June 2021. 1.1. Introduction. Provider Manual. 1. The Provider Manual for Participating Professional Providers (Provider Manual) is part of your Professional Provider Agreement (Agreement), as applicable, with Independence Blue Cross’s Affiliates (collectively referred to as “Independence” or “Plan” throughout this manual).We would like to show you a description here but the site won’t allow us.The Provider Manual is an easy-to-use reference tool, color-coded, and hyperlinked to provide easy access to the information that providers need most. It is updated regularly to provide pertinent information regarding our policies, procedures, and functions. Provider Manual. Int roduction (December 2021)Beyond Idaho, Montana, Oregon, and Washington, members can receive in-network care through our collaboration with Aetna Signature Administrators®. Find an Aetna ...The biosignatures are out there. The discovery of many potentially habitable planets beyond the solar system and a growing understanding of the variety of life on Earth provides NA...The advantages of using the Independence Administrators Direct Ship Drug Program include: Independence Administrators places the order with the vendor based on the physician’s request and handles all payments for the drugs. Physicians do not have to submit reimbursement forms for the cost of the drugs. Physicians do not have to …Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when …HOWTO SUBMIT YOUR CLAIM: Complete one Subscriber Claim Form for each patient and for each provider. Answer all questions. Attach a copy of the itemized bill and proof of payment. The bill should show: The patient full name. The provider’s name and address and Federal tax ID and National Provider Identifier (NPI) Providers who are considering beginning an Independence member on a new specialty drug therapy covered under the pharmacy benefit can use the following information: Optum. Providers can call Optum ® Specialty Pharmacy and Optum ® Infusion Pharmacy at 1-855-427-4682 to enroll the member. Members can reach Optum to have a prescription filled by ... Independence Administrators Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899: Independence Blue Cross and …Submit to: Independence Administrators FAX to: (215) 761-0956 Administrative Appeals P.O. Box 21545 Eagan, MN 55121. YOU MUST COMPLETE A SEPARATE APPLICATION FOR EACH CLAIM APPEALED. SIGNATURE MUST BE COMPLETE AND LEGIBLE. THIS FORM MUST BE DATED. A. Provider Information 1.Provider information contained in this directory is gathered from information that we receive from our provider network and updated 6 days per week, excluding Sundays, or interruptions due to system maintenance, upgrades or unplanned outages. This information is subject to change at any time. Therefore please check with the provider before ...Curious about what the options are for hosting a WordPress website? We’ve put together a list of the five best WordPress hosting providers available today. Based on real tests, pri...Finding the right internet provider can be a daunting task. With so many options available, it can be difficult to know which one is best for you. Fortunately, there is an easy way...The implementation of ICD-10 results in more accurate coding, which improves the ability to measure health care services, enhance the ability to monitor public health, improve data reporting, and reduce the need for supporting documentation when submitting claims. There are four ways to file a grievance directly with Independence Administrators: • by mail: Independence Administrators, ATTN: Civil Rights Coordinator, 1900 Market Street, Philadelphia, PA 19103; • by phone: 888-356-7899 (TTY 711), • by fax: 215-761-0920, or • by email: [email protected]. Independence Administrators is an independent licensee of the Blue Cross and Blue Shield Association. 1Precertification review for this service is provided by Magellan Healthcare, Inc., an independent company. * Pending FDA approval. ** All drugs that can be classified under this header require precertification. This includes any unlisted brand ...Provider Services: Independence: 1-800-ASK-BLUE (1-800-275-2583) Independence Administrators: 1-888-356-7899. PEAR portal support: 1-833-444-PEAR (1-833-444 …When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Learn more. Outpatient Laboratory Services. LabCorp is the primary provider of laboratory services for Independence Administrators. To locate a network …Download the free myIBXTPABenefits app for your iPhone to help you make the most of your Independence Administrators' health plan. With new and improved features, the myIBXTPABenefits app gives you easy access to your health care coverage 24/7, wherever you are. Use the app to: • Access benefit information • View, share, or order a …Independence’s Policy Bulletins should not be construed as providing medical advice or treatment or guaranteeing the outcome or results of any medical services/treatments and/or procedures. If members have a specific question about their medical condition, they should consult with their provider. Providers are responsible for providing ...Find a Doctor or Hospital. Members of the PPO Basic and PPO Upgrade options can find network hospitals and doctors throughout the U.S. at Independence Administrators’ online provider