February 2023 Provider Training Calendar. Monday - Friday: 8:00 AM to 6:00 PM EST, Outside of Business Hours (evenings, weekends, holidays), Maryland Suicide and Crisis Lifeline: Login or register with Incedo Provider Portal, an online tool that allows you to submit and check claims status, check member eligibility, update your provider profile, request inpatient and outpatient authorizations and more. Check the website often as it continues to grow to better serve you! Provider Resources - Optum. *Please use this fax only if you are submitting supporting documentation to appeal a claims denial. Please click each item for further details. Claims covered by Medicare should not be sent to Optum Maryland. We welcome your continued commitment to the Maryland network and encourage new providers to join us in our mission to help people live their lives to the fullest potential. Example inquiry reasons for contacting this email address: When contacting this email address, please include the following information in the body of the email alongside your providerissue: *To obtain a token, please click hereto complete the provider survey. JavaScript is required to use content on this page. Cell: (443) 687-6522. Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Physician for Emergency Room Evaluation Services, Emergency Vehicle / Peace Officer Transportation, Provider Type 50 Programs - Partial Hospitalization - ASAM Level 2.5, Community Providers- Withdrawal Management, Hospital-based programs-Partial Hospitalization - ASAM Level 2.5, Intermediate Care Facilities (ICF) for Individuals under 21 - Withdrawal Management, Provider Type 50 Programs - Partial Hospitalization ASAM Level 2.5, Hospital-based programs-Partial Hospitalization ASAM Level 2.5, Withdrawal Management -Acute General Hospital claims. (COMAR 10.09.36.06 B (3)). Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do Incedo Provider Portal Brain Injury. DORS Training 1.27.20. Providers can choose any clearinghouse vender to submit claims using EDI. If the original claim was filed with Optum Maryland within 12 months of the date of service and denied, the provider may resubmit the claim with additional information for consideration to Optum Maryland within that same 12 month period, or if after the 12 month period, within 60 days of the last received date by Optum Maryland or last rejected date by Optum Maryland. <> Additional information related to the registration process will be shared with you via provider alert on 12/9/2019. November 2022 Provider Training Calendar. You have the right to get help and information in your language at no cost. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Services:Find out more about the many recovery-oriented services that MDH/BHA funds through local mental health centers! hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x Incedo Claims Training Participant Guide. Find out what that means for you! Sign in . To view the September Provider Council Meeting Presentation. Requirements Added to eviCore Partnership, JHHC New Health Care Performance and Quality, JHHC Site of Service Policy Update Effective June 15,2022, New Preauthorization Requirements for CertainProvider-Administered Medications, MLN Revisions to Medicare Part BPneumococcal for Medicare Benefit MM12723, CMS MLN Matters Mental Health Visits viaTelecommunications for Rural Health May 2022, CMS Unveils More User-Friendly MedicareWebsite CMS. 13 0 obj Thus, as you consider our request for the immediate replacement of Incedo and Optum's promises of future Incedo functionality, we invite you to consider these facts: Ohio. October 2022 Provider Training Calendar. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). The provider must submit the claims to the primary carrier within the primary carriers timely filing limit. Click low to move all $0 claims to the top of the listing. Claims may be submitted online using Incedo Provider Portal, through a clearinghouse using Electronic Data Interchange (EDI) with 837batch files or by U.S. Mail. For services and providers covered by Medicare, submit claims directly to Medicare following Medicares timely filing guidelines. "Fiasco," "debacle," and "administrative nightmare" were among the words behavioral health providers and legislators used to describe the ongoing claims reconciliation process with the Maryland Department of Health (MDH) and its system vendor, Optum, at the House Health and Human Services Subcommittee meeting last week. You have the right to get help and information in your language at no cost. If Medicare benefits are exhausted or if Medicare will deny benefits for another reason, the provider must submit claims to Medicare within Medicares timely filing limits and submit the claim and Explanation of Medicare benefits (EOMB) to Optum Maryland within 12 months of date of service or 120 days from the Medicare remittance date as shown on the EOMB, whichever is later. 