. Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 Farmington Hills, MI 48333 . Cypress Benefits Administrators Po Box 880; Farmington; MI; 48331-0000 Delta Health Systems Po Box 780; Stockton; CA; 95201-0780 (800)418-5409 To avoid delays, send X-rays and reports only for the procedures that require them. 600 Pittsburgh, PA 15202 (412) 2012242 FAX (412) 2012250 LUCE AFMC LUCENT HEALTH (fna) CYPRESS BENEFIT ADMINISTRATORS P.O. PDF administrator listing 2022 PO Box 3060 Farmington MO 63640 For 2020 dates of service, please continue to use this address: MeridianComplete 1 Campus Martius, Suite 720 Detroit, MI 48226 Attn: Claims Department If you are re-submitting a claim for a status or a correction, please indicate "Status" or "Claims Correction" on the claim. Search insurance providers in other Michigan cities: Allen Park; Ann Arbor; Battle Creek; Bay City; Berkley; Cofinity (ppom) Cofinity (ppom) PO Box 2720, Farmington Hill, Michigan 48333 (800) 831-1166. s?|S#FX5pgdod2_}p#fuVxujyDlFG\{NRWI~]BS1m"V+{uvo5k$S_!uOO_77*^sV4^mDa9z){],KhJ`P4PnJh/};--4wc8 ?NM7tT*ym:Q=JAf^&wc)EoehM?UT5HhJ{P&Zo8[0[277D}oIKR ^k5$&h"^{1C?UMPG= BE::h{c$&/&/5v4 v7.F#urwyq} %. Add a company; . Michigan SmartHealth Members Transitioning from USHL to ABS PDF Provider Quick Reference Guide - Sunshine Health Or, you may call DASI 24/7 at 800-462-7283 to check the status of claims, including those submitted electronically. PO Box 3060 Farmington MO 63640 . Medica Choice CareSM PMAP & Medica MinnesotaCare Fact Sheet, Monday Friday, 7 a.m. to 5 p.m., Central Time Reconsiderations and Disputes All requests for claims reconsideration or adjustment must be received within 90 calendar days from the date of notification . The claim information must be typed, with no hand-written information other than applicable signatures. endstream endobj startxref Essentia Choice Care with Medica (Individual and Family Business) Because most dental offices are already computerized, it's just a matter of a software program and a clearinghouse. Medica Advantage Solution PartnerCare HMO I-SNP Download a form for non-covered services. PO Box P.O. 3. Medica Prime Solution Medica with Healthier You Payer ID: 94265 + Product Fact Sheets Altru & You With Medica Clear Value With Medica Essentia Choice Care with Medica (Commercial) Medica Choice Passport Medica CompleteHealth Detroit, MI 48226. Date: 3/4/2023 9:53:06 PM Meridian Medica Elect and Medica Essential BCBS EDI Payer ID Listing by Name - Office Medicine