directory.. Members of the CARDONE Closed Panel PPO option can find network hospitals and doctors in the CARDONE Closed Panel PPO directory.. Plan …Welcome to the Trading Partner Business Center for Independence Blue Cross. The Trading Partner Business Center is a resource for trading partners who conduct Electronic Data Interchange (EDI) transactions with Independence Blue Cross, including products issued by Keystone Health Plan East or administered by Independence Administrators …The member/provider data shown is used for training purposes only and does not reflect actual member/provider data. You may see minor screen variations when logging onto the portal. Process steps remain the same and applicable to Independence Blue Cross, Independence Administrators, AmeriHealth Pennsylvania, AmeriHealth New Jersey, …If you suspect health care fraud, report it here. Media Inquiries. Information and interview requests for members of the media. General Inquiries. How to reach us by mail, email, or phone. Office Location: Independence Administrators. 1900 Market Street. Philadelphia, PA 19103. AmeriHealth Administrators, an independent company, performs medical management services on behalf of Independence Administrators. You can obtain a copy of a specific policy by calling the clinical services department at 1-888-234-2393. Any procedure, device, or service that may be considered experimental or investigational including: • New emerging technology/procedures, as well as existing technology and procedures applied for new uses and treatments. Day rehabilitation programs. Elective (non-emergency) ground, air, and sea ambulance transportation, including inpatient ... SOLUTION RESOURCES. Independence Administrators will delegate pre-certification for certain services to EviCore healthcare (EviCore) on July 1, 2022. The ordering provider is responsible for submitting pre-certification requests for the applicable services. Failure to adhere to the pre-certification process may result in a bill to your patient. Our clients are our top priority. "Working with IBA has been a pleasure in every way and has allowed our company to reduce healthcare costs while keeping us informed every step of the way. The excellent member support provided by IBA has increased our employee satisfaction and improved our overall benefits administration.Find Independence Blue Cross Doctors in Philadelphia, Pennsylvania & make an appointment online instantly! Zocdoc helps you find Doctors in Philadelphia and other locations with verified patient reviews and appointment availability that accept Independence Blue Cross and other insurances. All appointment times are guaranteed …Find a Healthcare web design agency today! Read client reviews & compare industry experience of leading Healthcare Providers web design companies. Development Most Popular Emerging... QCC Insurance Company and Independence Administrators are subsidiaries of Independence Blue Cross — independent licensees of the Blue Cross and Blue Shield Association. Filter to find the news that is relevant to your role. TOPIC. PUBLISH DATE. TAG. TYPE.Independence Administrators: 1-888-356-7899; PEAR portal support: 1-833-444-PEAR (1-833-444-7327) Provider Network Services (PNS) contacts: Independence: Provider Network Services (PNS) contact tool ; Independence Administrators: [email protected];Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory. Entercom employees and their covered spouses and dependents may contact us at the following telephone number and address: Customer Service. 1-888-356-7899. Contact us via email.Members of the PPO Basic and PPO Upgrade options can find network hospitals and doctors throughout the U.S. at Independence Administrators’ online provider directory. Members of the CARDONE Closed Panel PPO option can find network hospitals and doctors in the CARDONE Closed Panel PPO directory. Plan Members. Register and log on to MyIBXTPA.You can submit a request by using one of the following options: » Q: What hardware is required to access iExchange? » A: The only required hardware is a PC (laptop or desktop) with an internet connection. If you would like to print the transaction responses, the PC would need to be connected to a printer, either directly or via the network.Telemedicine. You can visit with a doctor anytime, anywhere with our telemedicine benefit. 1 Telemedicine, also known as virtual care, is offered from Teladoc Health 2 through HIPAA-secure video, phone, and mobile app with 24/7 access to a U.S. board-certified and licensed primary care doctor who can treat non-emergency medical conditions such as:Independence Blue Cross (IBX) is the leading health insurance company in southeastern Pennsylvania. With our affiliates, we serve millions of people nationwide. For more than 85 years, we’ve had an unwavering commitment to our mission to enhance the health and well-being of the people and communities we serve.I'm a Provider. Provider Portal Eligibility inquiry Claims inquiry. I'm a Broker. Broker benefits Get in touch. faq. Popular Questions. Question 1. Answer 1. Question ...Call the phone number on your Independence Administrators ID card. Submit an Inquiry. Media. Information for and interview requests from members of the media. Submit an Inquiry. Providers. Reach provider services, care management, and clinical pharmacy services. 