Healthy blue provider directory. at (800) 430-4263 (TTY: (800) 430-7077). Behavioral health providers. To request a hard copy of Blue Advantage’s provider directory, please call our Member Service Department at 1-888-950-0705, Monday - Friday, 8 a. Find A Doctor – Provider Directory - Blue Cross and Blue Shield's Federal Employee Program Skip to main content * Availity, LLC is an independent company providing administrative support services on behalf of Healthy Blue. The Healthy Blue Medicaid Managed Care Provider Manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies. Provider Manual. Please visit the Doctor Locator to find in-network providers. Eastern time. You'll get the most from your Medicare insurance coverage (and save money) if you choose a doctor or hospital in your plan. Prior to receiving services, ask your health care provider if she or he is in the network shown on your Blue Cross and Blue Shield of Nebraska member ID card, or you may call the Member Services number on the back of your ID card. Please note that additional credentialing is not required for those providers already credentialed in one of the BCBSTX networks and whose credentialing is current. Some members only get mental health and substance use services through Healthy Blue. Proof of prior dental coverage with less than 63 days lapse in coverage is required. Blue Essentials, Blue Advantage HMO, Blue Premier and MyBlue Health - Provider Manual; MyBlue Health Key Contacts List Need help? We provide lots of resources to ensure you have the information you need at your fingertips. Through this tool, you are able to search by location, name, specialty and more. Search for the type of provider you need such as: Primary care provider (PCP). Appointment Availability Access Standards for Primary Care-Type Providers, Ob/Gyns, Specialists and Behavioral Health Providers Appointment Availability Access Standards for Primary Care-Type Providers, Ob/Gyns, Specialists and Behavioral Health Providers; Digital Member ID Card Policy Digital Member ID Card Policy; Provider Directory Management As a Healthy Blue member, you get all of your Medicaid benefits and services, including: Primary care provider (PCP) visits; Immunizations and wellness visits Whether you need a specialist or a family practice doctor near you, it's easy to find the right care for your needs. In addition, you'll find directories for mental health clinicians and facilities. . The authenticated portal will be available to beneficiaries beginning March 1, 2021. Jul 1, 2024 · As of July 1, 2024, South Carolina Department of Health and Human Services (SCDHHS) offers a single Preferred Drug List for all providers within the Healthy Connections program. To request a hard copy of the provider manual and/or provider directory from the plan at no cost, call Healthy Blue Provider Services at 844-594-5072. Here you will find information for assessing coverage options, guidelines for clinical utilization management (UM), practice policies, and support for delivering benefits to our members. They work together to give you the health care you need. You can search for: Primary care providers (PCP) Specialists; Mental health providers; Hospitals; Laboratories; Facilities; Search for providers now To find a provider in the Healthy Blue network, click the search for a provider button below or contact Member Services at 844-594-5070 or TTY 711. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. Search now. Employer Producer Jul 23, 2024 · If you find multiple health plans listed, please explore each plan and choose the one that suits you and your family’s needs. The First Health Network can be accessed by clicking here. Membership reassignment. MIM is a unique online tool for providers. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health℠, and/or Horizon Healthcare Dental, Inc. Healthy Blue Louisiana Provider. Look up prior authorization requirements and more. healthybluenc. Oct 12, 2023 · Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Our provider directory is subject to change without notice. Tools and resources Members: Don't see your provider or facility? Not to worry! Peak Health has partnered with Aetna's First Health Network to complement the providers in our local service area to offer you a robust national network with access in all 50 states. Like making preventive care accessible, so we can solve problems before they become problems. Our directory allows you to search by provider last name or type of provider. You can find one that meets your needs with our Find a Doctor tool. They'll be your coordinator for all your health care needs, ensuring you get the right care at the right Sep 10, 2024 · Search for Providers and Facilities. This includes physical health, behavioral health and prescriptions. Learn how to change your PCP, get vision and dental care, and access online services. Jan 25, 2021 · The provider directory contains all active Medicaid and NC Health Choice providers, including primary care providers, specialists, hospitals and organizations. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. Here you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to Healthy Blue members. A few types of providers you’ll find include: Behavioral health providers; Health home providers; Laboratories; Specialists; Clinics; Hospitals; Pharmacies; Where Should We are committed to supporting you in providing quality care and services to Healthy Blue members. Sep 2, 2021 · Find a doctor, hospital, pharmacy and more. Mental Health & Substance Use Services. in cooperation with Blue Cross and Blue Shield of Kansas City. Change Healthcare notifying individuals of data breach. Learn about Healthy Blue Missouri Medicaid and Medicare insurance programs. Verifying eligibility and benefits is important. , each an independent licensee of the Blue Cross Blue Shield Association. Providers are periodically added or deleted. Also, find health care facilites including hospitals, urgent care and labs. With your Healthy Blue Living plan, you'll need to choose a primary care provider, or PCP. To access the secure section of the website, you will need an Availity ID. S. Virgin Islands. Search for providers that accept MO HealthNet Managed Care plan by name, specialty, location and type. - 8 p. For Dual Special Needs Plan (D-SNP) referrals and information, go to the Healthy Blue D-SNP page. Generate a list of providers in minutes with this easy step-by-step process, and start your journey toward mental health healing today. Of course, you can use our search tools to find doctors and hospitals that take your insurance. Healthy Blue will continue to be responsible for proper and timely adjudication of all services rendered to its enrollees until 11:59 p. Health plans have a provider network (group). Providers. Blue Cross and Blue Shield of Alabama's online guided search tool helps match you to the best mental health providers for your specific needs. Guides. , a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Care for your unique needs, in one place. IS AN (HMO) (HMO SNP) WITH A MEDICARE CONTRACT. DBA Florida Blue. Healthy Blue is a Medicaid product offered by Missouri Care, Inc. To find a doctor, group, or facility for a patient referral, use our online provider search tool or the PDF referral directories. Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. Pacific time. Helpful Information. Providers are free to join or leave the network at any time. To comply with state mandates including SB137, providers who do not provide us with informational updates and are in-network might not appear in our search. When is the Healthy Blue provider directory updated? The provider directory Find a Doctor online tool is updated daily using data received from NCTracks. A. Focused on the health of each member. , a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services - Healthy Blue is administered statewide by Missouri Care, Inc. , DBA Florida Combined Life. Welcome! Healthy Blue is the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve North Carolinians who participate in the state Medicaid program. Locate vision care providers, mental health professionals, virtual care options, and more. We provide access to doctors, providers, and services to help you with your emotional and mental health. Use our search tool below to find a plan provider close to home. , Puerto Rico and the U. Call Medi-Cal Health Care Options Monday– Friday, 8 a. The directory is updated often, so please check our online search tool or call us if you need help finding a provider. Use our provider directory to find providers, hospitals and more. in cooperation Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Other providers are available in our network. Download your panel listings. on December 31, 2023. Provider Tools & Resources Healthy Blue North Carolina Providers. For help, contact Customer Service – 800-663-9355 – Monday-Friday, 8:00 a. Oct 1, 2023 · Let’s go beyond health insurance, to health solutions. Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Presentations. How members access Behavioral Health services. and in Kansas City service region by Missouri Care, Inc. You can also find a range of health care providers to help you care for the whole you. Healthy Blue Member Services. May 30, 2024 · You may go to any of our network providers listed in this directory. If you need a printed Provider Directory, call L. From Providers can obtain an online copy of the provider manual and view the provider directory at provider. Our website provider directory is updated as required by federal guidelines. Providers can obtain an online copy of the provider manual and view the provider directory at provider. Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc. Choose Healthy Blue Missouri as your health plan provider today. Provider search tool. BlueCross BlueShield of South Carolina Foundation Grant Recipients. If a Healthy Blue member is dealing with depression, anxiety or a mental health concern, our care managers will work with the member and their primary care provider to help get the care they need. Like Florida Blue Centers, where you can go for health screenings, fitness classes, sleep seminars and nutrition classes. HMO coverage is offered by Health Options, Inc. Specialists. 844-594-5070 (TTY 711) Monday through Saturday, 7 a. ENROLLMENT IN Imperial Health Plan of California, Inc. For members who have been reassigned to a new MCO by the Louisiana Department of Health effective January 1, 2023, authorizations are being shared and will be loaded into our systems by the six MCOs (Aetna, Amerihealth Caritas, Healthy Blue, Humana, Louisiana Healthcare Connections and United Healthcare) that cover the time frame of Search our nationwide directory of Preferred providers—those providers in our network. You can search by name, specialty, location and more. A health plan is a group of doctors, hospitals and other health care providers. Use these tools to find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. m. Search doctors across the Chicago area now. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Learning the basics of how your health plan works will help you understand and get the most value from it. CST. About Healthy Blue With over 80 years of local experience, and doctors, hospitals, and clinics all across Kansas to choose from, you can trust Healthy Blue for your Medicaid benefits. You can enroll in a Medi-Cal health plan by phone. Provider Search Tool To find a doctor, group, or facility for a patient referral, use our online provider search tool or the PDF referral directories below. Jul 12, 2024 · If you want to change your PMP, use this tool to find the name of the new PMP you'd like. See which of your favorite doctors are already in our network or look up other kinds of care providers you may need. These tools are offered for your convenience and should be used only as reference tools. Imperial Health Plan of California, Inc. And much more! We work to fund community partners across the state to support free health clinics, school nursing programs and other things to help keep you healthy. Apr 27, 2021 · Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc. BlueCard Worldwide Provider Directory Use this directory to find providers outside the U. DBA Florida Blue HMO. to 8:00 p. You can get this information through My Insurance Manager SM (MIM). 844-545-1427 (TTY 711) 24 hours a day, seven Jul 12, 2024 · You may go to any of our network providers listed in this directory. To view PDF documents, you will need Adobe Acrobat Reader. To request a hard copy of Blue Advantage’s provider directory, please call our Member Service Department at 1-888-234-8266, Monday - Friday, 8 a. Health New England cannot guarantee that any provider or group of providers will continue to be In-Plan Providers. com. The BlueCross BlueShield of South Carolina Foundation is an independent licensee of the Blue Cross Blue Shield Association. We can help with: Understanding your benefits; Finding a provider near you; Choosing or changing your PCP; Getting your ID card; Member handbooks; Free translation services; 24/7 NurseLine. Resources include:Provider Office Manual. In the United States, Puerto Rico and U. You may also contact Peak Health Member Health New England updates its paper plan provider directory each month. Effective January 1, 2024, Healthy Blue will no longer participate in Nebraska’s Medicaid Managed Care Program. Hospitals and facilities. an independent licensee of the Blue Cross and Blue Shield Association. You could also search by the PMP’s city and state, specialty and plan. Need help finding a behavioral health provider? For outpatient office visits, no referral is needed. Like going beyond physical health and being there for your mental health. Blue Shield always tries to show the most up-to-date provider information on our website, but this information can change at any time. To find a doctor, group or facility for a patient referral, use our online provider search tool or the PDF referral directories below. The Health Choice Provider Directory is a listing of primary care physicians, specialists, hospitals, urgent care centers and other providers here to serve you. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. These companies are Independent Licensees of the Blue Cross and Back to Top Use this directory to find providers if you have a Blue KC member ID card and live outside the Blue KC service area or if you are a member of another Blue Plan. Healthy Blue is administered by Missouri Care, Inc. Members can also call Healthy Blue at 844-227-8350 for help getting specialized behavioral health care. If you want to change your PCP, use this tool to find the name of the new PCP you want. From with Blue Cross NC to be a Healthy Blue provider? No, Blue Cross NC is required to use NC DHHS' primary source verification and does not credential Healthy Blue providers. Bulletins. (HMO) (HMO SNP) COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL Look for a doctor, hospital, laboratory, or any other medical provider by name, specialty or location anywhere in Louisiana, and print directory results for your search. Provider manuals. Care Members Services at 1-888-839-9909 (TTY: 711) or you can download a digital copy in the Resources section of the Medi-Cal Member Materials page. Availity, LLC is an independent company providing administrative support services on behalf of Healthy Blue. Healthy Blue is offered by BlueChoice HealthPlan, an independent licensee of the Blue Cross Blue Shield Association. Health plans provide added services like programs to help you quit smoking. Healthy Blue is committed to supporting you in providing quality care and services to the members in our network. to 6 p. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc. We know health insurance can be confusing. Outside the United States *Select Blue Cross Blue Shield Global™ or GeoBlue if you have additional international coverage and need to find care outside the United States. Verify member eligibility. The Healthy Blue provider website is your one-stop shop to: Submit claims and appeals. Healthy Blue’s provider manual provides key administrative information including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies. DEPENDS ON CONTRACT RENEWAL. vptpykzjjojhomwvfkrpwytxkcgiawufdrluklhyryysbgayspl
