The claims mailing address is:
矿工联盟皇冠搏彩中心网站
邮政信箱211551
Eagan, MN 55121-2751
的资金 has a long-standing relationship with the 医疗保险 program as a Health Care Prepayment Plan (HCPP) and is the 医疗保险 payer for non- facility Part B services, 比如医生, 实验室, and ambulance services and medical equipment and supplies. You must bill the Funds for 医疗保险 Part B services. 医疗保险 carriers will not pay for Part B services provided to Funds’ beneficiaries. 的资金 payment to the provider will include the 医疗保险 amount plus the 医疗保险 coinsurance and deductible amount, making it unnecessary for the provider to submit claims to two payers.
Health care providers should bill charges for 医疗保险 Part A services and other services normally paid by the 医疗保险 fiscal intermediary directly to the intermediary as they would for patients without Funds’ benefits. After payment by the fiscal intermediary the provider may bill the Funds for 医疗保险 coinsurance and deductibles.
The telephone number for pre-authorization is 1-800-292-2288选项3.
No referral is required for 的资金’ Plans.
Yes, the prescription benefits are administered by CVS Caremark at 1-800-294-4741.
Yes, the Funds follows CMS’s guidelines related to Nurse Practitioners and Physician Assistants.
The timely filing is 12 months from the date of service for claims (21 months prior to 1/1/2011). An appeal of a denied claim must be filed within 180 days of the date of denial.
The address for purposes of submitting an appeal is
UMWA Health and Retirement Funds
邮政信箱292167
Nashville, TN 37229
Click the link below for information about electronic claims submission through CareVu/HealthSmart:
http://www.healthsmart.com/InformationSystems/EDIClearinghouse.aspx
The electronic payer ID number is 52180.
Click the Link below for information about electronic claims submission through CareVu/HealthSmart:
http://www.healthsmart.com/InformationSystems/EDIClearinghouse.aspx
