El Paso Health Provider Manual

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El Paso Health

Just NowEl Paso Health Provider Manual P a g e 8 EPHP3222104 Updated April 2021 Community El Paso Health is committed to long-term participation and investment in our community. El Paso Health’s network builds upon the existing structure of community providers and organizations.

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El Paso Health Advantage Dual (HMO DSNP)

206.10.205 hours agoEl Paso Health believes that a successful managed care program is based on an effective partnership with Providers, Members and The Community. Providers El Paso Health is sensitive to the many demands on a Provider’s time and resources. Our Provider Relations department offers support and streamlines administrative procedures.

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PHARMACY PROVIDER MANUAL El Paso Health

925 915-5328 hours agoPharmacy Providers Handbook Navitus Health Solutions is a 100 percent pass-through pharmacy benefit company committed to lowering drug costs, improving health and providing superior customer service in a manner

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EL PASO FIRST HEALTH PLANS, INC Provider Web Portal User

915.532-37789 hours agoEL PASO FIRST HEALTH PLANS, INC Provider Web Portal User Manual El Paso First Health Plans, Inc. 1145 Westmorland El Paso, Texas 79925 Phone 915.532-3778• Toll Free 1-877-532-3778 www.epfirst.com . Page 2 of 22 Table of Contents

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El Paso Health PDF Provider Manual El Paso Health Pdf

(915) 532-37784 hours agoBexar, El Paso, Hidalgo, Lubbock, Nueces, Medicaid RSA, Superior Provider Services (STAR Health): 8.7 Provider Directory . [PDF] Provider Claims Quick Reference Guide All PC3 services, with the exception of the Urgent Care/Retail Location benefit, and emergency care, require a prior authorization from TriWest

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Providers in our Network El Paso Health

915-532-37788 hours agoProvider Complaints If you have a complaint, you can call El Paso Health at 915-532-3778 or toll free at 1-877-532-3778. You can also send us an email at [email protected] or send us a fax at 915-298-7872.. The HHSC mailbox for provider complaints is: [email protected] Provider Appeals

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PROVIDER MANUAL HMC Healthworks

3 hours agoHMC HealthWorks Provider Manual 2 6/4/2017 Table of Contents Benefit and Eligibility Inquiries Contact the toll-free number for behavioral health on the back of the member's ID card HMC Health Works P.O. Box 981605 El Paso, …

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El Paso Health Medicaid, Children's Health Insurance

8 hours agoEl Paso Health (EPH), a Medicaid Managed Care Organization, will be accepting applications from 1/08/2021 through 1/27/2021 for participation as Medical Service or Long-term Services and Supports (LTSS) Providers in our network. Applicants must meet EPH’s credentialing criteria and standards for acceptance. Interested applicants should contact EPH’s Contracting and …

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City of El Paso Department of Public Health Health

2 hours agoCity of El Paso Department of Public Health March 2013 City of El Paso . Department of Public Health . Health Promotion, Education, and perspectives of the community we serve helped to ensure a quality manual. Workgroup Members . Bertha Amaya, WIC Services Manager, stronger smoke free policies, such as in parks and multiunit housing

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2021 USFHP Provider Manual FINAL PC775 CHRISTUS …

1 hours agoBilling Address US Family Health Plan Claims P.O. Box 981696 El Paso, TX 79998-1696 Electronic Data Interchange (EDI) version of the Provider Manual is located on the Plan’s website, free language interpretation services for non-English speaking members that can be

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Provider Portal Healthx

1 hours agoLogin Username Password Submit Forgot your username or password?

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Clover Health Provider Manual 2021

9 hours agoExcept where otherwise indicated, this Provider Manual is effective as of January 1, 2021 for providers currently participating in the Clover Health network. This Provider Manual will serve as a resource for navigating Clover Health’s operations and processes. As an in-network provider, you are expected to be familiar with this manual and

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Plan Materials – El Paso Health Plus

833-742-31258 hours agoIf you have questions, please call El Paso Health Advantage Dual SNP Member Services toll free at 1-833-742-3125 (TTY 711). We are available: October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily. April 1 – September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.