1-888-356-7899 Submit an Inquiry. HIPAA. Inquiries about HIPAA privacy, security ...Managing your self-funded health benefits program is convenient and secure using our secure website. You can view: content specific to your program. Your plan members also access their benefit information securely. They can view their eligibility and benefits information, explore health resources, view claims and Explanation of Benefits ...Find Independence Blue Cross Therapists/Counselors & Providers with verified reviews. Make an appointment online instantly with Therapists/Counselors that ...COVID-19 vaccines are important tools that help reduce the risk of severe disease, hospitalization, and death. Your group health plan covers the COVID-19 vaccine and booster at no cost when obtained from an in-network provider or pharmacy. If the vaccine is administered by an out-of-network provider or pharmacy, standard cost-sharing will apply ...Members with PA dental insurance plans provided by Independence Blue Cross can conveniently search online for network dentists. Online directory features: Search by dentist or practice name, location, or specialty. Compare dentists. Get more information such as languages, ages treated, accepting new patient, gender, handicap accessible.Search for the U.S. Food And Drug Administration registration numbers using the FDA website at FDA.gov. Registration numbers in the FDA database are categorized according to the es...There are four ways to file a grievance directly with Independence Administrators: • by mail: Independence Administrators, ATTN: Civil Rights Coordinator, 1900 Market Street, Philadelphia, PA 19103; • by phone: 888-356-7899 (TTY 711), • by fax: 215-761-0920, or • by email: [email protected] who are considering beginning an Independence member on a new specialty drug therapy covered under the pharmacy benefit can use the following information: Optum. Providers can call Optum ® Specialty Pharmacy and Optum ® Infusion Pharmacy at 1-855-427-4682 to enroll the member. Members can reach Optum to have a prescription filled …We would like to show you a description here but the site won’t allow us.Members of the PPO Basic and PPO Upgrade options can find network hospitals and doctors throughout the U.S. at Independence Administrators’ online provider directory. Members of the CARDONE Closed Panel PPO option can find network hospitals and doctors in the CARDONE Closed Panel PPO directory. Plan Members. Register and log on to MyIBXTPA.Independence Blue Cross (Independence) will make changes to its Select Drug Program® Formulary and Value Formulary effective October 1, 2023. The changes include Brand and Generic additions and tier changes. You can see a list of the Select Drug Program and Value Formulary changes: You can review the full formularies on our website where you ...New Tool Simplifies Verification of Insurance Eligibility and Medicare Supplements Benefits A Personal Choice PPO health plan from Independence Blue Cross may be the best option for you and your family if you: Live within one of these five counties. Want health coverage for both in-network and out-of-network providers. Would like in-network coverage across the country through BlueCard PPO. Want the flexibility to pay less for medical ... Discover the best Human Resources companies in Los Angeles. Browse our rankings to partner with award-winning experts that will bring your vision to life. Development Most Popular ...Get care. 1-800-303-0656 (TTY/TDD: 711) 8 a.m. - 8 p.m., seven days a week. Shop plans. Get care. Find a doctor, dentist, or pharmacy Find a drug Plan documents. Find a doctor, dentist, or pharmacy. Your Independence Blue Cross (Independence) coverage gives you access to one of the largest provider networks in Southeastern Pennsylvania ...AmeriHealth Administrators, an independent company, performs medical management services on behalf of Independence Administrators. You can obtain a copy of a specific policy by calling the clinical services department at 1-888-234-2393. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.Independence Administrators Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899: Independence Blue Cross and Highmark Blue Shield Caring Foundation Hotline: 1-800-464-5437: Keystone First Hours: Mon. – Fri., 8 a.m. – 5 p.m. Nurse on call 24 hours a day 1-800-521-6007QCC Insurance Company and Independence Administrators are subsidiaries of Independence Blue Cross — independent licensees of the Blue Cross and Blue Shield Association.In the ever-evolving landscape of healthcare, it is essential for health plans and providers to have efficient systems in place to streamline administrative processes. One such sol...Find network hospitals and doctors throughout the U.S. at the Independence Administrators' online provider directory. CARDONE Closed Panel PPO option. Find network hospitals and doctors in the CARDONE Closed Panel PPO directory. Find a Participating Pharmacy. Visit FutureScripts ® to find a participating pharmacy. The …Mar 2, 2022 · 1) Contact Independence Administrators at 800-242-3330 and request a new card directly from them. 2) Go to myibxtpabenefits.comor download the myIBXTPABenefitsapp, register and log in to the Independence Administrators portal. Once