va premier provider phone number

Optima Health Community Care Contact Information, 24Hour Interactive Voice Response757-552-7474 or 1-800-229-8822, option 2, Medical/LTSS ClaimsP.O. ATTENTION ALL PRUITTHEALTH PREMIER PROVIDERS: Hurricane Ian Response. Need to contact us about Optima Health Community Care? NEMT is a service that is provided to Virginia Medicaid Members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. Designed by Elegant Themes | Powered by WordPress. For language services, please request while on the line with an agent. Topic / Issue Contact Name / Number Virginia Medicaid Contact Information . Since this is a shared-ride service, it is possible that you will ride with other passengers picked up at or near your pick-up location. Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost. Once they process your request to join, theyll contact you. Ambulatory, wheelchair, stretcher, and in some programs BLS and ALS transport services are often needed to meet a variety of non-emergency medical transport needs. Tell the agent that you want a language interpreter to join the call. Available to Medicare beneficiaries with a diagnosis of dementia. NET is a service that is provided to Georgia Medicaid Members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. . Important: To join a Medicare Advantage Plan, you must also have both: VisitMedicare.govto learn more about when you can sign up for a plan. Virginia Medicaid. Call the Southeastrans number that corresponds to your county. Call the Southeastrans number that corresponds to your county. Virginia Provider Relations Manager. Virginia Premier Health Plan Phone -855 652 8249 Phone -800 600 4441 Phone -800 901 0020 Phone - 800-279-1878 -844 374 9159-855 249 5025 Commonwealth Coordinated Care Plus (CCC Plus): 1-800-424-4524. When you are a member, you also get no-cost extra benefits. We join technology and smart business practices to offer a new standard in human transportation delivery services. Navigate. | | Ting Vit | | Franais | | | | . If a need exists within your service area, Southeastrans will contact you for an interview and request that you proceed with Step 2 of the application process. Then view our compliance checklist below of items required to become a provider. For provider enrollment inquiries, contact the Virginia Medicaid Provider Enrollment Helpdesk by phone at 804-270-5105 or 888-829-5373. 757-552-7085 or 1-877-865-9075Fax: 757-552-7114, Medical Care Management Preauthorizations757-552-7540 or 1-800-229-5522Fax: 757-552-7429 or 1-877-800-2839, Behavioral Health Preauthorizations757-552-7174 or 1-800-648-8420, option 2Fax: 757-552-7176 or 1-877-800-2839, Medical Provider Customer Service: 757-552-7474Behavioral Health Provider Customer Service: 1-800-648-84208 a.m. to 5 p.m. Monday through FridayProviderconnectionsupport@sentara.com. Contact your local provider Relations Manager to get detailed information about insurance requirements in your state. |Pilipino| Kreola | Aleman|, Verification of liability insurance coverage, Current Criminal background checks for all drivers, Current drug screens for all owners and drivers, Current motor vehicle driving report for all drivers. Box 1440Troy, MI 48099-1440. Southeastrans provides leadership, support and technology to the transportation providers in our network and fosters a culture of excellence. Click here to get help you need related to your iPads or using the Provider Portal. Virginia Premier values our participating providers and the care they deliver to our members. 2021 PruittHealth Premier All rights reserved, CMS ID Number: H3291_Website, H6345_Website, Last modified: November 4, 2022 10:36 AM. Virginia Medicaid Provider Helpline . Medallion 4.0: 1-800-424-4518. Or, call Medicare at1-800-MEDICARE (1-800-633- 4227). You are leaving the PruittHealth Premier website, from October 1st March 31st, 5 days a week from April 1st September 30th. Atlanta Region Counties: Fulton, . Find a VA location Main VA phone numbers MyVA411 main information line. 877-222-8387 Hours: Monday through Friday, Notice of Privacy Practices (NPP). Find the phone number to call for the help you need. Your permanent address and phone number; Note: You must complete all items in Section 1. . Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. 