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April 2021 STAR Bexar, Dallas, El Paso, Hidalgo, Lubbock

877-391-59214 hours agoSTAR Kids - Bexar, El Paso, Hidalgo, Lubbock, Nueces, Travis, West MRSA. STAR Health - Statewide. STAR, CHIP 1-877-391-5921 IV Superior HealthPlan Provider Manual Contents SECTION 1 STAR Health Provider Responsibilities

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Provider Directory

4 hours ago2021 Provider Directory. The files below are in PDF format () CHIP/CHIP Perinate - RSA South. CHIP/CHIP Perinate - RSA North. CHIP/CHIP Perinate - RSA East. CHIP/CHIP Perinate - RSA Central. CHIP/CHIP Perinate - Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery,Waller and Wharton. CHIP/CHIP Perinate - Collin, Dallas, Ellis

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Health Care Providers and Facilities El Paso County

(719) 578-31991 hours agoContact Us (719) 578-3199 [email protected] In case of emergency, dial 911. Main Location. 1675 W. Garden of the Gods Rd. Suite 2044 Colorado Springs, CO 80907

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El Paso Mental Health

915-249-66391 hours ago9440 Viscount suite 100, El Paso, Texas. 915-249-6639. [email protected] 24/7 Crisis line for participants: 915-232-0758.

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Handbooks Magellan Provider

5 hours agoThe Magellan National Provider Handbook outlines the policies and procedures with which providers are required to comply when serving members whose care is managed by Magellan and/or its affiliated companies. Providers also must comply with the policies and procedures contained in any applicable handbook supplements, including the Magellan

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Youth Empowerment Services Waiver Providers Texas Health

6 hours agoYouth Empowerment Services Waiver Providers. The Youth Empowerment Services Waiver is a 1915 (c) Medicaid program that helps children and youth with serious mental, emotional and behavioral difficulties. The YES Waiver provides intensive services delivered within a strengths-based team planning process called Wraparound.

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A howto guide for health care professionals who work with us

1 hours agoEl Paso, TX 79998-1106 For all Medicare and Aetna Student Health℠ plans, use the El Paso, TX, claims mailing address. For all Aetna Voluntary plans and limited benefits insurance plans (formerly “Aetna Affordable HealthChoices℠ plans”), use the Lexington, KY, claims mailing address. For Aetna Signature Administrators® Preferred Provider

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El Paso County TX Free Clinics Free Clinics in El Paso

1 hours agoEl Paso County Texas Free & Income Based Clinics. This is a county based search for El Paso County clinics. We also provide city based searches. Use the search box below to only search one city at a time. For the most part these clinics are for low income persons or those without insurance. Review all of the information we have provided for the

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Clover Health Provider Manual 2020

8 hours agoExcept where otherwise indicated, this Provider Manual is effective as of January 1, 2020 for providers currently participating in the Clover Health network. This Provider Manual will serve as a resource for navigating Clover Health’s operations and processes. As an in-network provider, you are expected to be familiar with this manual and

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Blue Cross Medicare Advantage BCBSTX

7 hours agoMyBlue HealthSM. Provider Manual . Updated 01/15/2021. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association El Paso Area – El Paso county surgeries (hospital and free standing ambulatory surgery centers). Quest Diagnostics Offers:

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Healthy Texas Women Texas Health and Human Services

4 hours agoProviders of Healthy Texas Women services must certify their compliance with state law under their National Provider Identification number. The Healthy Texas Women program offers free women's health and family planning services to eligible, low-income women.

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Provider and Billing Manual Texas

9 hours agohow to use this provider manual Ambetter is committed to assisting its provider community by supporting their efforts to deliver well- coordinated and appropriate health care to our members.

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Breast & Cervical Cancer Services Texas Health and Human

6 hours agoClinical breast examination: A health care provider, such as a doctor or nurse, looks at and feels the breast and underarms for skin changes or lumps during a health check-up. Screening mammogram: An x-ray picture of the breast used to find breast cancer.

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Physicians & Providers City of El Paso Texas

915-212-65206 hours ago24 hours a day / 7 days a week. 5115 El Paso Dr., Suite A. El Paso, Texas 79905. Phone: 915-212-6520. Fax: 915-212-0170.

