Independence administrators provider search

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.

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.Affiliates. Independence Blue Cross is the region’s leading provider of health care benefits — thanks in part to the specialized services and managed care expertise of our affiliates and subsidiaries. As the health insurance needs of our customers expand, our subsidiaries become increasingly important in enabling us to provide the services ...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 ...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 NewYour IBX Care Card is a convenient way to save money and access your over-the-counter (OTC) and — NEW for 2024 for select plans — dental, vision, and hearing (DVH) flex benefits. Find out how and where to spend your quarterly OTC allowance, and — for select plans —your annual DVH Flex allowance, check your card balance, review …

Login/Registration Help for MyIBXTPA. Have questions regarding MyIBXTPA or need assistance with registration/logging in to MyIBXTPA? Members. Contact Customer Service at 1-888-356-7899 or submit your inquiry to Technical Support. 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 ... With Independence Administrators, you have access to an extensive network of doctors and hospitals. While we want you to have the widest range of choices, we also want to make sure you have access to quality care. Find network hospitals and doctors throughout the U.S. at the Independence Administrators online provider directory. Independence Administrators helps organizations based in the Philadelphia five-county area (Bucks, Chester, Delaware, Montgomery and Philadelphia counties) manage self-funded health benefit plans. By leveraging the power of one of the largest provider networks in the country and innovative programs that emphasize value and coordination …View the updated notice for Independence health plan members. Transparency in coverage. Independence Blue Cross (IBX) offers affordable health care, dental, vision and Medicare plans in Philadelphia and southeastern Pennsylvania.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.

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 ...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.Provider Portal. Toggle navigation. Home. Inquiry. The tools on these pages are intended for use by physician office staff only. Any other type of access constitutes misuse and is subject to legal action. Message.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 ...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...

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There, claims submission information is broken out by prefix/product name. The following address should be used for claims related to outer counties: Outer County Claims – Lehigh, Lancaster, Northampton, and Berks County Claims Receipt Center P.O. Box 211184 Eagan, MN 55121. Claims submission information for providers. Grow makes it easy to find affordable therapists that accept your insurance.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.The Provider named above is required to safeguard PHI by applicable law. The information in this document is for the sole use of the Pharmacy Benefit Manager . Proper consent to disclose PHI between these parties has been obtained. If you received this document by mistake, please know that sharing, copying, distributing

Medicare Advantage PPO Blue Cross or Blue Shield member ID card with “MA PPO” in a suitcase and a prefix not defined previously†. 54704. 54704. Claims Receipt Center P.O. Box 211184 Eagan, MN 55121. Prefix. Product name. Payer information for electronic claims. Paper claim mailing address.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 …With Independence Administrators, you have access to an extensive network of doctors and hospitals. While we want you to have the widest range of choices, we also want to make sure you have access to quality care. Find network hospitals and doctors throughout the U.S. at the Independence Administrators online provider directory.» System administrators can add frequently used providers, diagnoses and procedures to facilitate data entry » Additional Notes (Reviewer Notes) text box at the bottom of the page should be used to provide additional clinical information and comments » Users will click at the bottom of the screen to proceed to the Preview page. 2. 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]. The Provider named above is required to safeguard PHI by applicable law. The information in this document is for the sole use of the Pharmacy Benefit Manager . Proper consent to disclose PHI between these parties has been obtained. If you received this document by mistake, please know that sharing, copying, distributingCOVID-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 …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 …Physician Referral Form. If you are interested in having a registered nurse Health Coach work with your Independence patients, please complete a Physician Referral Form or contact us by calling 1-800-313-8628. Prior Authorizations. Providers must complete a request form for all prescription drugs that require prior authorization.We would like to show you a description here but the site won’t allow us.Providers. Independence Provider Hub. Learn more. Tools and resources. Information to help you understand and administer benefits. PEAR portal. Tap into the Provider …

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 ...