logged in you can request a new card for each of your covered family members by mail, email and/or fax. PEAR portal. Tap into the Provider Engagement, Analytics & Reporting (PEAR) portal, our secure online provider gateway that allows real-time transactions between Independence Blue Cross and your office. Learn more.Independence Blue Cross is a subsidiary of Independence Health Group, Inc. — independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania. To ensure your privacy, all information will be sent via a secure connection.Payer ID provider number reference Facility ectie January 4 * This product is no longer offered. † When treating Highmark members, facility claims must be submitted directly to Highmark. ‡ When treating non-Independence members, facilities contracted with other local area Blue Cross and/or Blue Shield (BCBS) health plans (e.g., Capital Blue Cross …Movoto Real Estate is a popular online platform that provides an extensive range of tools and resources for individuals looking to buy or sell a home. When it comes to finding your...Direct Ship Drug Program. This program allows in-network providers to order select specialty medical benefit drugs for administration in the office. The basics for providers. See Independence medical and pharmacy policies — plus clinical practice guidelines and details about preapproval for services.I'm a Provider. Provider Portal Eligibility inquiry Claims inquiry. I'm a Broker. Broker benefits Get in touch. faq. Popular Questions. Question 1. Answer 1. Question 2. Answer 2. Question 3. Answer 3. Question 4. Answer 4. Question 5. Answer 5. PO Box 7620 Garden City, NY 11530. Sales ERISA and Employee Related Plans [email protected] the free myIBXTPABenefits app for your iPhone to help you make the most of your Independence Administrators' health plan. With new and improved features, the myIBXTPABenefits app gives ... Doctors, hospitals, medical equipment, and specialty services. Search for a participating provider by name, location, specialty, or medical procedure. 1. Learn more. Documentation requirements. Independence Administrators requires providers to submit documentation (i.e., published peer-reviewed literature) when requesting specialty drug coverage beyond the dosage and frequency requirements listed in a medical policy. Review at precertification renewal. Plan members currently receiving a drug included in the ...HIPAA forms. Authorization to Release Information. Request for Copies of PHI. Request for Confidential Communication of PHI. Request for Limitations and Restrictions of PHI. Amendment Request. Revocation of Access. Request for Accounting of Disclosures of PHI. Personal Representative Request.Pharmacy Search. Each pharmacy result is listed as a Preferred or Standard Pharmacy. Some pharmacies contract with our plan to offer lower cost-sharing to plan members. This is known as preferred pharmacy cost-sharing. You may fill your prescriptions at either a preferred or standard pharmacy. You can save money on certain prescriptions by ... Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania. Welcome to the Trading Partner Business Center for Independence Blue Cross. The Trading Partner Business Center is a resource for trading partners who conduct Electronic Data Interchange (EDI) transactions with Independence Blue Cross, including products issued by Keystone Health Plan East or administered by Independence Administrators …Apr 10, 2024 · Find Independence Blue Cross Doctors in Philadelphia, Pennsylvania & make an appointment online instantly! Zocdoc helps you find Doctors in Philadelphia and other locations with verified patient reviews and appointment availability that accept Independence Blue Cross and other insurances. All appointment times are guaranteed by our Philadelphia ... Supplemental Insurance. It’s impossible to predict every event in life, but you can help prepare for the unexpected. By teaming with The Guardian Life Insurance Company of America, we offer you access to specialty insurance products — ranging from life to cancer insurance — which can be a value-add to your health plan. 8.Health Content Provider06/01/2025 A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify t...The Social Security Administration provides different types of benefits through their programs. Most of these programs are funded by Social Security tax and Medicare tax, in the ca...In today’s fast-paced healthcare industry, efficiency and accuracy are crucial for providing quality patient care. Healthcare providers often face challenges in managing administra...Find a provider or facility that's right for you from Independence Blue Cross's extensive network.By providing my phone number and/or email address, I authorize Independence Administrators, its subsidiaries and affiliates (collectively "IA"), and my employer to …Browse our extensive directory of the best Independence Blue Cross Psychiatrists and Independence Blue Cross Psychiatric Nurses near you.The PEAR portal. The Provider Engagement, Analytics & Reporting (PEAR) portal is a single point of entry for participating providers to easily access tools to help manage the clinical and financial information specific to their provider organization and to obtain plan information to care for their patients. Registration is required.The member/provider data shown is used for training purposes only and does not reflect actual member/provider data. You may see minor screen variations when logging onto the portal. Process steps remain the same and applicable to Independence Blue Cross, Independence Administrators, AmeriHealth Pennsylvania, AmeriHealth New Jersey, …Prior authorization. For members who have prescription drug coverage through Independence Blue Cross (Independence), prior authorization is required for certain …
