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Wayne | Valley Health
- https://valleyhealth.org/locations/wayne
- It is the mission of Valley Health to provide quality healthcare to all individuals, emphasizing outreach to those who are underserved. Valley Health strives to ensure that quality healthcare is readily accessible to everyone and serves patients regardless of their ability to pay.
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valleyhealth.org › locations › huntingtonHuntington - Valley Health
- https://valleyhealth.org/locations/huntington
- It is the mission of Valley Health to provide quality healthcare to all individuals, emphasizing outreach to those who are underserved. Valley Health strives to ensure that quality healthcare is readily accessible to everyone and serves patients regardless of their ability to pay.
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Health Care Providers - PEIA
- https://peia.wv.gov/health_care_providers/Pages/default.aspx
- Provider Briefing Provider Briefing - Online news and information for health care providers New Providers New service providers in West Virginia should complete the Provider Demographic Worksheet and submit it with a copy of the W-9 form and the practitioner's license. The information can be emailed directly to UMR at [email protected].
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WV Medicaid :: The Health Plan
- https://www.healthplan.org/providers/medicare-medicaid/wv-medicaid
- The Health Plan's Provider Manual contains comprehensive information related to best practices for the care of this population. Following the Bureau for Medical Services (BMS) guidelines, The Health Plan is waiving WV Medicaid member copays during the COVID-19 pandemic.
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PEIA
- https://peia.wv.gov/
- PEIA is required by law to maintain the confidentiality, privacy, and security of our members' protected health information (PHI).
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Accessing Your Claims Online - PEIA
- https://peia.wv.gov/understand_my_benefits/preferred-provider-benefit-plans-a-b-d/third-party-administrator/Pages/Accessing-Your-Claims-Online.aspx
- Email: [email protected] PEIA > Understand My Benefits > Preferred Provider Benefit (PPB) Plans A, B & D > Third-Party Administrator > Accessing Your Claims Online Accessing Your Claims Online Members can access information by logging on to umr.com. Registering to Use the Web site To use the Web site you must register.
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Umr - Peia
- https://peia.wv.gov/Pages/UMR.aspx
- UMR. PHONE: 888-440-7342 (Toll-Free) UMR is PEIA's third-party administrator that handles medical claim processing, case management, utilization management, precertification, prior approval and customer service for the PEIA PPB Plans. Contact UMR for answers to questions about eligibility, benefits and networks.
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PDF About UMR 's new TPA - PEIA
- http://peia.wv.gov/health_care_providers/Documents/PEIA_ProviderFAQ_0619.pdf
- umr.comwill allow you to look up PEIA member benefit details, make claims or billing inquiries for services provided on or after July 1. You can register as a health care provider user by signing up with your office TIN, starting the third week in June. You will also be able to send secure messages through the UMR provider portal.
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PEIA :: The Health Plan
- https://www.healthplan.org/types-plans/employer-plans/peia
- PEIA Over 15,000 PEIA Members Have Already Chosen Us You Can Too! Open enrollment runs from April 2 - May 15. It's true. You have a choice. Pick The Health Plan instead of just PEIA alone, and receive all these benefits and more: $10 Copay for PCP Visits - 50% lower than PEIA alone offers Your Choice of (3) Flexible Plans Local Customer Service
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For Providers :: The Health Plan
- https://www.healthplan.org/providers
- Provider Portal. Access your provider account. Login. Access: File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans. Employer Plans; Commercial Plans; MEWA; PEIA; Self-Funded Plans; Medicare; Medicare Advantage Plans; Medicare Supplement Plans; Mountain Health Trust; WVCHIP ...
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UMR Portal
- https://provider.umr.com/
- Provider submissions Opens in a new window. About Us. UMR is a third-party administrator (TPA), hired by your employer, to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being. UMR is not an insurance company. Your employer pays the portion of your health care ...
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Caremark
- https://www.caremark.com/wps/portal/FOR_HEALTH_PROS_TAB
- Downloadable Forms and Guides. State of West Virginia Public Employees Insurance Agency (PEIA) 835 Pharmacy Payment Setup/Change Form (PDF) TrOOP Excluded Entity Patient Pay Amount Adjustment Form (PDF) Teacher Retirement System of Texas (TRS-ActiveCare) Extended Day Supply Network Information.