The Federal Housing Administration, generally known as FHA or HUD, is the largest insurer of mortgages in the world and provides home mortgage insurance on loans made by FHA-approv... Here in one spot, Independence Administrators offers members of Jefferson access to the latest news, benefit updates, and details on how to get the most from your health coverage. You will find important details about your plan, including tips and tools to maximize your health and well-being. There’s also a wealth of clinically accurate ... Independence Administrators is committed to protecting the privacy of plan members’ personal health information. ... HIPAA also requires that all payers must be able to perform transactions electronically if requested by providers, groups, or insurance companies; and that transactions must use a standard “HIPAA-compliant” format with ...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.Beyond Idaho, Montana, Oregon, and Washington, members can receive in-network care through our collaboration with Aetna Signature Administrators®. Find an Aetna ... 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. Please visit the PEAR Help Center for detailed instructions. To grant third-party organization access to their practice (s) w ithin PEAR CV, the Provider Organization or Location Administrator should call 1-833-444-PEAR (1-833-444-7327). Providers will not be able to assign access to third-party organizations for PEAR CV using PAT.Independence Administrators offers health management solutions and customized benefits plans for employers and members. Learn more about their services and network.Network participation. Thank you for your interest in becoming a participating provider in Independence’s provider networks. All providers interested in participating in our networks must complete and return a credentialing application, as explained below. Information obtained during the credentialing process is confidential and will not be ...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].

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Corporate news. Independence named a 2023 Civic 50 honoree as one of the region’s most community-minded employers (June 22, 2023) Independence Blue Cross announces two new vice presidents (June 22, 2023) Independence Blue Cross earned U.S. News & World Report’s Honor Roll for Best Medicare Advantage Plan companies for 2023 (June 12, 2023)Google provides extensive web history records for any user with a Google account. The company will record every web search, blog search, product search and viewed image within it'...The participation form will allow you to enter one Primary, Mailing, Billing address and also up to two additional addresses per Group TIN and NPI. Please submit any additional addresses needed once provider is credentialed via the Provider Change Form online. Please be advised that if you are outside of our service locations listed below, your ...Independence Blue Cross and Independence Administrators are committed to enhancing the health and well-being of the community and our members. As part of this commitment, effective January 1, 2024, Independence will retire pharmacy policy #Rx.01.94: Weight Loss Agents and replace it with a new policy: #Rx.01.280: Obesity … Jefferson employees can select from the following medical plans. Choose the plan you are enrolled in or would like to learn more about to find a list of covered services and other important information. Platinum PPO Plan. Gold PPO Plan. Silver PPO Plan. These medical plans allow complete freedom of choice of providers. 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. 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 1-800-521-6007 Independence Administrators helps organizations based in the Philadelphia five-county area (Bucks, Chester, Delaware, Montgomery and Philadelphia counties) manage self-funded health benefit plans. By leveraging the power of one of the largest provider networks in the country and innovative programs that emphasize value and coordination of care ... You can count on your Champion for all your health care needs. With one call, you can get everything you need, including: Call 1-844-242-3400 to reach your Champion. Independence offers health plan options to employees of Main Line Health, as well as details on how to get the most out of their plan.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. ….