678-510-4590 or 678-510-4600 Press 2 for Claims . The additional areas of documentation include, but are not limited to, the following: b) effective date, expiration date, and coverage, a) effective date, expiration date, and coverage, b) All Owned, Hired, and Non-Owned coverage. INFO AT A GLANCE The portal is free of charge for all participating providers. Contact your local provider Relations Manager to get detailed information about insurance requirements in your state. Department of Medical Assistance Services, DMAS - Department of Medical Assistance Services, Breast & Cervical Cancer Prevention and Treatment Act, Addiction and Recovery Treatment Services, Hospital Presumptive Eligibility Information, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Behavioral Health Service Utilization and Expenditures, Legislative and Congressional District Reports, Monthly Expenditure Reports of the Medicaid Program, Nursing Facility Value-Based Purchasing Program, CHIP State Plan and Waiver-Related Documents, | | s -w-po-ny | | | Deutsch | | Tagalog | Franais | | Igbo asusu | | | Espaol | | Ting Vit | Yorb. Virginia Premier CompleteCare is a health plan that contracts with both Medicare and the Virginia Department of Medical Assistance Services to provide benefits of both programs to enrollees. We'll connect you with a VA call center agent. EDI QuestionsExisting customers with questions about EDI (the 837 process) should email the EDI Team at editeam@sentara.com. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB, Espaol | | Box 5028Troy, MI 48007-5028, Behavioral Health ClaimsP.O. HOME | VIRGINIA | MEMBERS | TRANSPORTATION PROVIDERS | FACILITIES. It will not be kept, reviewed, or forwarded to the plan. Virginia. Qualified transportation providers are invited to contract with Southeastrans in areas where there is a need for transportation resources. Virginia Medicaid Provider Enrollment Phone Number. Find out more about how this website uses cookies to enhance your browsing experience. 800-698-2411 . W9 Submission Please send your completed W9 to vphp_pdmsupport@virginiapremier.com Provider Inquiry Line Call our Provider Inquiry Line at 1-800-727-7536 (TTY: 711) Call PruittHealth Premier at 1-855-855-0668 (TTY 711) 1-855-855-0759 (TTY 711) 1-855-855-0759 (TTY 711). 804.380.1306 . Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. See What happens next? on this page to send your completed form to the plan. Click to view our protocols and information about testing and/or treatment for COVID-19. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. Southeastrans contracts with independent transportation providers to deliver a range of transportation services within our transportation service programs. If you have a claims question, please call please call us at 1-800-727-7536, press 4 for Claims. 23219 For Medicaid Enrollment Web: www.coverva.org Tel: 1-833-5CALLVA TDD: 1-888-221-1590 Southeastrans will review applications to determine if there is a need for new transportation providers in the region where you are located. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions. If you want to join a plan during fall open enrollment (October 15December 7), the plan must get your completed form by December 7. There are several ways to help your Medicaid members prepare for the Public Health Emergency (PHE) Unwinding. Credentialing and joining our network - 1-800-353-1232 (TTY: 711) Special programs and other phone numbers Availity help - registration questions, help with user name/password - 1-800-282-4548 (TTY: 711) Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. How To Apply For Medicaid. Delta Dental is comprised of 39 member companies offering dental coverage in all 50 states, Puerto Rico and other U.S. territories, with a local presence in communities across the country. Optima Health 2022, 4417 Corporation Lane, Virginia Beach, VA 23462-3162. Note: You must complete all items in Section 1. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: 1) Please select your plan: 23219 For Medicaid Enrollment . Virginia Premier = Medicaid plans administered through the Department of Medical Assistance Services agreement. If you have questions for the Claims Department or suggestions on how we can improve our operations, please call us at 800-727-7536, press 4 for Claims. Offering the highest levels of service and consumer ease in the industry. Our fax number is 804-819-5174. As a Transportation Broker, we know that it requires great providers to provide great, safe, and timely transportation experiences for our members. Please click here to view. Here is a general overview: . The items in Section 2 are optional you cant be denied coverage because you dont fill them out. The time required to complete this information is estimated to average 20 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. Newsletters Access the latest health care news and updates from Virginia Premier. CLICK HERE TO SHARE YOUR TESTIMONY. Most Common Hospice Denial Codes With Resolutions, NPI Related Error Codes & Resolutions For CMS 1500 (08 05), Top 50 Error Reason Codes With Resolutions, 600 East Broad StreetRichmondVirginia. 