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Jefferson employees can select from the following medical plans. Choose the plan you are enrolled in or would like to learn more about to find a list of covered services and other important information. Platinum PPO Plan. Gold PPO Plan. Silver PPO Plan. These medical plans allow complete freedom of choice of providers. Here in one spot, Independence Administrators offers members of Jefferson access to the latest news, benefit updates, and details on how to get the most from your health coverage. You will find important details about your plan, including tips and tools to maximize your health and well-being. There’s also a wealth of clinically accurate ... Independence Administrators will continue to use its existing platform for claims processing, with enhanced capabilities to come. ... As planning continues and impacts to the provider journey are identified, we will keep you informed to support a smooth transition for our doctors, hospitals, and health care facilities, with a focus on, … When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Learn more. Outpatient Laboratory Services. LabCorp is the primary provider of laboratory services for Independence Administrators. To locate a network lab: Please visit the PEAR Help Center for detailed instructions. To grant third-party organization access to their practice (s) w ithin PEAR CV, the Provider Organization or Location Administrator should call 1-833-444-PEAR (1-833-444-7327). Providers will not be able to assign access to third-party organizations for PEAR CV using PAT. The implementation of ICD-10 results in more accurate coding, which improves the ability to measure health care services, enhance the ability to monitor public health, improve data reporting, and reduce the need for supporting documentation when submitting claims. Find Independence Blue Cross Doctors in Philadelphia, Pennsylvania & make an appointment online instantly! Zocdoc helps you find Doctors in Philadelphia and other locations with verified patient reviews and appointment availability that accept Independence Blue Cross and other insurances. All appointment times are guaranteed …Medicare Advantage PPO Blue Cross or Blue Shield member ID card with “MA PPO” in a suitcase and a prefix not defined previously†. 54704. 54704. Claims Receipt Center P.O. Box 211184 Eagan, MN 55121. Prefix. Product name. Payer information for electronic claims. Paper claim mailing address.A sales charge, typically used with mutual funds or similar investments, is used to pay the administration of the fund. It's the premium you pay to invest. The charge pays for the ... When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Learn more. Outpatient Laboratory Services. LabCorp is the primary provider of laboratory services for Independence Administrators. To locate a network lab: 13. NOTICE. Independence Administrators may notify you regarding the use of the Site via either e-mail or regular mail. Independence Administrators may also provide notices of changes to the Terms and Conditions or other matters by displaying notices or links to notices to you generally on the Site. 14.Health Content Provider06/01/2025 A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify t...Click on Member search. Enter Member ID or Name and Date of Birth. Select Submit search. Click View existing requests to view previously submitted requests. If no potential duplicate requests are found, select Return to member search. Click on Select to return to the request entry page. Add up to 4 procedure codes by using the drop down list OR ...Independence Blue Cross (IBX) is the leading health insurance company in southeastern Pennsylvania. With our affiliates, we serve millions of people nationwide. For more than 85 years, we’ve had an unwavering commitment to our mission to enhance the health and well-being of the people and communities we serve.Tools and resources. Access the PEAR portal and other systems, download forms, and find a wealth of other useful info for providers. Learn more. SOLUTION RESOURCES. Independence Administrators will delegate pre-certification for certain services to EviCore healthcare (EviCore) on July 1, 2022. The ordering provider is responsible for submitting pre-certification requests for the applicable services. Failure to adhere to the pre-certification process may result in a bill to your patient. To get a roundup of TechCrunch’s biggest and most important stories delivered to your inbox every day at 3 p.m. PDT, subscribe here. Hello and welcome to Daily Crunch for July 28, ... Independence Administrators helps organizations based in the Philadelphia five-county area (Bucks, Chester, Delaware, Montgomery and Philadelphia counties) manage self-funded health benefit plans. By leveraging the power of one of the largest provider networks in the country and innovative programs that emphasize value and coordination of care ... Precertification list effective: July 1, 2023. This applies to services performed on an elective, non-emergency basis. Because a service or item is subject to precertification, it does not guarantee coverage. The terms and conditions of your benefit plan must be reviewed to determine if any of these services or items are excluded. Providers who are considering beginning an Independence member on a new specialty drug therapy covered under the pharmacy benefit can use the following information: Optum. Providers can call Optum ® Specialty Pharmacy and Optum ® Infusion Pharmacy at 1-855-427-4682 to enroll the member. Members can reach Optum to have a prescription filled by ... Providers. Independence Provider Hub. Learn more. Tools and resources. Information to help you understand and administer benefits. PEAR portal. Tap into the Provider …Payer ID provider number reference Facility ectie January 4 * This product is no longer offered. † When treating Highmark members, facility claims must be submitted directly to Highmark. ‡ When treating non-Independence members, facilities contracted with other local area Blue Cross and/or Blue Shield (BCBS) health plans (e.g., Capital Blue Cross …Grow makes it easy to find affordable therapists that accept your insurance.An Organization Administrator is one of a maximum of two people at the provider organization who has unrestricted access to all licensed materials and license data including value-based arrangements delivered through the PEAR portal for your organization. Organization Administrators are responsible for provisioning access to …Provider resources. AmeriHealth