Healthcare

Horizon NJ Health Claims Address

Horizon NJ Health Claims Address is, Paper Claim Submissions: Horizon NJ Health, Claims Processing Department, PO Box 24078, Newark, NJ 07101-0406.

• Member/Provider Correspondence: Horizon NJ Health, Member/Provider Correspondence, PO Box 24077, Newark, NJ 07101-0406

Horizon NJ Health Appeals Addresses

Utilization Management Decisions Appeals should be submitted to: Horizon NJ Health, Attn: UM Appeals, PO Box 10194, Newark, NJ 07101

Claim appeals may be submitted by:

•  Fax: 973-522-4678
•  Mail: Horizon NJ Health, Claim Appeals, P.O. Box 63000,  Newark, NJ 07101-8064

Should you have questions regarding billing or appeals, please contact the Physician and Health Care Hotline at 1-800-682-9091 and/or your Professional Relations Representative.

Horizon NJ Health Member Services

Someone is available 24 hours a day, seven days a week to help you, please call: 1-800-682-9090 (TTY 711)

Horizon NJ Health Enrollment Hotline

For information on enrollment, please call: 1-800-637-2997

 Horizon NJ Health Care / Case Manager

To speak with a Horizon NJ Health Care/Case Manager or learn about a Disease Management Program, please call: 1-800-682-9094

TDD / TTY Services

People with hearing or speech difficulties, please call: 1-800-682-9090 (TTY 711)

 New Jersey State Health Benefits Coordinator (HBC)

For questions about the status of your application, please call: 1-800-701-0710/ 1-800-701-0720

Horizon NJ Health Fraud, Waste and Abuse Hotline

‌If you or someone you know is aware of health care fraud and abuse, you should immediately report it to Horizon NJ Health’s Fraud Hotline at 1-855-FRAUD20 (1-855-372-8320).

Claim Overpayment Address (Horizon-identified Overpayments)

If you receive a refund request letter, it will include instructions to mail the overpayment, along with a copy the letter, to: Horizon NJ Health, Member/Provider Correspondence, PO Box 24077, Newark, NJ 07101-0406

Returning Other Horizon Overpayments

For overpayments made on claims, Mail overpayments to:

• Horizon BCBSNJ commercial & ASO members: Horizon BCBSNJ, PO BOX 11596, Newark, NJ 07193-1595
• Federal Employee Program (FEP) members: Horizon FEP, PO Box 11594, New York, NY 10087-1594
• Braven Health℠ Medicare Advantage members: Braven Health, PO Box 825488, Philadelphia, PA 19182-5488

Source: Horizon NJ Health

Lucent Health Claims Address

Lucent Health Claims Address is, Lucent Health P.O. Box 2318 Rancho Cordova CA 95741-2378 | (800) 331-5301.

Lucent Health Corporate Headquarters

• Address: 424 Church St, Suite 2300, Nashville, TN 37219
• Phone: (855) 887-0855
• Fax: (615) 622-9247

Claims Email

Submit All Claims To: CA.claims@lucenthealth.com

What is the timely filing limit for Lucent?

Your written appeal should state the reason for your appeal and must be filed within 180 days of the date you receive notice of the denied claim.

What is the customer care number of Lucent Health?

Contact Lucent Member Services at 1-877-382-8587.

What if I still have questions about the payment process, treatment plan, and next steps?

Contact Lucent Member Services at 1-877-382-8587.

How do I submit a claim for reimbursement to Lucent Health if I had to pay for the services and the provider will not submit a claim?

Click here (https://lucenthealth.com/wp-content/uploads/2022/08/Lucent-Claim-Form-5.18.22.pdf)  to print and complete a Health Claim Reimbursement Form. Submit the completed form with a copy of a Superbill from your provider and a receipt of your payment to email: CA.claims@lucenthealth.com –or– fax: 916-669-0572

What if I still have questions about the payment process, treatment plan and next steps?

Contact Narus Health at the number on your ID card. Narus Health will help you understand your plan and your benefits.

How do I submit a claim for reimbursement to Lucent Health if I had to pay for the services and the provider will not submit a claim?

Complete a Health Claim Reimbursement Form. Submit the completed form with a copy of a superbill from your provider and a receipt of your payment to:

email: mblackman@naa-lp.com

or  fax: 615-255-6654, attn: mailroom.

What is the customer care number of Lucent Health?

