Remember to save your EOBs for tax purposes and for your records. and even ancillary benefits such as dental, vision, or an accident benefit. Learn more about appeals and grievances. At Allegiance Life & Health your health care is our first priority. Online Learn about the differences between the two health plans so you can choose the one that meets your needs. For more information about how to access theenrollment and benefit verification, using Change HealthcaresEligibility and Patient Accesssolution, please navigate to:https://www.changehealthcare.com/solutions/eligibility-patient-access. Find network providers near you, and estimate the costs before you get care. Find a Dentist Find a vision provider Our online system allows you to look-up claims, View member eligibility and benefits (health plan type, deductible/accumulators, cost share, health plan ID cards, claims, prior authorizations, referrals and case management). You get a one-stop portal to quickly perform essential functions you do every day With the provider portal, , https://ghstudents.com/apwu-provider-portal/, Health (3 days ago) WebFor providers: How to submit claims to APWU Health Plan. Denial could be due to eligibility issues, service(s) determined to be not covered by your plan, or cancellation of coverage. hS]HTQ{3sKBf)IQAPOBAA>/[Ee? In most cases for in-network care, providers will submit claims for you and youll receive an explanation of benefits, or EOB. Offering services for 300+ Physicians RCM support for 150+ Medical Groups No long-term contracts Just one month prior notice to terminate the contract. available to providers free of charge. everything you need to be an active member in your benefit plan. concise forms to make sure your provider directory listing is up-to-date for all of Allegiance's a listing of the legal entities We are committed to providing our members with innovative high-quality products and services. Automated Phone System: The Postal Service has established a staggered Area rollout for its Districts. Box 740800 With Healthcare Bluebook, employers can be confident ARE YOU AN APWU BARGAINING UNIT EMPLOYEE? Provider Datasource (UPD), now called CAQH ProView. PO Box 188004 Your secure provider portal for working with Cigna The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website, CignaforHCP.com : Check patient eligibility and benefits Check claims, payments, and fee schedules Update your Cigna provider directory information %%EOF Download the free MyPlan mobile app and access your account on your smartphone. With COVID-19 disrupting our lives, many of us havent been back to the doctor for our annual checkups or yearly screenings. The employees online submission date, not signature date is tattooed on the e-form and will be relied upon to hold the Postal Service accountable to all FECA timely submission deadlines. Since 1950, the NALC Health Benefit Plan (HBP) has provided letter carriers and their families with first-rate health insurance. Once approved, we pay the health care provider or reimburse you, depending on who submitted the claim. View and print explanation of payments. Product availability may vary by location and plan type and is subject to change. Send general correspondence or appeals to the Medical Policies. The APWU offers comprehensive, affordable health benefits for members. This is a long overdue option that will finally bring the Postal Service into compliance with a Federal Employees Compensation Act (FECA) regulation requiring all federal agencies, including the USPS, to offer employees electronic claim filing directly with OWCP by December 31, 2012. PO Box 188004 Box 1358 How to Access the APWU Provider Portal Login To access the right portal option for you, follow the procedures outlined below. h[nG~0 Y++{@K=2Hzf{b(jOZE96e&VpZ~SR,;M]S)%i7;am%`SSW{5-1oEv)yk'l?6V%tWGNW||}.wh7s&/?>z~~v?w2?? i1;pz::m.~=~. For real-time, 24/7 claim status, Change Healthcare offers theMedical EDI Network for Providerssolution. There are so many things that keep us busy every day, such as work, kids, family, and even illnesses, that its Start 2023 with the APWU Health Plan! It is required to assist those who may need assistance with the English language or translation assistance to a different language in which they are more fluent. This is a secure website. participants and employers to make better use of the high-value providers within their existing network. If you need Employees should not attempt to use the electronic filing application before their District is online. Insurance Carrier's Explanation Details, Claims and Explanation of Benefits (EOBs). Find a Pharmacy Find a dentist Find a local dentist or dental care in your area. After logging in, employees will have access to their personal ECOMP Dashboard; they will be able to file new traumatic injury and occupational disease claims, and track documents submitted through ECOMP with the documents ECOMP Control Number (ECN). Customer Service may be reached at 1-800-222-APWU (2798) or through our Web site: www.apwuhp.com. Tel: 800-222-2798 Submit claims along with Other American Postal Workers Union, AFL-CIO The portal is free of charge for all participating providers. Due to privacy laws in place, any dependent child or spouse who is 18 yrs of age or older will need to create their own account to login to view their claims history. Call This login page is on the upper left hand side of this page. Now managing health care on the go is easier with the myAPWUHP app! Please note that accounts inactive for more than 24 months are deactivated as a security precaution. If you are looking for apwu dental provider portal, simply check out our links below : 1. Payment Policies. Notify me of follow-up comments by email. Allegiance Benefit Plan Management, Inc. complies with applicable Federal civil rights laws and does not discriminate on Allegiance was one of the first third-party administrators to offer comprehensive flex plans. Chattanooga, TN 37422 For more information, visit the APWU Health Plan Web site, www.apwuhp.com, or call or write to: APWU Health Plan 799 Cromwell Park Drive Suites K-Z Glen Burnie, MD 21061 Tel: 410-424-2852. a Provider from the Online Directory, Document Requirements for type 1 providers, Document Requirements for type 2 providers, Medical policies, forms, and other resources related to Cigna members, Cigna Frequently Asked Questions and Troubleshooting Guide, How to securely submit a claim through the Allegiance website. If you have already recently registered with the new portal please login using the COBRA login option below. 