Allowable Charge "Allowable Charge" for a treatment, supply or other services rendered is If you or your dependent are not experiencing a medical emergency, consider visiting a St. Josephs/Candler Urgent Care Center. Healthcare can be confusing; your Care Coordinators are here to make it easier. Timeframes for filing an appeal vary depending on applicable state or federal requirements. At network pharmacies, your co-payment is determined by the tier on which the prescription is placed (Tier I, Tier I or Tier III). Registering is safe and simple. Care Coordinators can also help you find a provider, order a new ID card, and even transfer you to a nurse for questions about your treatment plan. The program includes a retail prescription plan and mail order for maintenance medications. Turn to your care coordinators for help with: Members may contact a Quantum Health Care Coordinator at 1-866-360-7926 Monday - Friday from 8:30 AM to 10:00 PM to help with any questions you might have about your benefits. Urgent care clinics are well-prepared to handle a wide array of pressing, but not life-threatening, health issues. For your convenience, we have created a standardized form you may use to submit an appeal (button to form below). For All Other Members: 1-878-222-4411. City Manager; City Attorney; Clerk of Council; Infrastructure and Development; By using mail order or 90-day at retail for maintenance medications, you can receive a 90-day supply at reduced co-pay. All other appeals must be submitted in writing to providers@flumehealth.com or to our mailing address, Flume Health, Inc.228 Park Ave SPMB 42263New York, New York 10003-1502. St. Joseph/Candler Urgent Care Centers, from Georgia Emergency Associates is your in-network urgent care provider. For additional information please contact our concierge. Get free standard shipping from the Express Scripts Pharmacy. Order refills, check order status, and track shipments. P.O. In some cases, issues can be resolved by providing additional information, as requested by the Flume team. If you have any questions, call us at (888) 897-1887. Facility providers will be reimbursed at the Allowable Charge, as described below. PDF How does this work? - xo.health Maximum Out of PocketOne PersonTwo People, For detailed medical plan benefits, please view the 2021 Schedule of Benefits andMedical Plan Document, Basic Plan Plus Plan. Your formulary offers a wide selection of clinically-sound, cost-effective generic and brand-name prescription drugs. The claims administration is provided through UMR and Quantum Health provides the coordination of benefits. Request Authorizations Medical: Our utilization management partners at MedWatch process medical authorizations for us. More convenience: Get up to 90-day supplies of your long-term medicine sent to your home. Box 1027 2 East Bay Street Savannah, GA 31401. Both plans include free preventive care services (with in-network providers only) and a four-tier prescription drug plan. Just verify that your name or the name of your facility is on the pass. Created Date: Turn to your care coordinators for help with: . If you have a question about how a claim was processed, you can call our concierge at (844) 693-5863 to get more information about the determination or try to resolve the issue. The primary Preferred Provider Organization (PPO) Network for the City of Savannah is the Care Network which utilizes the St. Josephs / Candler Clinics and Hospitals. Call us at (888) 897-1887. PO Box 477 Arnold, MD 21012 . To find a location near you or to schedule a virtual visit, go to https://sjcurgentcare.com/, City of SavannahP.O. Print forms and ID cards, if needed. Tier IV is for Specialty drugs. Flume Health | Providers Box 855 Arnold, MD 21012 Box 10272 East Bay StreetSavannah, GA 31401, United Healthcare Plan Benefits & How to Enroll, Retiree City Group Medical Plan (under 65), COS Retirement Plan Actuarial Valuation and Review 2021, Anything that can make the healthcare process easier. Submitting a Claim - Sana Benefits The City of Savannahs Plan is a self-funded group health plan. Contact Us - Claimsbridge Contact Us Get in Touch with Us " * " indicates required fields Last Mailing Address Innovative Healthware Services 1511 Ritchie Highway Suite 205 Arnold, Maryland 21012 Telephone 410-349-3222 Follow Us LATEST PUBLICATIONS Meet ClaimsBridge at the SIIA Engage National Conference Appeals related to pre-certification or medical necessity should be submitted to our medical management partners directly. View Site Map. Please check your ID card for the correct number to call. Express Scripts is the City of Savannah pharmacy drug provider; you mail fill your prescriptions at most pharmacies (Wal-Mart, Kroger, CVS, Walgreens, etc.) Contact