WebFiling a claim as soon as possible is the best way to facilitate prompt payment. Related Claim Documents Medical Claim Form (English) [PDF] UB04 Claim Form [PDF] CMS1500 Claim Form [PDF] Dental Claim Form [PDF] More in Coverage and Claims Prior Authorizations Coverage Policies Disputes Payments HIPAA Transaction Standards … WebOvernight Paper Claims Address . LASON – SCS RMO . PO Box 30758 - URN . 4050 South 500 West, Suite 50 . Salt Lake City, UT 84123 . If you have any questions regarding this claim submission process, please contact your Prestige Health Choice Provider Account Executive or call the Provider Services Department at 1-800 - 617- 5727. Thank you. ti e
ERA Payer List - Optum
[email protected]: Henry Mayo Hospital Palmdale Hospital Latrenda Washington Phone: 818-205-0955 Cell: 818-441-4561 [email protected]: OCN Montebello OCN East LA OCN Beverly Rita Hernandez Phone: 1-323-914-5355 Cell: 1-310-809-6249 [email protected]: Dignity Health Northridge Hospital Providence … WebPaper submission: Professional vendors must submit on a CMS 1500 Ambulatory surgery centers must submit with appropriate modifier SG or TC Hospital and facility vendors must submit on a CMS 1450 Paper claim submission address: Optum Care Claims PO Box 30539 Salt Lake City, UT 84130 Top birthday balloons winnipeg
Contact Optum Care Network - Monarch HealthCare
WebThis is the provider website designed for behavioral health providers for Optum and its affiliates. Please select an icon below to go to the Regional site where you are located. It is recommended you bookmark/save your Regional page in your browser. United States provider transactions log in Canada United States WebWhen your doctors are part of Optum Care Network, a lot more care comes with them. With Optum Care Network–Monarch, you can choose from: 2500+ physicians and specialists. 24 leading hospitals. 70+ urgent care centers. 45+ radiology centers. 35+ labs. Plus, we offer specially trained health care teams that support you on your path to wellness. WebClaims should be submitted to: OptumHealth SM Behavioral Solutions. P O Box 30755. Salt Lake City UT 84130-0755. When Medicare is the primary payer, and will not cover your services, call the Plan at 703-729-4677 or 888-636-NALC (6252) to obtain benefits. Claims for Medicare-primary patients should be submitted to: birthday banner clipart orange and blue