23219For Medicaid EnrollmentWeb: www.coverva.orgTel: 1-833-5CALLVATDD: 1-888-221-1590. Virginia Premier Partners Labs (except for CLIA approved labs on the in-office lab list) Lab Corp: 1-800-873-7251 SolstasLabs: 1-888-200-4775 Routine Vision VSP: 1-800-877-7195 Dental (Smiles for Children and MLTSS Enhanced Benefits) DentaQuest: 1-844-822-8115 Pharmacy Retail and Specialty Envision: 1-855-872-0005 Pharmacy Help Desk: 1-855-408-0010 Radiology (CT, CTA,CCTA, MRI, MembersProvidersFacilitiesCovid-19 Information HubReport Fraud, Waste, and Abuse, Company Overview Leadership Team Our Services Careers SETI News, Southeastrans, Inc. 4751 Best Road, Suite 300, Atlanta, Georgia 30337. IMPORTANT Do not send this form or any items with your personal information (such as claims, payments, medical records, etc.) Forms to allow you to contact the Department of Medical Assistance Services. Optima Health Medicare, Medicaid, and FAMIS programs are administered under agreements with Optima Health and the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services (DMAS). Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Looking to join our network as a Transportation Provider? Travel outside a members home community is available only when those specialized services are not available within members home community. Here is a general overview: 2) Confirmation of A- or Better Insurance Carrier(s), 3) List of Vehicles covered under Auto policy. En espaol: Llame a PruittHealth Premier al 1-855-855-0668 (TTY 711) 1-855-855-0759 (TTY 711) 1-855-855-0759 (TTY 711)o a Medicare gratis al1-800-633-4227y oprima el 2 para asistencia en espaol y un representante estar disponible para asistirle. Deutsch | Tagalog | | Srpsko-hrvatski | | | Copyright 2022 Southeastrans. Transportation is available to services in the members home community. Virginia Premier CompleteCare (Medicare-Medicaid Plan), a Commonwealth Coordinated Care Plan: Call us at 1-855-338-6467 to get a printed copy of the directory. TTY users can call1-877-486-2048. 24-Hour Interactive Voice Response 757-552-7474 or 1-800-229-8822, option 2 Expand All Claims Mailing Addresses EDI and EFT/ERA Information Looking for MDOffice? If a need exists for transportation services in the proposed area, Southeastrans will request additional documentation to determine if your company meets Southeastrans NET Provider contracting requirements. You can schedule up to 30 business days in advance. Governor Northam recently announced the creation of a Task Force on Primary Care in partnership with the Virginia Center for Health Innovation (VCHI) and Secretary of Health and Human Resources Daniel Carey. Virginia Premier has been inspiring healthy living in the communities we serve since 1995. Contact PruittHealth Premier or Provider Services and get answers to questions you have about our plans, services, and benefits. The Task Force's goal is to find solutions and support for providers during the COVID-19 pandemic. All rights reserved. Providers can reach out to Medicaid managed care organizations if you have questions. Available to Medicare Beneficiaries who meet the requirements for long-term care eligibility. Member Services Network Educators Pre-Authorizations Provider Connection Support Provider Relations Quality Improvement Join Our Network GOT A STORY? People with Medicare who want to join a Medicare Advantage Plan. Members should call the member services number listed on their member ID card or Contact Us. Your plan will send you a bill for the plans premium. For managed care assistance, call 800-643-2273 or email ManagedCareHelp@dmas.virginia.gov . to the PRA Reports Clearance Office. Virginia Premier is dedicated to providing you with great service. Southeastrans understands the challenges of providing transportation services because many of our employees and managers were once transportation providers. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Utilization Management. If you are interested in joining our provider network, we have the information you need to get started. Participating providers can find more precertification phone numbers in Participating provider precertification list for Aetna (PDF). DMAS. Our secure provider portal is available 24 hours a day to assist you with accessing data quickly and easily. Any items we get that arent about how to improve this form or its collection burden (outlined in OMB 0938-1378) will be destroyed. Search Virginia Premier Prior Authorization (PAL) List. Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days (For Medicaid Members) and at least three (3) business days (For Medicare Members), in advance of the appointment date. Customer service representatives are available nationwide to answer questions about your dental insurance, claims submissions, payment procedures . Email: Name: Phone: Aetna: Aetnabetterhealth-VAProviderRelations@aetna.com: RJ Dix, Provider Relations Manager: 855-652-8249: Anthem: AnthemEVVProviders@Anthem.com . By: Steve M. Date: September 13, 2022. For Deaf or Hard of Hearing customers, please dial 711. If you want to join a plan but have no permanent residence, a Post Office Box, an address of a shelter or clinic, or the address where you receive mail (e.g., social security checks) may be considered your permanent residence address. We welcome your feedback and look forward to supporting all your efforts to provide quality care. Contact us. We offer translator services in nearly 200 languages. Be a United States citizen or be lawfully present in the U.S. 800-698-2411. Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, and Sentara Health Plans, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Optima Health Plan. Please click here to view and download. Phone: 1-855-855-0668 (TTY 711) . Telecommunications Relay Services (using TTY) 711 Hours: 24/7. We want to help you improve the premier health outcomes of our members by reducing the time you spend on claims follow-up. EFT/ERA Enrollment QuestionsIf you have questions about enrolling in EFT/ERA, please email EFT_ERA_Inquiry@sentara.com. VA health care VA health benefits hotline. Emails are responded to within three business days. VA 23058-5850 . Click here for a map of the current service areas and Provider Relation Managers for Virginia. Claims Forms The valid OMB control number for this information collection is 0938-1378. If you have any questions, please call Customer Care. To contact the Provider Relations department, please email contactmyrep@VirginiaPremier.com. You can choose to sign up to have your premium payments deducted from your bank account or your monthly Social Security (or Railroad Retirement Board) benefit. 23219 For Medicaid Enrollment Web: www.coverva.org Tel: 1-833-5CALLVA TDD: 1-888-221-1590. 600 East Broad Street Richmond Virginia. Between October 15December 7 each year (for coverage starting January 1), Within 3 months of first getting Medicare, In certain situations where youre allowed to join or switch plans, Your Medicare Number (the number on your red, white, and blue Medicare card). Note: If you need an interpreter, call 800-698-2411 and select 0. MyVA411 main information line. Here is a list of contacts who can assist you: . Medical Provider Service Representatives757-552-7474 or 1-800-229-88228 a.m. to 5 p.m. Monday through FridayFax: 757-552-7316ProviderRelations@sentara.com, Behavioral Health Provider Service Representatives757-552-7174 or 1-800-648-84208 a.m. to 6 p.m. Monday through FridayFax: 757-552-7499ProviderRelations@sentara.com. Nondiscrimination Notice. PRSS 121 Provider Portal Overview . Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Read about your fellow providers as we celebrate our network and all the work that you do for our members. DMAS - Department of Medical Assistance Services. Complete the boxes below to have a plan representative contact you. In an effort to increase the ease of doing business with us, we have provided links below to connect you with our resources. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. Tech support is standing by. All interested transportation providers must complete and submit a Request for Qualifications form and Vehicle List. Billing Reference Sheets and Claims Submission and Guidelines, Pediatric Obesity Prevention and Treatment Toolkit, Optima Health Community Care Contact Information. Task Force on Primary Care. For language services, please request while on the line with an agent. Then click here to fill out our online Request for Qualification Form. 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va premier provider phone number

va premier provider phone number