wants to help lighten your burden when dealing with health insurance. We start by providing all of the tools and resources to make claims processing as simple and efficient as possible. Then we follow up with regular Health Care Reform updates and policy changes, so you can continue to focus on giving our … There, claims submission information is broken out by prefix/product name. The following address should be used for claims related to outer counties: Outer County Claims – Lehigh, Lancaster, Northampton, and Berks County Claims Receipt Center P.O. Box 211184 Eagan, MN 55121. Claims submission information for providers. Independence use the same BlueCard provider network through Blue Cross and Blue Shield. Tell your doctor to search under Blue Cross with your new member … SOLUTION RESOURCES. Independence Administrators will delegate pre-certification for certain services to EviCore healthcare (EviCore) on July 1, 2022. The ordering provider is responsible for submitting pre-certification requests for the applicable services. Failure to adhere to the pre-certification process may result in a bill to your patient. HIPAA forms. Authorization to Release Information. Request for Copies of PHI. Request for Confidential Communication of PHI. Request for Limitations and Restrictions of PHI. Amendment Request. Revocation of Access. Request for Accounting of Disclosures of PHI. Personal Representative Request.Discover the best Human Resources companies in Los Angeles. Browse our rankings to partner with award-winning experts that will bring your vision to life. Development Most Popular ...Precertification list effective date: January 1, 2024. This applies to services performed on an elective, non-emergency basis. Because a service or item is subject to precertification, it does not guarantee coverage. The terms and conditions of your benefit plan must be reviewed to determine if any of these services or items are excluded.Provider Services: Independence: 1-800-ASK-BLUE (1-800-275-2583) Independence Administrators: 1-888-356-7899. PEAR portal support: 1-833-444-PEAR (1-833-444 …Access your health plan information and resources. This site provides general information about the Entercom health benefits plan. If you wish to speak with a Customer Service representative about a specific question regarding your eligibility, claims, or benefits, please call 1-888-356-7899. You can view benefits and claims, find network ...The participation form will allow you to enter one Primary, Mailing, Billing address and also up to two additional addresses per Group TIN and NPI. Please submit any additional addresses needed once provider is credentialed via the Provider Change Form online. Please be advised that if you are outside of our service locations listed below, your ...Independence Administrators . Independence Administrators . 1900 Market Street, Suite 500 Philadelphia PA 19103 . Fax #215-784-0672 . Independence Administrators is an independent licensee of the Blue Cross and Blue Shield Association . Please complete the form below and submit all clinical information via fax at 215-784-0672.Providers. Independence Provider Hub. Learn more. Tools and resources. Information to help you understand and administer benefits. PEAR portal. Tap into the Provider …When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Learn more. Outpatient Laboratory Services. LabCorp is the primary provider of laboratory services for Independence Administrators. To locate a network …July 1, 2023. Prior authorization (PA) requires your doctor to tell us why you are taking a medication to determine if it will be covered under your pharmacy benefit. Some medications must be reviewed because they may: Only be approved or effective for safely treating specific conditions. Cost more than other medications used to treat the same ...When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Learn more. Outpatient Laboratory Services. LabCorp is the primary provider of laboratory services for Independence Administrators. To locate a network lab:Independence Administrators offers health management solutions and customized benefits plans for employers and members. Learn more about their services and network.AmeriHealth Administrators, an independent company, performs medical management services on behalf of Independence Administrators. You can obtain a copy of a specific policy by calling the utilization management department at 1-888-234-2393. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.Here in one spot, Independence Administrators offers members of Jefferson access to the latest news, benefit updates, and details on how to get the most from your health coverage. You will find important details about your plan, including tips and tools to maximize your health and well-being. There’s also a wealth of clinically accurate ...When a member enrolled in Blue Student Health has a question about their plan, he or she can call 1-888-547-5080 to speak with a customer experience advocate. Student members can also find that number by accessing their ID card online or through the myibxtpa mobile app. Member ID cards will also be mailed to students.Welcome to PEAR Portal! If your provider organization is not yet enrolled, select Register My Organization below. Only participating providers in an Independence Blue Cross, Independence Administrators, AmeriHealth, or AmeriHealth Administrators network can obtain access to the PEAR portal. The registration form requires an officer or owner of ...To get a roundup of TechCrunch’s biggest and most important stories delivered to your inbox every day at 3 p.m. PDT, subscribe here. Hello and welcome to Daily Crunch for July 28, ...COVID-19 vaccines are important tools that help reduce the risk of severe disease, hospitalization, and death. Your group health plan covers the COVID-19 vaccine and booster at no cost when obtained from an in-network provider or pharmacy. If the vaccine is administered by an out-of-network provider or pharmacy, standard cost-sharing will apply ...Keystone Health Plan East HMO plans. With a Keystone HMO plan from Independence Blue Cross, you can see any doctor or visit any hospital in the Keystone Health Plan East network. You will pick a primary care physician (PCP), or family doctor, to coordinate your care. Your PCP will treat you for general health needs and refer you to specialists ...In today’s technology-driven world, having reliable IT services is essential for the success of any business. Before starting your search for an IT services provider, it is crucial......