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Provider Login
- https://wtcportal.healthsmart.com/Provider/Login.aspx
- First-time users please register by utilizing the Provider Registration option from the Self Service Tools section of this page. Click here to access a recorded training session of the new portal. (Password: HSWTC) If you have any concerns, please email [email protected]
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Umr Provider Login Login | Umr Portal
- https://beved.dontexist.com/umr-provider-login/
- PEIA's toll-free TPA phone number will remain the same … 844-289-0155. Is there an online portal for claims, benefits … the UMR provider portal. How do I …
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PDF CareCentrix and PEIA Member Services
- https://ha2.edelivery-view.com/Public/CCX1000/1531_PEIA%20Term%20Provider%20Communication%20Newsflash%20and%20FAQ_June%202021.pdf
- 6/30/2021 should utilize Provider Portal: HomeBridge® or the contact information listed in the Provider Manual. Providers should utilize the following UMR contact information for support for services rendered on or after 7/1/2021: - Access I-Exchange portal via umr.com to request authorization, check
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Provider Center - HealthSmart
- https://www.healthsmart.com/Service-Centers/Provider-Center
- Provider Center Online provider access to member health benefits and claims information With our growing provider base, members have better access to the best care available. We are committed to providing the best care for our members and the best provider services, including expedited claims turnaround times.
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UMR Portal
- https://member.umr.com/tpa-ap-web/?navDeepDive=publicMemberHomeTile5Root
- UMR offers flexible, third-party administration of multiple, complex plan designs and integrated in-house services. We work closely with brokers and clients to deliver custom benefits solutions.
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Provider network - UMR Portal
- https://www.umr.com/tpa-ap-web/?navDeepDive=network196&viewDefaultLayout=false
- UMR online services is a portal that provides... Warning: usage of this Web site requires acceptance of our Site Usage Agreement. Unauthorized usage or access will be prosecuted to the maximum extent under the law.
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CareCentrix Portal
- https://www.sleepsms.com/ProviderPortal/homePage.do
- This portal is intended to support providers in requesting authorizations for sleep services and managing your patients sleep service needs across the sleep management continuum. The program is a prior-authorization program designed to improve the overall quality of sleep related services from diagnosis to therapeutic management.
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Home :: The Health Plan
- https://healthplan.org/
- Join us at the East Ohio Regional Hospital conference room April 27, 2022!
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UHC Choice Plus Provider Search - UMR Portal
- https://www.umr.com/oss/cms/UMR/Choice_Plus_no-nav.html
- Click on the View providers button below to search for health care professionals in your network. Helpful Cost Estimates This provider search tool also shows information about the cost of care. Look for providers labeled "Premium Care Physician", which indicates the provider meets the criteria for providing quality and cost-efficient care.
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Login | Portal - provider.umr.com
- https://provider.umr.com/tpa-ap-web/oidc-auth?code=OaMmfiIXxglhYw0jS877Iosu3AE49fW9&state=12345
- UMR offers flexible, third-party administration of multiple, complex plan designs and integrated in-house services. We work closely with brokers and clients to deliver custom benefits solutions.
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iExchange Providers - Medecision
- https://www.medecision.com/iExchangeProviders/
- Multi-payer capabilities allow providers to submit requests to various payers with a consistent workflow experience. Increase in patient satisfaction by streamlining communication with health care payers. Implementation of more efficient processes, freeing up additional time to focus on patient care. iExchange is offered FREE to providers.
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Fee Schedules :: The Health Plan
- https://www.healthplan.org/providers/claims-support/fee-schedules
- Provider Portal. Access your provider account. Login. Access: File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria ... PEIA Fee Schedule; Provider Portal. Access member eligibility & benefits, payment vouchers, claims status, claims submissions and more. Login. Report Healthcare Fraud.
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PDF Medical Pre-Certification Requirements
- https://www.umr.com/oss/cms/FHS.UMR.com/SharedFiles/77700000_-_PEIA_Pre-Certification_Requirements_7_2020.pdf
- providers. For all non-network providers, this 30% penalty will be the responsibility of the insured in addition to any applicable copayments, coinsurance, deductible, and amounts that exceed PEIA's maximum allowance.
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UMR Portal
- https://www.umr.com/
- Provider. Producer. Partner. en Español - Opens in a new window. About Us. UMR is a third-party administrator (TPA), hired by your employer, to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being.
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PDF Sleep Study Prior Authorization Request Form - CareCentrix
- https://help.carecentrix.com/ProviderResources/PEIA_Health_Fax_Request_form.pdf
- Portal: www.sleepsms.com or www.carecentrixportal.com This form must be completed in its entirety for all faxed sleep diagnostic prior authorization requests. The most recent clinical notes and current medication list (medications the member has been prescribed for the last 30 days) must also accompany the faxed request.
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Forms & Prior Auth List Notices :: The ... - Health Plan
- https://www.healthplan.org/providers/prior-authorization-referrals/forms-prior-auth-list-notices
- Medical Prior Authorization Request Form. Molecular Pathology Request Form. Electronic Claim Fax Cover Sheet. Prior Authorization for SUD Form. Prior Authorization for Drug Screening Form. Pharmacy Pre-Authorization and Notification Form. Authorization to Disclose Health Information to Primary Care Providers. Continuity of Care Consultation Sheet.
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