Hcasma.org

HealthCare Administrative Solution

WEBVerifying a patient’s eligibility is essential to determine coverage under a health insurance policy or MassHealth. The resources on this site include useful information and …

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URL: https://www.hcasma.org/ToolsAndResources.htm

HealthCare Administrative Solution

WEBThe HealthCare Administrative Solutions credentialing process utilizes Verisys to perform primary source verification on behalf of its participating health plans. Verisys meets …

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HealthCare Administrative Solution

WEBHealth New England Provider Contracting : 413.233.3175: Mass General Brigham Health Plan [email protected]: Provider Service Center: 800.433.5556 : Tufts Health …

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HealthCare Administrative Solution

WEBStaff; Lori L. Burgiel, M.B.A. Executive Director: [email protected] 781.612.3786: In 2006, Ms. Burgiel was named the first Executive Director of HealthCare Administrative …

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HealthCare Administrative Solution

WEBHCAS and our member health plans recognize that establishing a comprehensive, centralized process to collect and update provider directory information will ease the …

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INTRODUCING: UNIVERSAL PROVIDER REQUEST FOR CLAIM …

WEBFallon Health Attn: Request for Claim Review / Provider Appeals P.O. Box 211308 Eagan, MN 55121-29081 For all products unless noted below: Harvard Pilgrim Health Care …

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HealthCare Administrative Solutions, Inc. Credentialing Manual

WEBEach HCAS participating health plan has its own company-specific policies and contract requirements for managed care network participation. For a list of the …

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Recommended Credentialing Best Practices

WEBeach health plan, that you intend to join, with this number as you start the credentialing process. Aperture Credentialing, LLC. Aperture is the Credentialing Verification …

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Managed Care Plans and method to obtain application …

WEBtufts_health_plan_credentiali ng_department@tufts - health. com Call 888 -306 -6307 Fax 617 -972 -9591 Credentialing Department 705 Mt Auburn Street, 6 th Floor Watertown, …

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Reference Guide–Request for Claim Review

WEBHealth Plan Attn: Request for Claim Review / Provider Appeals P.O. Box 15121 Worcester, MA 01615-0121 For all products unless noted below: Harvard Pilgrim Health Care P.O. …

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New Single Form to Communicate Name, Address, and Other …

WEBIn some circumstances, individual health plans may need to follow up with providers for additional information regarding a demographic change. Questions? For questions about …

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Introducing: Standardized Prior Authorization Request Form

WEBHome health: Nurse; home health aide; physical; occupational; speech therapy; respite care; infusion therapy. Hospice: Comprehensive services identified and coordinated by …

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Health Plan CAQH Directory Maintenance Toolkit

WEBHealth plans are using CAQH ProView® to update directories. You can use a single process through CAQH ProView to communicate changes about your practice and …

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HealthCare Administrative Solutions, Inc.

WEBNeighborhood Health Plan Mailing Address: Provider Network Management Neighborhood Health Plan 253 Summer Street Boston, MA 02210-1120 Fax: 1-617-526-1982 Provider …

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HealthCare Administrative Solutions, Inc.

WEBHealth Plan Neighborhood Health Plan Mailing Address: Provider Network Management Neighborhood Health Plan 253 Summer Street Boston, MA 02210-1120 Fax: 1-617-526 …

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Combating Medicare Parts C and D Fraud, Waste, and Abuse …

WEBproperty owned by, or under the custody or control of, any health care benefit program. The Health Care Fraud Statute makes it a criminal offense to knowingly and willfully execute …

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A Guide to Member ID Cards ABC Health Plan HMO $1,000

WEBABC Health Plan HMO $1,000 EDWARD EXAMPLE Member Service ABC1234567-00 1-800-123-4567. Group No: 54321 Copays: OV 15/25 MH 15 ER 100 …

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HCAS Provider Enrollment Form

WEBHarvard Pilgrim Health Care. Attn: Provider Processing Center 1600 Crown Colony Drive, 2nd Floor Quincy, MA 02169 Fax: 866-884-3843. Email: …

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Request for Claim Review Form

WEBMassachusetts Administrative Simplification Collaborative–Request for Claim Review V1.1 Request for Claim Review Form Today’s Date (MM/DD/YY): Health Plan Name:

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HCAS Provider Enrollment Form

WEBWellSense Health Plan. Provider Processing Center 529 Main Street, Suite 500 Charlestown, MA 02129. [email protected]. Provider Processing …

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