTNER RX is thru Magellin RX | ||
| PRINCIPAL DENTAL | PH# 800-247-4695 | www.principal.com |
| PRINCIPAL LIFE | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note: get EOB thru ECHO | ||
| PERFORMANCE HEAL | https://www.payspanhealth.com/nps | |
| Note: EOB thru PAY SPAN | ||
| PAY SPAN | www.payspanhealth.com/appshell/ | |
| Note: Capital Dental, Trillium Behav Health | ||
| Umpqua Health, Care OR Health, Trillium, | ||
| YCCO-Physical Health, Providence Health Assurance | ||
| PACIFIC SOURCE CCO | PH# 888-977-9299 | https://www.onehealthport.com/ |
| Note EOB thru ONE HEALTH PORT | ||
| PACIFIC SOURCE COMMERCIAL | PH# 800-624-6052 | https://www.onehealthport.com/ |
| Note: EOB thru ONE HEALTH PORT |
PACIFIC SOURCE MCD PH# 800-431-4135 www.communitysolutions.pacific.com
| PHYSICIAN MUTUAL INSUR CORP/DENTAL-AMERITAS | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note: EOB thru ECHO | ||
| PRIME THERAPEUTICS RX | PH# 800-821-4795 | https://www.treasury.pncbank.com/idp/esec/login.ht |
| Note: 835 thru PNC | pharmacy operations 612-777-2909 | email: providerrelations@primetherapeutic.com |
| PRIME REGENCE/THERAPEEUTICS | PH# 844-765-6826 | |
| PRESTIGE DENTAL CARE | PH# 503-222-7703 | EMAIL: Portlandmsr@benesys.com |
| Note: Call Zelis for EOB |
| PROCARE RX is thru Choice RX | PH# 800-658-0424 | ||
| Note: email RX Options for 835 pharmacy payables@elixirsolutions.com | |||
| PACEMED CLINICS | Get EOB from InstaMed | InstaMed | |
| https://www.instamed.com/logins/ |
https://signin.phtech.com/IdentityServerWeb/core/login?signin=ea4c716aa07aecb86d20350ef35461d5http://www.premera.com/providerhttp://www.principal.com/https://phtech,com/http://www.communitysolutions.pacific.com/http://www.payspanhealth.com/appshell/https://www.instamed.com/logins/ Q
R
| REGENCE BCBS | PH# 800-676-2583 | https://apps.availity.com/availity/web/public.elegant.login?goto=https%3A%2F%2Fapps.availity.com%2Favaility%2Fweb%2FHome | ||
| Note: Contact Kevin Holland@regence.com | ||||
| for any questions | ||||
| RELIANCE STANDARD /AMERITAS DTL NETWORK | PH# 800-487-5553 | www.ameritas.com | ||
| RGA BCBS | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |||
| Note: EOB thru ECHO | ||||
| RX OPTIONS/ELIXIR | PH# 800-361-4542 | |||
| Note: Email pharmacyaccountingissues@elixirsolutions.com | ||||
| REGENCE FEDERAL/CAREMARK RX | PH# 800-624-5060 | |||
| REGENCE RX OREGON 610623 is thru PRIME THERAPEUTICS - PNC | ||||
| REGENCE BLUE CARD SERVICE for NON REG Members | PH# 800-253-0838 or | |||
| PH# 800-448-0525 | ||||
| RELIANCE/Ameritas dental network | https://www.ameritas.com/sign-in/ |
http://www.ameritas.com/ S
| SEAFARES goes thru CIGNA | PH# 800-252-4674 | https://www.onehealthport.com/ |
| SYMETRA LIFE INC COMP | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note EOB thru ECHO | ||
| STATE FARM MCR SUPPLMENT | PH# 855-311-2681 | b2b.statefarm.com/b2bapp/forms/contact-us |
| Note: Checks will end with a alpha prefix | ||
| K-auto, G-mcr supplmnt, d-refund |
| SPECTERA | PH# 800-638-3120 | www.spectera.com |
| SUMMIT | www.summit-inc.net | |
| SAIF | https://saifonline.saif.com/onlineloginv2/login/ | |
| Note: go under "bills" for EOB | ||
| SHASTA | PH# 800-441-4518 | www.shastatpa.javelinaweb.com |
| SS&C - used to be ARGUS | PH# 866-211-9459 | https://www.treasury.pncbank.com/idp/esec/login.ht |
