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PROVIDER QUICK REFERENCE GUIDE - 1199SEIU Funds

1199 SEIUPROVIDER QUICK REFERENCE GUIDE1199 SEIU Benefit FundsProvider Relations Department330 West 42nd StreetNew York, NY 10036-6977(646) 2017 QUICK REFERENCE GUIDEFOR ALL PROVIDER INQUIRIES (INCLUDING PROVIDER PARTICIPATION STATUS): 1199 SEIU Benefit Funds PROVIDER Relations Department 330 West 42nd StreetNew York, NY 10036-6977(646) 473-7160 | Interactive Voice Response (IVR) System is available to you 24 hours a day to check claim status and member eligibility. Just call (888) 819-1199. Claim status and eligibility information is also available through NaviNet at To sign in, click the Login icon that appears at the upper right corner of the REQUEST A PROVIDER APPLICATION PACKAGEC omplete the PROVIDER Recruitment Form on our website at Fax it to (646) 473-7213, or call (646) 473-7160 for more Funds TRANSFER (EFT) ENROLLMENT For information on EFT enrollment, call Change Healthcare (formerly Emdeon) at (866) 506-2830 (Option 1).

PROVIDER QUICK REFERENCE GUIDE 1199SEIU Benefit Funds Provider Relations Department 330 West 42nd Street New York, NY 10036-6977 (646) 473-7160 www.1199SEIUFunds.org OCTOBER 2017. ... • For prior authorization, call Express Scripts at (800) 753-2851, or submit electronically at

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1199SEIU

www.1199seiubenefits.org

Radiology Services Prior approval is required for certain outpatient radiology procedures: MRIs, MRAs, CAT and PET scans. Call the 1199SEIU Benefit Funds' Radiology Review Program at (888) 910-1199, or contact them at www.CaretoCare.com to request prior approval. For a list of participating radiology

  Radiology, 1199seiu

1199SEIU Benefit Funds

www.1199seiubenefits.org

3af29 • 03/17 • member reimbursement medical claim My dependent child listed on previous page is 19 to 26 years of age and is my biological or adopted child. X

  Medical, Reimbursement, Claim, Reimbursement medical claim

MANAGED LONG-TERM CARE AND NURSING HOMES

www.1199seiubenefits.org

Managed long-term care plans provide long-term care services (home health care, adult day care, nursing home care) as well as ancillary and ambulatory services (dentistry, optometry, eyeglasses, medical equipment).

  Terms, Nursing, Care, Long, Managed, Term care, Managed long term care, Managed long term care and nursing

1199SEIU National Benefit Fund Summary Plan Description …

www.1199seiubenefits.org

NEED HELP WITH THE SUMMARY PLAN DESCRIPTION (“SPD”)? This SPD is a summary of your benefits and the policies and procedures for using these benefits with the 1199SEIU National Benefit Fund. If the language is not clear to you, you can get assistance by calling the Benefit Fund at (646) 473-9200.

  Summary

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