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Providers Publications and Training Claims

5 hours agoFor Child Health Plus and Medicaid Members Affinity Health Plan P.O. Box 981726 El Paso, TX 79998 - 1726 For Affinity Medicare Members (Services rendered in 2018) P.O. Box 4018 Scranton, PA 18505-6018 Effective January 1, 2019, Medicare membership transitioned to …

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Providers Publications and Training Publications and

5 hours agoProvider Manual. Use our Provider Manual to access important information on Affinity's key policies, procedures and expectations related to your network participation. If you have any questions, please contact your provider relations representative. Publications. Our publications are designed to keep providers informed about the most current Affinity policies, initiatives, …

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Behavioral Health Services Providers Texas Health and

2 hours agoCognitive Behavioral Therapy Providers. Competency Restoration Providers. Comprehensive Providers. Consumer-Operated Service Providers. Coordinated Specialty Care for First Episode of Psychosis Providers. Crisis Service Providers. Healthy Community Collaborative Providers. Home and Community-Based Services — Adult Mental Health Providers.

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El Paso COVID19 Vaccine

6 hours agoThe City of El Paso is one of several local healthcare providers registered and able to administer the COVID-19 vaccine. Below please find a list of vaccine sites offered by the City and several community partners. The City of El Paso does not require you to schedule an appointment to get your vaccine at any of the City's vaccination sites.

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Provider Page MediShare

8 hours agoOn the Medi-Share provider page you can register as a new provider, check member eligibility, check bill status, and add/edit physician or facility info. An Affordable Alternative to Health Insurance. Available in all 50 states. For Seniors 65+ For Seniors 65+ El Paso, TX 79998-1652. For Members.

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El Paso First Health Plans 835 payerlist.claimremedi.com

020-10-26Just NowPayer ID: EPF02, EPF03, EPF10, EPF11, EPF37 www.esolutionsinc.com 2020-10-26 . El Paso First . Health Plans . 835 . EDI Enrollment Instructions:

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Bienvivir El Paso, Texas All Inclusive Senior Health

6 hours agoBienvivir All-Inclusive Senior Health is a community-based health-care program developed to serve the frail, elderly population of El Paso. Utilizing the National Program for All-Inclusive Care of the Elderly (PACE) as the model of service, Bienvivir serves those who qualify for Medicaid and Medicare and provides comprehensive care at three facilities in El Paso.

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Provider Training and Manuals Superior HealthPlan

6 hours agoOutpatient Behavioral Health Provider Training (PDF) STAR Health (Foster Care) Resources , including but not limited to the STAR Health Training, 3 in 30 and Texas Child and Adolescent Needs and Strengths (CANS).

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Residential Treatment Center Project Texas Health and

9 hours agoResidential Treatment Center Project. The Residential Treatment Center Project is a partnership between the Department of Family and Protective Services and the Health and Human Services Commission to provide children with intensive mental health care in an RTC setting while their guardian keeps legal responsibility for their child.

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Frequently Asked Questions

How do I become a El Paso health LTSS provider?

El Paso Health (EPH), a Medicaid Managed Care Organization, will be accepting applications from 1/08/2021 through 1/27/2021 for participation as Medical Service or Long-term Services and Supports ( LTSS) Providers in our network. Applicants must meet EPH’s credentialing criteria and standards for acceptance.

Where can I submit comments or suggestions to El Paso health?

Comments or suggestions can be submitted to: El Paso Health ATTN: Provider Relations 1145 Westmoreland Dr. El Paso, TX 79925 915-532-3778 The Provider Relations department is always available to answer any of your questions.

How do I obtain a copy of my El Paso health contract?

If you are interested in obtaining a copy of El Paso Health contract with HHSC, contact Provider Relations at 915-532-3778. Our goal is to make working with El Paso Health as easy as possible for all providers.

What is El Paso health?

El Paso Health offers a comprehensive range of health, social, and support services designed to meet the needs of our Members. In addition to standard benefits, El Paso Health pledges to our Members that: • Each Member is treated with dignity and respect throughout the care process.

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