| Note: gt 835 thru PNC | ||
| Argus,Cigna Pharmacy Mgmt, | ||
| Providence goes thru SS&C | ||
| SAMARITAN CHOICE (CCO) | https://online.instamed.com/providers/Form/Account/Login | |
| Note: go to INSTAMED for EOB |
http://www.spectera.com/http://www.summit-inc.net/http://www.shastatpa.javelinaweb.com/ T
| TRICARE WEST | PH# 877-226-8749 | https://www.tricare-west.com/sso/as/authorization.oauth2?response_type=code&code_challenge=85hTBpzSrQVg-EY1v0b5SvXUDXe5W6aLJrR2t6t0zf8&code_challenge_method=S256&client_id=tricare_west_client&redirect_uri=https%3A%2F%2Fwww.tricare-west.com%2Fpa%2Foidc%2Fcb&state=eyJ6aXAiOiJERUYiLCJhbGciOiJkaXIiLCJlbmMiOiJBMTI4Q0JDLUhTMjU2Iiwia2lkIjoiSGJVTkpuVjg3VXdYVW5kWk41a0NTSXVONmJrIiwic3VmZml4IjoiRlV6NHZTLjE2ODMyMjI1MTUifQ..QhJ4EkENad8hxD_YrGGkbA.ykV4BrXrOVbWPij7Wms6LUFeoiXMzzlfrgUFMKM7Se8LkUkMQxpw2yhcD84CV2brAk6J6HtTSnNUqYj67bHw3HgQO_NzPjZ6KJMwzw08sjLuZ5njmzaVdb4kC9ti5Sa0yI_2E3Ran9-2RA_lIcOgD2qDGBNSm0q0BUb448g5vYQ.EGOgoKUDbr137jv937N1Lw&nonce=CfLYLk-G2GW6ZFcvRgRa9KT0tkseL9CFuiSUQ1yGYew&scope=openid%20roles%20profile%20tricare&vnd_pi_requested_resource=https%3A%2F%2Fwww.tricare-west.com%2Fidp%2Fprov-redirect&vnd_pi_application_name=tricare_west |
| TRICARE EAST/HUMANA | PH# 800-444-5445 | https://www.humanamilitary.com/beneficiary/ |
| TRICARE DENTAL | PH# 844-653-4061 | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F |
| Note: EOB thru ECHO |
| TRICARE FOR LIFE/ | PH# 866-773-0404 | www.tricare4u.com |
| TRICARE 4 U |
TRICARE RX - is Express Sctripts - PNC https://www.treasury.pncbank.com/idp/esec/login.ht
| TRILLIUM CCO | PH# 877-600-5472 | https://trilliumhealthplan.entrykeyid.com/as/authorization.oauth2?response_type=code&client_id=cnc-provider-mono&scope=openid%20profile&state=nPxixOwpyVw2j8575h2pwbdlM4QQkneE1RO5tGi8nnE%3D&redirect_uri=https://provider.trilliumhealthplan.com/careconnect/login/oauth2/code/pingcloud&code_challenge_method=S256&nonce=pfrt4mUmsN7qHxo9hJ_UyPeeO85XUwApKFB5lkFRg-s&code_challenge=q66n6XKnhh90585YjO8YILEh5so2Vb1REfhuVH-8Ur8&app_origin=https://provider.trilliumhealthplan.com/careconnect/login/oauth2/code/pingcloud&brand=trilliumhealthplan |
| Note: EOB's go thru Pay Span |
https://www.tricare-west.com/sso/as/authorization.oauth2?response_type=code&code_challenge=85hTBpzSrQVg-EY1v0b5SvXUDXe5W6aLJrR2t6t0zf8&code_challenge_method=S256&client_id=tricare_west_client&redirect_uri=https%3A%2F%2Fwww.tricare-west.com%2Fpa%2Foidc%2Fcb&state=eyJ6aXAiOiJERUYiLCJhbGciOiJkaXIiLCJlbmMiOiJBMTI4Q0JDLUhTMjU2Iiwia2lkIjoiSGJVTkpuVjg3VXdYVW5kWk41a0NTSXVONmJrIiwic3VmZml4IjoiRlV6NHZTLjE2ODMyMjI1MTUifQ..QhJ4EkENad8hxD_YrGGkbA.ykV4BrXrOVbWPij7Wms6LUFeoiXMzzlfrgUFMKM7Se8LkUkMQxpw2yhcD84CV2brAk6J6HtTSnNUqYj67bHw3HgQO_NzPjZ6KJMwzw08sjLuZ5njmzaVdb4kC9ti5Sa0yI_2E3Ran9-2RA_lIcOgD2qDGBNSm0q0BUb448g5vYQ.EGOgoKUDbr137jv937N1Lw&nonce=CfLYLk-G2GW6ZFcvRgRa9KT0tkseL9CFuiSUQ1yGYew&scope=openid%20roles%20profile%20tricare&vnd_pi_requested_resource=https%3A%2F%2Fwww.tricare-west.com%2Fidp%2Fprov-redirect&vnd_pi_application_name=tricare_westhttps://trilliumhealthplan.entrykeyid.com/as/authorization.oauth2?response_type=code&client_id=cnc-provider-mono&scope=openid%20profile&state=nPxixOwpyVw2j8575h2pwbdlM4QQkneE1RO5tGi8nnE%3D&redirect_uri=https://provider.trilliumhealthplan.com/careconnect/login/oauth2/code/pingcloud&code_challenge_method=S256&nonce=pfrt4mUmsN7qHxo9hJ_UyPeeO85XUwApKFB5lkFRg-s&code_challenge=q66n6XKnhh90585YjO8YILEh5so2Vb1REfhuVH-8Ur8&app_origin=https://provider.trilliumhealthplan.com/careconnect/login/oauth2/code/pingcloud&brand=trilliumhealthplanhttp://www.tricare4u.com/ U
