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Additional
Information |
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| Active
Contracts |
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| |
HMO - - Effective Date: October 1,1998 |
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Referral Required from PCP |
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FRONT OFFICE |
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Eligibility/Verification Phone Number:
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1-800-448-6262 |
Precert/Authorization Phone Number:
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1-800-626-2698 |
Precert/Authorization Fax Number:
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N/A |
Mental Health Carve Out:
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Call Benefits |
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CLAIMS FILING &
BILLING INFORMATION |
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Claim Filing Deadline:
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90 |
Appeal Time Frame:
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1 year from DOS |
Claim Payor:
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Humana Regional Service Center |
Claim Address:
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P.O. Box 14603, Lexington, KY 40512 |
Electronic Claim Accepted?
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Yes |
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LABS |
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UT
Pathology, Quest
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| |
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Memorial Hermann Contracted?
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Yes |
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PPO - - Effective Date: August 1,1999 |
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FSC # 7024 |
Mental Health & Organ Transplant |
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FRONT OFFICE |
|
Eligibility/Verification Phone Number:
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1-800-448-6262 |
Precert/Authorization Phone Number:
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1-800-523-0023 |
Precert/Authorization Fax Number:
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N/A |
Mental Health Carve Out:
|
Call Benefits |
| |
CLAIMS FILING &
BILLING INFORMATION |
|
Claim Filing Deadline:
|
90 |
Appeal Time Frame:
|
1 year from DOS |
Claim Payor:
|
Humana Regional Service Center |
Claim Address:
|
PO Box 14603, Lexington, KY 40512 |
Electronic Claim Accepted?
|
Yes |
| |
LABS |
|
UT
Pathology, Quest
|
| |
|
Memorial Hermann Contracted?
|
Yes |
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| |
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