WorkSmart Institute Administrative Simplification Tools

  

Administrative Simplification Tools : Health Plan Contact Information : Operational Questions

Operational Questions

Use this page when you want to find out WHERE TO GET INFORMATION or WHO TO TALK TO at one of the participating health plan about an operation question/issue pertaining to a referral, prospective review or claim.

You can CUSTOMIZE YOUR OWN REPORT of contact information. First select the area of interest you'd like to see, and then select up to 4 health plans. If you want more than 4 health plans, run this report again.

Step 1: Select Areas of Interest

Practitioner Credentialing
Referrals
Prospective Review
Claims Status
Claims Support Services
HIPAA-EDI Transactions
Select All


Step 2: Select Health Plans (limit four)

First Choice Health Administrators Group Health Premera Blue Cross Regence BlueShield
Aetna Asuris Northwest Health Community Health Plan of Washington KPS Health Plans
Molina Healthcare of Washington PacifiCare, a UnitedHealthcare Company L&I HRSA (Health and Recovery Services Administration
UMP            

Information not yet available from the following:
n/a Cigna Healthcare n/a Columbia United Providers n/a Kaiser Permanente Northwest n/a Medicare Part B
n/a One Health Plan of Washington            

Return to OneHealthPort
Tools Quicklink:
» Using Common Modifiers
» Splitting Claims
» Prospective Review Guidelines
» Inpatient Stay Review
» Health Plan Contacts
» Adoption Matrix

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