| UMR | PH# 800-826-9781 | https://www.umr.com/tpa-ap-web/?navDeepDive=publicHomeDefaultContentMenu | |
| Note: Call for EOB | |||
| Use same sign on as UHC | |||
| UHC VISION is SPECTERA | PH# 800-638-3120 | www.uhc.com | |
| UHC | OUT | PH# 866-801-4409 | www.uhc.com |
| UHC DENTAL/PRESTIGE DENTAL | PH# 877-828-8770 | ||
| Note: Call Zelis for EOB |
| UHC BEHAV HEALTH | PH# 800-820-8202 | www.uhc.com |
| UHC - FLEX SPENDING ACCT | PH# 800-842-2026 | |
| Note: Call for EOB they can fax | ||
| USAA LIFE - | PH# 833-362-4738 | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F |
| MCR SUPPLEMENT - EOB thru ECHO | ||
| UNITED CONCORDIA DENTAL | https://www.providerpayments.com/Login.aspx?ReturnUrl=%2F | |
| Note: EOB thru ECHO | ||
| US BENEFITS | PH# 800-797-3888 | www.yourusbenefits.com |
| Note: email is usb@ubenefits.com | ||
| UNITED AMERICAN INS COMPANY | PH# 877-577-3914 | www.unitedamerican.com |
| Note: go to Instamed for EOB | https://online.instamed.com/providers/Form/Account/Login | |
| UMPQUA CCO | PH# 541-229-7016 | www.payspanhealth.com/appshell/ |
| Note EOB's thru PAY SPAN | ||
| UNITED WORLD LIFE INC CORP. | PH# 877-617-5587 | |
| Note is thru Mutual of Omaha - Call Zelis for EOB | ||
| USFHP (US FAMILY HEALTH PLAN) | PH# 800-585-5883 | https://online.instamed.com/providers/Form/Account/Login |
| Note: EOB's thru INSTAMED |
https://www.umr.com/tpa-ap-web/?navDeepDive=publicHomeDefaultContentMenuhttp://www.uhc.com/http://www.uhc.com/http://www.yourusbenefits.com/http://www.unitedamerican.com/http://www.uhc.com/http://www.payspanhealth.com/appshell/ V
| VA Contact - Brittany Moore email brittany.moore@va.gov | PH# 360-696-4061 ext 34367 |
| Note: for any questions call Brittany |
| VA CLAIM PROCESSING | PH# 877-881-7618 | |
| Note: when calling they can tell you | ||
| whether this is a VA or champ va claim | ||
| they no longer can mail EOB's | ||
| VSP-vision | PH# 800-877-7195 | cair@vsp.com |
| Note: Fill out following Form to request EOB | ||
| https://outlook.office365.com/Encryption/service.svc/s/GetFileAttachment?id=E4E_ATT_67fab639-3149-45b9-924a-ee647d158eb7Index_2_E4E_M_05c413a2-c35d-48a4-94d3-bcd53dc51456&X-E4E-CANARY=Uef-CbV_0E6VWzaYoQrf6DBW7tQJUNsY-Gkq8ZQBCzq2zXmzYDxsG5PKZapQ4oejKR5nwDc8Hp8. |
mailto:cair@vsp.com W
| WILLIAM C EARHART | PH# 877-396-2929 | www.wcearhart.com | |
| WISCONSIN PHYSICIANS is TRICARE FOR LIFE | PH# 866-773-0404 | ||
| Note: call # and they can fax EOB | |||
| WELLDYNE RX 008878 | PH# 877-633-4701 | ||
| Note: under OPTUM RX | |||
| WELLDYNE/NETCARD RX | PH# 888-479-2000 | ||
| IS THRU NETCARD SYSTEMS |
http://www.wcearhart.com/ X
Y
| YAMHILL CCO | PH# 855-722-8205 | www.payspanhealth.com/appshell/ |
| Note: EOB thru PAYSPAN |
http://www.payspanhealth.com/appshell/ Z ZELIS ph# 877-828-8770 www.myproviderhq.com
ZENITH AMERICAN SOLUTIONS PH# 503-486-2100 https://www.zenithadm.com/ProviderServices/ProviderLoginPasswordExpired.cfm http://www.myproviderhq.com/
File details come from the government source that posted it. Updated .