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Mental Health / Substance Abuse Treatment Claim Form
NOTE: The other insurance carrier must be billed for these services. When you receive the Explanation of Benefits from the other insurance carrier, you should attach it to this claim form. Attach it even if the other insurance carrier does not pay anything on the services. 10. MEDICARE ELIGIBLE - Place an X in the appropriate box.
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Behavioral Health Policy and Procedure Manual for Providers
www.beaconhealthoptions.com1.5. Primary Care Provider Requirements for Behavioral Health Primary care providers (PCPs) may be able to provide behavioral health services within the scope of their practice. However, PCPs should submit claims to their medical payor and not to Beacon. If an enrollee is
Tips for Completing the CMS-1500 Claim Form
www.beaconhealthoptions.comTips for Completing the CMS-1500 Version 02/12 Claim Form FAILURE TO PROVIDE VALID INFORMATION MATCHING THE INSURED’S ID CARD COULD RESULT IN A REJECTION OF YOUR CLAIM. Tips for Completing the CMS-1500 Version 02/12 Claim Form Page 1 of 12 Enter in the white, open carrier area the name and address of the payer to whom this claim is being …
Cultural Competency Training - Beacon Health Options
www.beaconhealthoptions.comCultural CompetencyTraining 24 To take care of health issues within different ethnicities in the United States, you need to understand the values, beliefs and customs of different people. • Example of a cultural difference that impacts health care: − Consider people from the Middle East and Central Asia.
Provider Handbook - Beacon Health Options
www.beaconhealthoptions.com9 1. INTRODUCTION 1.01 Overview Welcome to Beacon’s12 network of participating providers.This handbook is an extension of the provider agreement and includes requirements for doing business with Beacon Health Options, Inc. and its affiliates and subsidiaries, including policies and procedures for individual providers, affiliates, group practices, programs, and …
Clinical Treatment Record Review Form FINAL
www.beaconhealthoptions.com4 of 7 Standard Yes No N/A Comments 27. The treatment record reflects evidence of coordination of care with other outpatient behavioral health practitioners
Before completing the Practitioner Data Form for Beacon ...
www.beaconhealthoptions.comPlease see Provider Handbook, Participating Provider Responsibilities for details – (www.valueoptions.com) ... residency training program approved by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA). ... Completion of a pre-doctoral APA approved clinical internship at the time of ...
Michigan Engagement Center - Provider Treatment Record ...
www.beaconhealthoptions.comMichigan Engagement Center - Provider Treatment Record Audit Tool ... Michigan Engagement Center - Provider Treatment Record Audit Tool. ... treatment record; 1. There is an individualized treatment plan that is consistent with the diagnosis and the member's treatment needs. 2.
Canadian Network for Mood and Anxiety Treatments …
www.beaconhealthoptions.comInternational Society for Bipolar Disorders, reviews new evidence and ... as not-recommended options for the treatment of bipolar depression. Lithium, lamotrigine, valproate, olanzapine, quetiapine, ... risperidone long-acting injection, and adjunctive ziprasidone continue to be first-line options for maintenance treatment of bipolar disorder ...
Clinical Guidelines for the Use of Buprenorphine in the ...
www.beaconhealthoptions.comBuprenorphine in the Treatment of Opioid Addiction, provides consensus- and evidence-based guidance on the use of buprenorphine, a new option for the treatment of opioid addiction. The goal of this TIP is to provide information that physicians can use to make practical and informed decisions about the use of buprenorphine to treat opioid addiction.
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services.healthypawspetinsurance.comPage 3 of 7 PI 39279 (03/15) 6. ear cleaning; c. Boarding or transport expenses; d. Conditions arising from a specific activity if the same or a similar activity occurred prior to the pet policy effective date and displayed the propensity for the activity to recur and cause injury or illness to your pet; e. Pre-existing cruciate ligament problems to one leg as respects the cost of future ...