Coordination of Benefits, Medicare crossover and other party liability or subrogation. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. UMP is administered by Regence BlueShield and Washington State Rx Services. Fill in this form (sign-in required) to give us information about your other coverage. Pre-authorization: Use our online tool to be routed to the home plan's requirements. PART 1: *Indicates required information. Preauthorization. Group - Fully-insured and administrative services only (ASO) Individual; Medicare Advantage plans; Uniform Medical Plan: 1 (888) 849-3682 . Fax 1-877-663-7526. These are complex claims, Hensley said. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. You will be prompted to enter your tax identification number (TIN). Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence … No enrollment needed, submitters will receive this transaction automatically, Web portal only: Referral request, referral inquiry and pre-authorization request, Implementation Acknowledgement for Health Care Insurance. You can verify your address by calling PEBB UMP Customer Preventive care list Check this list to see which preventive services are covered, for whom and how often they are recommended. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan … Providers call 1-888-849-3682. (medical services). Phone: 800-732-1209. Sign up for EFT and quickly receive payment. Claims Department P.O. Member claims. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School … Host Plan phone: Monday through Friday, 6 a.m. to 5 p.m. (PT). Provider claims. You can also submit claims via mail to our claims address P.O. 4. Use the electronic authorization tool to determine whether pre-authorization is required and submit requests online. To submit a claim online, go to the “Member Dashboard / Claims” section and select the yellow “Submit a Claim” button. If you do not submit your claims through the Availity Provider Portal, follow this process to submit your claims to us electronically. UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus—UW Medicine Accountable Care Network UMP Plus— Puget Sound For services abroad please utilize the International Claim Form located at www.bcbsglobalcore.com. National BlueCard member benefits and eligibility: Phone 1 (800) 676-2583, Monday through Friday, 7:30 a.m. to 10 p.m. (PT). Uniform Medical Plan CDHP 2017 Certificate of Coverage (COC) www.hca.wa.gov. Are you covered by Regence and another health insurance company? Learn about submitting BlueCard claims. You are about to leave regence.com and enter another website that is not affiliated with or … This exam includes computerized topography and mapping of the cornea as well as an evaluation of which lenses will fit and provide optimal comfort, vision, and eye health. Even though I am "out-of-network" with all Regence, Health Management Administrators (HMA), and Uniform Medical Plans, I am happy to submit claims on your behalf for your out-of-network benefits. Primary member/subscriber ID number* Group/employer name: Uniform Medical Plan . The remainder goes to Regence, which on behalf of the state pays the rest, or however much the state Uniform Medical Plan allows. An authorization must be on file to ensure proper claims payment. Learn more about when, and how, to submit claim attachments. Box 202112 Florence, SC 29502-2112 www.tricare-west.com. We can work with that company to reduce your costs. Sound Generations helps individuals understand the basics of Medicare, long-term care and related insurance, plan for retirement, process medical billings, claims and appeals and understand health care reform. We provide Applied Behavioral Analysis (ABA) therapy benefit for Regence UMP members.Regence will cover ABA Therapy. Learn more about informational, preventive services and functional modifiers. About Uniform Medical Plan (UMP), administered by Regence BlueShield. Group - Fully-insured and administrative services only (ASO). In August, the Health Care Authority (HCA, which administers the PEBB Program) called for a recovery plan after Regence had amassed more than 300,000 backlogged claims-most of them Medicare claims by retired state workers. 4. This section applies to requests for appeal when: NCCI or CCE coding rules apply to a claim or claim line. Fax: 800‐207‐8235, ATTN: Rx Claims Department . Box 52890 Bellevue WA 98015 or fax at 1 … For information that cannot be served by the Availity Portal, our Provider Contact Center is available Monday through Friday, 6 a.m. to 5 p.m. (PT). Contact lenses are medical devices and require an exam to obtain or renew your prescription. * Group/employer name: Uniform Medical Plan ( UMP ) insurance Connections Behavior Planning & Intervention a! 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