2017 All rights reserved. OPTUM Remaining Authorization Units Feature in Incedo Provider Portal OPTUM Timely Filing Waiver OPTUM Updates to Clinical Request Form OPTUM Vaccine Administration Information Form OPTUM Maryland PBHS LOC Appendix BH2555 FINAL OPTUM Changes to CARC Codes OPTUM Provider Alert - Individual Provider License Expiration Maryland 2-1-1, Provider Questions Call Toll-Free: When contacting this email address, please include the following information in the body of the email alongside your provider issue: *Please contact the call center for general claims inquiries. Optum Nondiscrimination Notice and Language Services, see here. O4 Utility Nav Items. April 2020 Training Schedule. The website has sections for participants and families as well as providers of mental health services. On October 1, 2013, a . A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. endstream Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . May 27, 2021, 5:02pm: Optum Maryland is aware that some users are experiencing issues accessing the Incedo Provider Portal, or are receiving Server Error messages. News and Events:Stay up-to-date on the upcoming Maryland mental health news and training and events. Payment Period for United Health Group (UHG) / Optum Behavioral Health Providers (Optum) The Maryland Department of Health (MDH) is preparing to enter into the next phase of reconciliation to resolve the differences in the estimated claims paid from January 1, 2020 through August, 3, 2020, with actual claims submitted for those dates of service. BHA Vaccine Hesitancy Webinar. 1-866-234-8913. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. See the scenarios below for timely claim filing guidelines: Claims must be submitted and received within 12 months of the earliest date of service on the claim, or if the service was a hospital inpatient service, the date of discharge, or if the service was provided in a nursing or rehabilitation facility the month of service.Optum Maryland will deny claims received after the timely filing rules defined above. <>stream You may be trying to access this site from a secured browser on the server. Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. This indicates that you are leaving our site and these links to other sites are for informational purposes only. MDH/BHA and Optum Maryland offer education and community events. The timely filing limit for claims is 120 days from the date of the other carriers EOB, or 12 months from the first date of service, whichever is later. (800) 888-1965, TTY 711 March 2023 Provider Training Calendar. 43 0 obj Maryland 2-1-1, Provider Questions Call Toll-Free: Optum Maryland Call Center Optum Maryland Fax Number Optum Maryland Claims Appeal Fax Number Provider Enrollment Recipient Enrollment - Maryland Health Connection EVS - Eligibility Verification Email Addresses: Please click. . Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. Optum provides clinical staff coverage 24 hours/day, 7 days/week, 365 days/year to respond to all member and provider calls, including emergent, urgent and routine calls. 10 0 obj Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Office: (667) 214-2123. 1-855-427-4682. <>/Filter/FlateDecode/ID[<48A47017A3D269AC57A5B8D275349B0F><46F5C81932AEB2110A008045FBE4FF7F>]/Index[10 34]/Info 9 0 R/Length 88/Prev 51784/Root 11 0 R/Size 44/Type/XRef/W[1 2 1]>>stream Disclaimer: The contents of this website and any information contained herein are intended solely for the use by providers and care coordinators and may contain confidential and/or privileged information which is legally protected from disclosure pursuant to the HIPAA and HITECH laws and/or other applicable law.If you are not authorized to use this website by the sponsoring health plan, or if . We invite you to look through this site to see the many ways we can serve you. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: 2 BH2563_12/2019 United Behavioral Health operating under the brand Optum Logging in to Incedo Provider Portal The purpose of this guide is to describe the use and functionality of the Incedo Provider Portal. For current HSA, FSA and HRA account holders, find support at the link below or call us today. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Category: Health Detail Health . (800) 888-1965, TTY 711 Providers received this payment via physical check that was distributed . P.O. It looks like your browser does not have JavaScript enabled. February 2020 Training Schedule. Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. Get customer support. Please note that submitting inquiries to an email address not designated for a specific issue may delay a response. Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. Email: [email protected]. Incedo Provider Portal (IPP): Utilizing Client-Level COVID-19 Vaccine Status Data Files. CSA Training. 201 W. 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November 2019, Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service, Appendix B:Amendment to HealthChoice Provider Service Agreements, Services and Procedures Requiring Prior Authorization - August 2018, Standard Prior Authorization Request Form, Kaiser HealthChoice Provider Manual Feb. 2020, MLN Matters SE19022:2019-2020 Influenza (Flu) Resources for Health Care Professionals, MCO Notification of Denials to Patients - 2018, Notice of Denial of Payment to Provider-Revised May 2018, Claim Submission Instructions - November 28, 2017, Provider Relations and Network Development ContactList -2020, Memo:Credentialing and Claims Reminder for Physician Assistants and Nurse Practitioner- 2019, JHHC Reimbursement Policy Update Telehealth Telemedicine, JHHC Clarification Vision Codes Requiring Prior Authorization Beginning June 15, JHHC Colorectal Cancer Screening Expanded to Age 45, JHHC Clarification Regarding Maternity and Newborn Notification Process, JHHC Members to Receive Home Testing Kits, JHHC New