Provider Handbook

 

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Other Provider Resources

Figure 1.1 provides a complete list of other provider resources, such as claims processing, referrals, prior authorizations, provider relations, and many more.


Provider Resources

Fig. 1.1

Resource

Description

Contact Information

Behavioral Health Claims For information or submission of behavioral health claims Behavioral Health
P.O. Box 7034
Camden, SC 29020-7034
1-800-403-3950
Behavioral Health Partner—ValueOptions For questions and information about behavioral health and substance use services ValueOptions
P.O. Box 551188
Jacksonville, FL 32255-1188
1-800-700-8646

Fax Numbers
Appeals and Reconsiderations:
1-904-363-8294

Outpatient Records
/Retrospective
Review: 1-866-811-4422

Outpatient Treatment Reports (OTRs):  1-866-811-4422

Retrospective Review of OTR:
1-866-811-4422

Provider Relations & Quality
Management: 1-866-429-8995
Credentialing: 1-866-429-8995
Claims (PGBA) For all claims-related questions

1-800-403-3950

TRICARE South Region

Claims Department
P.O. Box 7031            
Camden, SC 29020-7031

CPT Procedural Coding Manual To receive copies or if you need assistance 1-800-621-8335
American Medical Association
P.O. Box 10950
Chicago, IL 60610
Disease Management To obtain information about the Humana Military Disease Management Programs Call 1-800-881-9227 or go online.
Electronic Claims Fax Line To fax supporting documentation for electronic claims Institutional: 1-803-462-3988
Professional: 1-803-462-3989
Behavioral Health: 1-803-462-3990
Electronic Claims Help Desk To inquire about electronic claims submissions, and for help with problems relating to electronic claims 1-800-325-5920, Option #2
Fraud and Abuse Hotline To report suspected fraud or abuse 1-800-333-1620
Health Care Finder A non-clinical person who facilitates referrals and other customer service functions of beneficiaries to military and/or civilian health care services 1-800-444-5445
ECHO Case Manager For the Extended Care Health Option (ECHO) For Florida (except the panhandle), Georgia, and South Carolina:
1-800-447-6072

For Mississippi, Alabama, Tennessee, New Orleans area, and Florida panhandle: 1-866-323-7155

For Arkansas, Louisiana, Oklahoma, and a major portion of Texas: 1-800-447-8808

 

Chart continued on next page.
Last Update: July, 2007