Contact Lucent Member Services at 1-877-382-8587.

Source: Lucent Health

Bright Health Claims Address

Bright Health Claims Address is, Bright HealthCare Claims, P.O. Box 211502, Eagan, MN 55121.

Medicare Advantage for the states of AZ, CO, FL, IL, and NY: (services up to 12/31/2021)

Address: Bright HealthCare MA – Claims, P.O. Box 853960, Richardson, TX 75085-3960

Commercial IFP & Small Group for the states of AL, AZ, CO, FL, IL, NC, NE, OK, SC, and TN:

Address: Bright HealthCare Claims, P.O. Box 16275, Reading, PA 19612-6275

Commercial IFP for the states of CA, GA, TX, UT, and VA: (2022 services effective 1/1)

Address: Bright HealthCare Claims, P.O. Box 211502, Eagan, MN 55121

Claim Payment Options

IFP in AL, AZ, CO, FL, IL, OK, NC, NE, SC, TN: 877-714-3222 or email support@payusa.com

Medicare Advantage (all states except California) and Commercial IFP in CA, GA, TX, UT, VA, effective 1/1/2022: 866-945-7990 or email connect@instamed.com

Bright HealthCare Headquarters

8000 Norman Center Drive, Suite 900, Minneapolis, MN 55437

Already a member of a Bright HealthCare Individual and Family plan?

Their Individual & Family Insurance member services team are ready to help. Just call them with any questions about your plan or using Bright HealthCare.

For members in Texas:

• English – 844-926-4524 (TTY: 711)
• Español – 844-926-4523 (TTY: 711)
• 中文, 한국인, Tiếng Việt – 844-926-4524 (TTY: 711)

Already have a Bright HealthCare plan?

Call them with any questions about your plan, employee status, or if you need changes to your coverage. They’re here to help!

Call 855-521-9365 (TTY: 711)

Bright Healthcare Investor Relations

IR@brighthealthgroup.com

Bright Health Group Corporate Compliance

Toll-Free

• English-speaking USA and Canada: 855-208-3766
• Spanish-speaking USA and Canada: 800-216-1288
• Spanish-speaking Mexico: 01-800-681-5340
• French-speaking Canada: 855-725-0002

Email: reports@lighthouse-services.com (must include company name with report)

Fax: (215) 689-3885 (must include company name with report)

Bright Healthcare Support Numbers

• For Individual & Family plans, 833-356-1182
• For Brand New Day plans, 866-255-4795
• For BHC Medicare Advantage plans, 866-255-4795 | TTY: 711

Source: Bright Healthcare

California Medicaid Claims Address

California Medicaid Claims Address is, California Health and Wellness Plan, Attn: Claims, PO Box 4080, Farmington, MO 63640-3835.

California Health and Wellness Invoice Forms Submission Contacts

All paper California Health and Wellness Invoice forms and supporting information must be submitted to:

• Email: CalAIM_CS_invoicesubmission@centene.com
• Address: California Health and Wellness Plan – Cal AIM Invoice, PO Box 10439, Van Nuys, CA 91410-0439
• Fax: (833) 386-1043

Provider Contact Information

Line of Business               Telephone Number

Medi-Cal                           (877) 658-0305

(For TTY, contact California Relay by dialing 711 and provide the 1-877-658-0305 number)

Medi-Cal claims: Confirm claims receipt(s) by calling the Medi-Cal Provider Services Center at 1-800-675-6110

Overpayment of Claims

The California Health and Wellness Plan Provider Services Department is available to assist with overpayment inquiries. A provider who has identified an overpayment should send a refund with supporting documentation to:

California Recoveries Address: California Health and Wellness Plan Overpayment Recovery Department, Claims Refunds, PO Box 886027, Los Angeles, CA 90088-6027

How do I contact CA health and Wellness?

Toll Free: 1-877-658-0305 (For TTY, contact California Relay by dialing 711 and provide the Member Services number: 1-877-658-0305).

What is the timely filing limit for health and wellness claims in California?

Timely Filing – first time claim submission, not later than the sixth month following the month of service. Corrected Claims, Requests for reconsideration or claim disputes must be received within 365 days following the date of payment or the denial of the claim.

Is California Health and Wellness the same as Medi-Cal?

California Health & Wellness provides the same benefits as Medi-Cal, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services California Health & Wellness offers.

Source: California Medicaid