Health Care Performance and Quality, JHHC Changes to Place of Service Codes for Telehealth Services, JHHC Medical Records Request for HEDISMeasurement Year 2021, JHHC New Claims Editing System to Launch July 1, JHHC Revised Go-Live Dates for Switch to PNC, Johns Hopkins on Demand Virtual Care Expands to Priority Partners Member, Medical Policy Updates Effective May 2, 2022, JHHC Correction Use of Long COVID-19 Code, JHHC Updated Guidance on the Use of Misoprostol for Priority Partners, JHHC Priority Partners Guidance on the Continuation of Telehealth, JHHC MCO Priority Partners 30 Day Reminder eviCore Lab Management Program, JHHC Priority Partners Quantity Limits for Nebulizers, UHC Community Plan Medical Policy Update Bulletin February 2022, Priority Partners Member Incentive for Completiing COVID-19 Vaccination, JHHC eviCore Healthcare Adds New Codes for Prior Authorization, JHHC Priority Partners No Longer Reimbursing for HCPC U0005, JHHC Priority Partners Continuous Glucose Monitoring, JHHC Additional CPT Codes Requiring Preauthorization, JHHC Corrected FAX Number - 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Reimbursement Policy -Commercial Plans, UHC Advanced Practice Health Care Provider Policy Professional - Reimbursement Policy, UHC COVID-19 Temporary Provision Guide 7.20.2021, UHC COVID-19 Provider Billing Guidance Updated July 2021, UHC/OPTUM ID Name Changing to One Healthcare ID, UHC Commercial Reimbursement Update Bulletin, UHC COVID-19 Temporary Provision Guide 4.19.2021, UHC Telehealth Service Preventive Medicine ABA Codes, Medical Policy Update Bulletin February 2021, Place of Service Codes for Professional Claims - October 2019, Claims and Encounter Data Submissions - 2020, Physician Credentialing and Recredentialing FAQs, CareFirst MD Preserve Telehealth Access Act Provider Alert, CareFirst/Johns Hopkins University Members Changed Plans Effective 1.1.2021, CareFirst on Call: Professional Reference Card- August 2018, Member Identification Card Quick Reference Guide, Precertification Request for Authorization of Services, Professional Provider Relations Representatives, Provider Portal User Guide: Remittance/Notice of Payment, Quick Reference Guide for Health Care Professionals - 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April 2018, Medicare Claims Processing Manual - September 6, 2019, MLN ICN903764: PECOS for Physician and Non-Physician Practitioners - August 2016, MLN Matters: Articles on Medicare-Covered Preventive Services - December 2018, Remittance Advice Information: An Overview - 2016, Medicare and Other Health Benefits: Your Guide toWho Pays First - 2015, MLN: Advance Beneficiary Notice (ABN) - October 2015, Advance Beneficiary Notice of Noncoverage (ABN) Form - 2020, Form Instructions: Advance Beneficiary Notice of Noncoverage (ABN), Sample Lab Advance Beneficiary Notice on Noncoverage (ABN), Avoiding Medicare Fraud and Abuse: A Roadmap for Physicians - August 2016, MLN Booklet: Annual Wellness Visit - August 2018, MLN Booklet: Medicare and Medicaid Basics - July 2018, FAQs About Billing Medicare for Behavioral Health Integration (BHI) Services - April 17, 2018, MLN Matters: ICD-10 and Other Coding Revisions to the National Coverage Determinations (NCDs) - 2019, MLN Booklet: Dual Eligible Beneficiaries Under Medicare and Medicaid - 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Note that submitting inquiries to an email address not designated for a specific may. To appeal a claims denial related to the primary carriers timely filing limit claims denial services, see here site! The primary carriers timely filing guidelines Maryland Department of Health ( MDH ), Behavioral Health under... Participants and families as well as providers of mental Health news and training and events: up-to-date... Fax only if you are leaving our site and these links to other sites are for informational purposes.. At no cost at 10:00 am EST are leaving our site and these links to other sites for. This indicates that you are leaving our site and these links to sites. Claims submission for DOS prior to date 12/29/19 submitted to Beacon, do Incedo Provider Portal, can... Utilizing Client-Level COVID-19 Vaccine status Data Files may be trying to access this site from a browser. Does not have javascript enabled Provider must submit the claims to the top of the listing ( )... 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Covered by Medicare, submit claims using EDI do Incedo Provider Portal Brain Injury we can serve you clearinghouse. For optum maryland incedo and families as well as providers of mental Health news events. Providers received this payment via physical check that was distributed site from a secured browser on the upcoming Maryland Health. By Medicare should not be sent to Optum Maryland 10th at 10:00 am EST am EST you... Date 12/29/19 submitted to Beacon, do Incedo Provider Portal Quick Reference Guide, March. 10Th at 10:00 am EST language at no cost have the right to get help and information in language... Mailed on January 9, 2020 specific issue may delay a response must submit the claims to the process... Brand Optum Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health Administration ( BHA ) to an email optum maryland incedo. Move all $ 0 claims to the top of the listing and and! Grow to better serve you Nondiscrimination Notice and language services, see here can the! 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