Us - Claimsbridge To check that a member has active coverage, call us at (888) 897-1887. Request to Join Flume Community or call for more information (844) 693 - 5863 Perks of Joining the Flume Community Patients Choose You Urgent care co-pays are $15.00 (Plus Plan) or $20.00 (Basic Plan). Learn all about Firefly Health and how to join our team. PO Box 788 Arnold, MD 21012. Care Coordinators. Retiree City Group Medical Plan (under 65) - Savannah, GA Our concierge team can provide additional information on how to submit these appeals. or call for more information(844)693 - 5863, Many of our plans incentivize members to choose Flume Community providers, Once approved, sign a simple 1-page agreement, and begin seeing patients. Call us at (888) 897-1887. Short Term Medical - AFSLIC Complete coverage and care for your employees. We use First Health for our plans network thats Aetnas network. Need to check a claim status? Call Us (844) 693 - 5863 Submit a Claim Clearing House Payer ID - FH205 Paper Claims PO BOX 278 Arnold, MD, 21012 Interested in Seeing More Flume Health Patients? Heres what to know. To submit an authorization, call (888) 897-1887 or submit a prior authorization form: Here is a list of drugs that require prior authorization., If a member shows you a Care Pass in the Firefly Health app, you shouldnt charge them anything their plan covers the full cost of their visit. Go to express-scripts.com , select Register or download the Express Scripts mobile app for free from your mobile devices app store and select Register. How will providers be reimbursed? Were grateful for the tremendous care you provide to our members, and we want to make that as easy as possible for you. Looking for primary care that actually gets you? Contact - AFSLIC To submit an authorization, you can: Complete an online precertification form For Short Term Medical Members: 1-878-222-4415. Electronically Electronic/Payor ID: 50114. If your issues cannot be resolved informally, as a provider you have the right to appeal the determination of any denied services or claim by filing an appeal with us. Your information is secure and confidential. 1-561-756-8130 Corporate Headquarters American Financial Security Life Insurance Company Boca Raton, FL 33432 Get directions Claims and Customer Service PO Box 576, Arnold, MD 21012 For Short Term Medical Members: 1-878-222-4415 For All Other Members: 1-878-222-4411 Medical: Our utilization management partners at MedWatch process medical authorizations for us. Call to Confirm Data Miners, LP Data Miners, LP ELIANCE MAX . If you take maintenance medications, you may order a 90-day supply through Express Scripts mail order service or at any CVS Retail Pharmacy and save money. More savings: Compare prices of medicines at multiple pharmacies. More confidence: Talk with a pharmacist from the privacy of your home any time, from anywhere. Claims and Customer Service: PO Box 576, Arnold, MD 21012. If you have any questions, call us at. Departments. This is how we reward members for seeing the high-value providers we recommend.. Check our frequently asked questions or call (888) 897-1887. The City offers two medical plan options to meet your individual needs. By Mail Sana Benefits Claims P.O. More flexibility: Download the Express Scripts mobile app to manage your medicines, find nearby pharmacies and use your virtual ID card while on the go. Submit Claims: PO BOX 598, Arnold, MD 21012:aiPHCS Specific Services. Or submit an HCFA 1500 (CMS-1500) form to Firefly Health PO Box #278 Arnold, MD 21012. Clinical resources, and health & wellness advice. For your convenience, most centers are open on evenings and weekends and now offer virtual visits. There are two easy ways to submit claims to Sana. Pharmacy: Our partners at Capital Rx process pharmacy authorizations for us. Or submit an HCFA 1500 (CMS-1500) form to Firefly Health PO Box #278 Arnold, MD 21012. Find the latest information on your medicine, including possible side effects and interactions. If you belong to First Health, you accept our plan, no problem. Need to check a claim status? This Is Not a Major Medical Plan or A Medicare Supplement Plan. Resources & Tips | Providers | Firefly Health Healthcare can be confusing; your Care Coordinators are here to make it easier. The centers provide numerous services which includes stitches, X-rays, lab work, splinting, casts, shots, and assist with diagnosing colds, infections, allergic reactions, asthma and more. To submit an authorization, you can: Here is a list of services that require prior authorization.. Got an employer-sponsored Firefly health plan? The Care Network Repricing PO Box 788 Arnold, MD 21012. 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