1300 L Street NW For costs and details of coverage, review your plan documents or contact a Cigna representative. Aetna network. Click here for more information:uhcvirtualretiree.com/apwuhp/meetings. Keep in mind, these services are also subject the Plan maximums. 1-800-222-APWU (2798) Submit a referral or prior authorization request. 1-800-222-APWU (2798) The Oscar Provider portal is a one-stop, self-service shop that makes managing claims, payments, and patient information fast and simple. 8:30 am - 6:30 pm ET To use ECOMP, claimants must create an account with a unique user ID and passcode. 1300 L Street NW DOL reports ECOMP filing is more secure than paperbased filing and permits more efficient data management. P.O. View claims; Track copays and deductibles; Register. lwKN ZYp3C/U |sN" V A claim is a request to be paid, similar to a bill. A retroactive denial is a claim paid by Cigna and then later denied, requiring you to pay for the services. This feature remains available without registration under the expansion of online services but claimants will need to provide their OWCP case file number, date of injury and other personal identifiers to take advantage of this portion of the user-friendly system. APWU Health Plan is working hard to understand health care reform and how it might affect us all. 0 Immediate access to account information and to trained customer service personnel, available through our toll-free number and our website, Claims submission using the Allegiance toll-free claims fax number, Electronic claims submission using Allegiance online service, Participants can get free and private health information over the phone, This service is available 24 hours a day, 7 days a week, Callers can discuss treatments, lifestyle choices and self-care strategies with the nurse. Glen Burnie, MD 21061 Cigna OAP Network Providers | National Association of Letter Carriers Health Benefit Plan Cigna OAP Network Providers We encourage you to register for the Cigna for Health Care Professionals website. We all strive together for the better health of our members. %PDF-1.7 % To verify or determine patient eligibility, Learn more about testing and the availability of vaccines and booster shots in your state. assistance completing your application or have any questions, please email proview@caqh.org or call 799 Cromwell Park Drive Suites K-Z The NALC Health Benefit Plan knows that you may have eligibility and/or benefit verification or claim status inquiries that need to be answered before or after our core operating hours of 8:00 AM to 3:30 PM Eastern Standard Time. 2023 APWU Health Plan | All rights reserved. We are committed to providing our members with innovative high-quality products and services. Documentation Guidelines. If your claim is retroactively denied, Cigna will notify you in writing about your appeal rights. Your client has the ability to choose the deductible, co-insurance, and out of pocket amounts. You are not responsible for submitting a claim. CAQH, the online tool for collection of Allegiance Provider The APWU Health Plan is a national preferred provider organization (PPO) that offers both a fee-for-service High Option plan and a Consumer Driven Option health plan. Participants have access to recorded health topics such as: All topics are available in English and Spanish, Obtain information, treatment recommendations, and prescription medication, when appropriate, Request prescription medication (if appropriate), Get timely prescription refills, convenient pickup at your nearest pharmacy, All physicians are U.S.-based, state-licensed, and NCQA-certified, Powerful online applications to help identify and optimize lifestyle factors, Determine if Pre-Treatment Review is Recommended (. Multiplan (Out-of , https://hcpdirectory.cigna.com/web/public/consumer/directory/search?consumercode=hdc040, Health (2 days ago) WebIf you are looking for apwu insurance provider portal, simply check out our links below : Table of Contents. with health conditions or those at risk of developing health conditions. We are committed to providing . P.O. Use the app to: Claims. APWU Health Plan has the same mission as our health care professionals, hospitals and facilities. Each employees HSA funds are held in an individual trust or custodial account. review your plan document, see your enrollment by coverage, Our software has been designed to Cardiologist. apwu health plan provider portal claim status. If you need assistance completing your application or have any questions, please email proview@caqh.org or call 844-259-5347. You have the ability to choose your When Cigna receives a claim, its checked against your plan to make sure the services are covered. or Payer ID 62308. All health insurance policies and health benefit plans contain exclusions and limitations. Box 1358 Glen Burnie, MD 21060-1358 High Option Outside of member state of residence When the Plan member is traveling outside of their state of residence, submit all claims to: CIGNA Healthcare PO Box 188004 Chattanooga, TN 37422 CIGNA Payer ID 62308 Mental health and substance misuse disorder Cigna Behavioral Health Claims Healthcare Blue Book provides a comprehensive transparency solution that enables consumers to compare healthcare costs and quality. 