Fallon community health provider manual

· Billing Procedures – Provider Manual – Fallon Community Health Plan. For EDI providers, Bill Type should be submitted in Loop CLM and CLM entered in box 4 on the UB form. In addition, the. The CMS claim form should be used for billing all professional services rendered by.. H Comprehensive. In July of , most substance use disorder (SUD) services transitioned to managed care, with the exception of Methadone Medication Assisted Treatment. The Health Plan follows ASAM® criteria in determining suitability of a certain level of care for a particular member. This information is included in Chapter of the BMS Provider Manual. Provider Operations inquiry line: , Monday through Friday from 8 a.m. to 5 p.m. Eastern Time. CarePlus Provider Services Executive: Upon initial contracting with CarePlus, a provider is assigned a provider services executive who serves as the liaison between the provider and CarePlus. Questions.

This manual is intended to provide general information about provider credentialing procedures. • Fallon Community Health Plan Starting the Process to Add a. Get Adobe Reader (This link takes you away from the Fallon Health Weinberg website.) Multi-language Interpreter Services (H_W__18_r1 Accepted , pdf) Notice of non-discrimination (pdf). Attn: Provider Appeals P.O. Box Boston, MA Fallon Community Health Plan Attn: Request for Claim Review / Provider Appeals P.O. Box Worcester, MA For all products unless noted below.

Find Fallon Community Health Plan (FCHP) Dermatologists Providers with verified reviews. Make an appointment online instantly with Dermatologists that. Chinese Community Health Plan (Unique Provider ID must be on claim.) NOCD. ALL. Y. CHINESE COMM HP. Y. FALSE. G. CHIPA - College Health IPA. BlueCross PPO, POS, HMO, Indemnity, Medicare Advantage; BMC HealthNet; CeltiCare; Cigna; Coventry Health Care; Harvard Pilgrim Health Care; Fallon Community.