Find network hospitals and doctors throughout the U.S. at the Independence Administrators' online provider directory. CARDONE Closed Panel PPO option. Find network hospitals and doctors in the CARDONE Closed Panel PPO directory. Find a Participating Pharmacy. Visit FutureScripts ® to find a participating pharmacy. The FutureScripts retail .... Detention yelp
The Provider Manual is an easy-to-use reference tool, color-coded, and hyperlinked to provide easy access to the information that providers need most. It is updated regularly to provide pertinent information regarding our policies, procedures, and functions. Provider Manual. Int roduction (December 2021)Independence’s Policy Bulletins should not be construed as providing medical advice or treatment or guaranteeing the outcome or results of any medical services/treatments and/or procedures. If members have a specific question about their medical condition, they should consult with their provider. Providers are responsible for providing ...To find Jefferson Network (Tier 1), Partner Network (Tier 2), or Independence Administrators (Tier 3) participating doctors, specialists, or hospitals, use the Provider …If you suspect health care fraud, report it here. Media Inquiries. Information and interview requests for members of the media. General Inquiries. How to reach us by mail, email, or phone. Office Location: Independence Administrators. 1900 Market Street. Philadelphia, PA 19103.Welcome to PEAR Portal! If your provider organization is not yet enrolled, select Register My Organization below. Only participating providers in an Independence Blue Cross, Independence Administrators, AmeriHealth, or AmeriHealth Administrators network can obtain access to the PEAR portal. The registration form requires an officer or owner of ...If you suspect health care fraud, report it here. Media Inquiries. Information and interview requests for members of the media. General Inquiries. How to reach us by mail, email, or phone. Office Location: Independence Administrators. 1900 Market Street. Philadelphia, PA 19103.AmeriHealth Administrators, an independent company, performs medical management services on behalf of Independence Administrators. You can obtain a copy of a specific policy by calling the clinical services department at 1-888-234-2393. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.Precertification list effective date: January 1, 2024. This applies to services performed on an elective, non-emergency basis. Because a service or item is subject to precertification, it does not guarantee coverage. The terms and conditions of your benefit plan must be reviewed to determine if any of these services or items are excluded. SOLUTION RESOURCES. Independence Administrators will delegate pre-certification for certain services to EviCore healthcare (EviCore) on July 1, 2022. The ordering provider is responsible for submitting pre-certification requests for the applicable services. Failure to adhere to the pre-certification process may result in a bill to your patient. Woodrow Wilson’s “The Study of Administration” is an academic essay in which Wilson calls for a central administrative bureaucracy to govern independently of elected officials in t... Independence Administrators has a team of registered nurses, health coaches, and case managers to help. They use their health care expertise, compassion, and knowledge of your plan member’s benefits to help navigate the health care landscape. They work with them to help develop care plans and support physicians’ treatment plans; identify ... Jan 12, 2023 ... Use our Find a Provider tool to find in-network doctors, hospitals, and urgent care centers near you. Search. Find a Pharmacy. See which retail ...Independence Blue Cross is a subsidiary of Independence Health Group, Inc. — independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania. To ensure your privacy, all information will be sent via a secure connection.Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory. Independence Administrators is pleased to provide you with the convenience of online access to your health plan information and resources to help you manage your health. Independence Administrators offers health management solutions and customized benefits plans for employers and members. Learn more about their services and network. Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory. Entercom employees and their covered spouses and dependents may contact us at the following telephone number and address: Customer Service. 1-888-356-7899. Contact us via email.If you’re looking for a reliable insurance provider, Progressive is a great option. With millions of customers and independent agents and brokers, Progressive is one of the larger ....
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