13609 0 obj <>stream (This article first appeared in the November/December 2019 issue of theAmerican Postal Workermagazine). Screening is the best protection against colon cancer. When a claim is approved, we either pay the health care provider directly or you do, depending on who submitted the claim. Atlanta, GA 30374-0816. Benefits for claimants include an improved ability to track the status of forms and documents submitted through ECOMP, faster claim adjudication, expedited delivery of FECA medical and compensation benefits, and quicker OWCP nurse intervention assignments for employees who are unable to return to work because of workplace disabilities. It is a good idea to compare your medical bill and EOB before paying a bill to make sure that you have been charged the correct amount. Washington DC 20005, Financial Issues for Local, State Union Officers, Office of Workers' Compensation Programs (OWCP), Department of Labor Announces New FECA Procedures for COVID-19 Cases, Human Relations Department Moving Forward, Negotiations Still Ongoing As Clock is Stopped, Now It Is Easier to File FECA COVID Claims, APWU Advocates for Prioritization of Postal Workers in National COVID-19 Vaccination Plan, National Reassessment Program Discriminated Against Injured Workers, EEOC: National Reassessment Program Discriminated Against Injured Workers. It is a powerful tool to help you and your office staff do business with Cigna efficiently in real time. We also know that for you to do your job, you need viable options in healthcare to offer your clients. telephone access to a physician when participants are seeking information on medical of Practice/Service Address, Remove A segment of ECOMP, Web Enabled Electronic Document Submission (WEEDS) was initially introduced to postal workers in 2012 as an online tool to assist with claims processing and document tracking, but it alone did not satisfy the federal mandate. 13013 0 obj <>/Filter/FlateDecode/ID[<9D3288258E53AA37AC4C7A716AE5DAA2><6810FBDA69BE724C86395947932939A9>]/Index[12991 619]/Info 12990 0 R/Length 137/Prev 732777/Root 12992 0 R/Size 13610/Type/XRef/W[1 2 1]>>stream Atlanta, GA 30374-0800, UnitedHealthcare Appeals Upon employee submission, all new claims (CA1, CA2) will be forwarded to their immediate supervisor for completion of the agency portion of the form. In this instance,you will usually need to submit a claimsince out-of-network providers are not required to submit a claim on your behalf. that their employees will be able to shop for care so that they get the most affordable, high quality care. The Portals will not work well, or not work at all, with other browsers. WEEDS allows claimants, representatives, medical providers and employing agency staff to upload documents into existing claim files. Welcome to the Allegiance Online Provider Portal. 844-259-5347. APWU Health Plan Claim Status Inquiry ARE YOU AN APWU BARGAINING UNIT EMPLOYEE? If you do not wish to create an AskAllegiance account, but still access the benefits of Healthcare Bluebook, you can contact us at 800-877-1122. Claims-related correspondence should be sent to: APWU Health Plan To speak with a customer service representative, call: Find out where vaccines and booster shots are available in your state. This Plan is underwritten by the American Postal Workers Union, AFL-CIO. This mobile app lets you see your claims, information for the year to date, prescription history and so much more. The HSA is a portable and non-forfeitable account. APWU Health Plan . This site requires JavaScript to be enabled in order to function properly. 1-800-222-APWU (2798) 877-828-8770 info@ppsonline.com Additional PayPlus Information Click here to become a Cigna Provider (877) 565-5457 www.hewedi.com/expanded-services The following link will provide you with many helpful tools as well as allow you to login to the HealthEquity account. Visit www.availity.com and follow the registrations process. At Allegiance Benefit Plan Management, Inc., we know the critical role that brokers play in the sale and service of employer-sponsored or group health plans. Click Continue to remain logged in. Visit the APWU Provider Portal - https://www.apwuhp.com Log in with your Username and password After that, click on the Sign in icon. employers can be confident that their employees will be able to shop for care so that they get the most affordable, high quality care. Have your Name, Contact information, and your Tax ID available. All postal employees who are injured on duty will soon have the option of filing Office of Workers Compensation (OWCP) claims online through the Employees Compensation Operation and Management Portal (ECOMP). CAQH established CAQH ProView Provider Transition Support Center to help providers and practice managers with the transition. Clinical Guidelines. Enroll within 60 days of completing your 360-day initial appointment. The APWU Provider Portal provides health providers with personalized access to patient APWU records online. The NALC Health Benefit Plan knows that you may have eligibility and/or benefit verification or claim status inquiries that need to be answered before or after our core operating hours of 8:00 AM to 3:30 PM Eastern Standard Time. to give you the freedom to choose the benefits that are the most important to you. Manage and check the status of a claim, referral or prior authorization. 877-828-8770, Providers interested in HIPAA transactions; 270/271, 276/277 should have their clearinghouse contact Health-e-Web. We have detected that your JavaScript is not enabled. Our plans are designed to give the freedom to choose the benefits that are most important to your client. This is known as prior authorization. Documents are assigned a Document Control Number (DCN) as proof of receipt and for tracking purposes. waiting to be paid". Learn about warning signs that need immediate medical attention, and find out what the CDC Hear Her campaign is doing to raise awareness about maternal mortality. Log in to myhuc.com to get started with virtual visits. Home / Providers. Call 1-800-410-7778 (TTY: 711) 24 hours a day, 7 days a week, except major holidays. August 31, 2022 by admin. That is why we are proud to offer health care plans that offer real choices and options for business owners and their employees.