To find Jefferson Network (Tier 1), Partner Network (Tier 2), or Independence Administrators (Tier 3) participating doctors, specialists, or hospitals, use the Provider …Login/Registration Help for MyIBXTPA. Have questions regarding MyIBXTPA or need assistance with registration/logging in to MyIBXTPA? Members. Contact Customer Service at 1-888-356-7899 or submit your inquiry to Technical Support.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.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 …Dogpile is an aggregate search engine, which means that it provides results from multiple search engines. It uses the search methods and language specific to each search engine to ...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.If you or an eligible dependent are covered under multiple health plans, be sure to submit a Coordination of Benefits (“COB”) form to Independence Administrators (“IA”) so that your health insurance claims are processed properly. To submit or update your COB, you can: Call IA’s Customer Service Center at 1 (833) 242-3330.Search for an in-network pharmacy. Learn how Thyme Care helps and supports AmeriHealth members with cancer along their care journey. Learn about gene-based therapies, which can treat both common and rare genetic diseases. Find a provider, specialist, pharmacy, or facility right for you from AmeriHealth’s extensive network.Independence Administrators helps organizations based in the Philadelphia five-county area (Bucks, Chester, Delaware, Montgomery and Philadelphia counties) manage self-funded health benefit plans. By leveraging the power of one of the largest provider networks in the country and innovative programs that emphasize value and coordination of care ... Independence administrators provider search, 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 ..., We would like to show you a description here but the site won’t allow us., In today’s fast-paced healthcare environment, effective communication and collaboration between healthcare providers is crucial to delivering high-quality patient care. One of the ..., Use this member and employer portal to access and make changes to your Independence Administrators account (s)., Find a provider. Please note: To search for pharmacies near you use our Find a Pharmacy tool. To find participating providers for in-network routine dental, …, Filter to find the news that is relevant to your role. TOPIC. PUBLISH DATE. TAG. TYPE., The US is widening its lead as the world's largest producer of hydrocarbons. For seven straight years, the US has pumped more oil and gas out of the ground than any other country. ..., There, claims submission information is broken out by prefix/product name. The following address should be used for claims related to outer counties: Outer County Claims – Lehigh, Lancaster, Northampton, and Berks County Claims Receipt Center P.O. Box 211184 Eagan, MN 55121. Claims submission information for providers., 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), For the drugs in this program, Independence Administrators considers the following settings to be safe and cost-effective: A physician’s office; The member’s home, where the drug is administered by an in-network home infusion provider; An ambulatory (freestanding), independent infusion suite; Hospital Outpatient Facility Request, You can count on your Champion for all your health care needs. With one call, you can get everything you need, including: Call 1-844-242-3400 to reach your Champion. Independence offers health plan options to employees of Main Line Health, as well as details on how to get the most out of their plan., 13. NOTICE. Independence Administrators may notify you regarding the use of the Site via either e-mail or regular mail. Independence Administrators may also provide notices of changes to the Terms and Conditions or other matters by displaying notices or links to notices to you generally on the Site. 14., 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];, 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., The Federal Housing Administration, generally known as FHA or HUD, is the largest insurer of mortgages in the world and provides home mortgage insurance on loans made by FHA-approv..., The US is widening its lead as the world's largest producer of hydrocarbons. For seven straight years, the US has pumped more oil and gas out of the ground than any other country. ..., » System administrators can add frequently used providers, diagnoses and procedures to facilitate data entry » Additional Notes (Reviewer Notes) text box at the bottom of the page should be used to provide additional clinical information and comments » Users will click at the bottom of the screen to proceed to the Preview page. 2., 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 offers health management solutions and customized benefits plans for employers and members. Learn more about their services and network., 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. , 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 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 …, Independence Administrators helps organizations based in the Philadelphia five-county area (Bucks, Chester, Delaware, Montgomery and Philadelphia counties) manage self-funded health benefit plans. By leveraging the power of one of the largest provider networks in the country and innovative programs that emphasize value and coordination of care ..., To locate a provider within your plan’s network, you will need to know the name of your plan. To confirm the specific name of your plan, please check your member ID card. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs. Search Now, Jefferson employees can select from the following medical plans. Choose the plan you are enrolled in or would like to learn more about to find a list of covered services and other important information. Platinum PPO Plan. Gold PPO Plan. Silver PPO Plan. These medical plans allow complete freedom of choice of providers., Find a provider. Please note: To search for pharmacies near you use our Find a Pharmacy tool. To find participating providers for in-network routine dental, …, Please refer to our provider directory or call IA to make certain the professional listed is a network provider. ... Independence Administrators (“IA”) provides you with access to its Website and Plan Member Portal (collectively, the “Portal”), subject to the following Terms and Conditions of Access (“Terms and Conditions”). ..., 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 ..., Corporate news. Independence named a 2023 Civic 50 honoree as one of the region’s most community-minded employers (June 22, 2023) Independence Blue Cross announces two new vice presidents (June …, 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., Affiliates. Independence Blue Cross is the region’s leading provider of health care benefits — thanks in part to the specialized services and managed care expertise of our affiliates and subsidiaries. As the health insurance needs of our customers expand, our subsidiaries become increasingly important in enabling us to provide the services ..., Independence use the same BlueCard provider network through Blue Cross and Blue Shield. Tell your doctor to search under Blue Cross with your new member …, Network participation. Thank you for your interest in becoming a participating provider in Independence’s provider networks. All providers interested in participating in our networks must complete and return a credentialing application, as explained below. Information obtained during the credentialing process is confidential and will not be ...