Disease Management/Case Management: Phone: 888-830-4300 Manages . Every day we see reports of COVID-19's impact on the people of South Carolina. Avalon is an independent company that provides benefit management . Log in to use authoring capabilities. 2021 CPT Evaluation and Management Code Changes. On this page you can find doctors and the health plans they are part of. Please enter a valid Zip Code. Group Practice Enrollment. There's a $3.30 copay for members 19 years of age and older who see an eye doctor for medical reasons. Use this form to request the status of a provider's application. Members can use the service for behavioral health, urgent care and lactation consultation. Palmetto Autism Services provides individualized therapy based on the principles of applied behavior analysis (ABA) to children ages 3-12 diagnosed with Autism Spectrum Disorder (ASD). We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Or write us at: Member & Guest Services. Provider Enrollment. Understanding your benefits. First Choice by Select Health of South Carolina. BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Coordinates and facilitates initial and continuous system training for 600 clinical operations and executive staff. BlueChoice HealthPlan Medicaid. 855-882-3901 The companies have 40 health coaches who are nurses, registered dietitians, certified asthma educators . 1 ERA ENROLLMENT FORM To check claims status or dispute a claim: Visit the Availity Portal and select Claims & Payments from the top navigation pane. Healthy Blue by BlueChoice of SC. Learn More. Phone: (866) 781-5094 (TTY 866-773-9634) Active Medical Home Network Business Office Phone Number. If you have questions about this bulletin, please contact Provider Relations and Education by submitting the Provider Education Contact Form or by calling 803-264-4730 and a knowledgeable education specialist will respond. Toggle Menu Toggle Site Search. Contact South Island Public Service District Customer Service Have a Question, Issue or Comment? Members must fill oral and self-injectable medications through our preferred specialty pharmacy to have coverage under their pharmacy benefit. *Avalon is an independent company that manages lab benefits on behalf of BlueCross BlueShield of South Carolina. Annual Plans. (877) 552-4642. Submit Provider Disputes through the Contact Center at (855) 882-3901. BlueChoice HealthPlan of South Carolina. 2020 Annual Provider Educational. On Sundays from 5 p.m. to midnight Eastern Time, My Insurance Manager will be unavailable while we perform maintenance. Behavioral Health ICR Training Presentation. My Health Toolkit Login. BlueChoice HealthPlan provides coverage for specialty drugs under both the pharmacy and medical benefit. To send a secure message to the CCC, just log in to the secure member portal at . Annette Scott. 2021 Healthy Blue Annual Training. My Discounts & Added Values. Members. Columbia, SC 29260-6170. Stay Connected with us! There's no copay for routine vision services. For help finding a plan eye doctor, call VSP toll free at 1-800-877-7195 (TTY 1-800-428-4833) or visit their website. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve all Americans. Recommend to a Friend. Submit completed applications to Provide.Blue.Enroll@bcbssc.com or fax to 803-870-8919 . Here's our address: Healthy Blue . Medical; Dental; . Box 8206, Columbia, South Carolina 29202, 888-808-4238, TTY: 888-842-3620, civilrights@scdhhs.gov. Our reps are here to help with: Changing your primary care provider. Submit an inquiry and review the Claims Status Detail page. BlueChoice HealthPlan. For providers wanting to enroll with BlueCross BlueShield of South Carolina and BlueChoice HealthPlan. P.O. For over a decade, Physicians Eyecare Network (PEN) has provided routine vision services to thousands of BlueChoice routine vision members. { { navItemChild.title }} Quick Links. Our general phone number is: 803-788-0222. Prior Authorization | BlueChoice HealthPlan of South Laboratory Prior Authorization. Member Services: 1 (866) 433-6041. My Insurance Manager provides detailed information on health and dental coverage. Submit requests via mail to: Molina Healthcare of South Carolina. Contact BlueChoice HealthPlan Technical Support BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. Behavioral health training. 100 %. . If the claim is denied or final, there will be an option to dispute the claim. Mary Mazzola Spivey. P.O. PO Box 100124. Main Customer Service Physical Address: 2 Genesta Street P.O. Columbia, SC 29202-3124. By phone: 1-888-559-1010 (toll-free) or 1-843-764-1988 in Charleston. Select Claim Status Inquiry from the drop-down menu. Schedule your wellness check-up today . Provider Education. Call: 1-888-549-0820 (TTY: 1-888-842-3620). Contact Your State Officials Medicaid Office19: Robert Kerr, Healthy Connections, Department of Health & Human Services, State of South Carolina 1801 Main Street, PO Box 8206, Columbia, SC 292018206; Email Address: rkerr@scdhhs.gov Key Sources Preferred Drug List: South Carolina Medicaid, PDL (Jan. 2021). Every day we see reports of COVID-19's impact on the people of South Carolina. Open site menu Sites. Dedicated Provider Relations Contact Information Magellan Healthcare Provider Relations Manager Name: Tony Salvati Phone: 1-800-450-7281 x75537 or 1-314-387-5537 Email: alsalvati@magellanhealth.com . You can call us at 800-868-2528 8:30 a.m. until 5 p.m. {} You can use this transaction set to inquire about the status of a claim on file at BlueCross BlueShield of South . My Health Toolkit Access your digital ID card, check claims status, view plan details and check your benefits. My Health Toolkit. Your trust is our top concern, so companies can't alter or remove reviews. {} First Choice by Select Health. BlueChoice HealthPlan of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Most SC Medicaid services are free or have a very low copayment (averaging at about $4 for most, $25 for hospital inpatient visits). Policy: Gender Affirming Surgery Policy Number: CG-SURG-27 Last Update: 2021-05-20 Issued in: South Carolina This policy applies to Medicaid. COVID-19; Member Center; Find Care; Find a Form; Toggle the mobile menu. P.O . For a complete list of attachments please see the Provider Checklist coversheet. Submit requests directly to Molina Healthcare of South Carolina via fax at (877) 901-8182. Columbia, SC 29202-3124. . Then, select Auth/Referral Inquiry or Authorizations. To schedule a ride, call Healthy Connection's transportation broker at the number below for your location. A Joint Statement on the Spread of COVID-19 in South Carolina from the South Carolina Medical Association, the South Carolina Hospital Association and BlueCross BlueShield of South Carolina. BlueChoice HealthPlan of South Carolina 888-642-9181 . If you need these services, contact Member Services at 1-866-432-0001 (TTY: 711). ET, Monday through Friday. Provider's Contact Information Provider's Contact Name: Job Title: Telephone Number: ( ) - Ext: Email Address: . Columbia - The National Consortium for Credentialing Health and Wellness Coaches has accredited the programs used by BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina to train health coaches. BlueChoice HealthPlan of South Carolina 888-642-9181 BlueCross BlueShield of South Carolina 866-500-7664 Available 8am -8pm EST oInteractive Voice Response (IVR) System RadMD Website -Available 24/7 (except during maintenance) oDifferent functionality for ordering and rendering providers oRequest authorization and view authorization status We'll do the same for you. We have watched these numbers closely, and we are . The phone number is also listed at the bottom of every page. With Blue Option, you get more than just a great health plan. You can also visit the VSP website. Member Services: 1 (888) 276-2020. Columbia, S.C. BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina are urging people to consider telehealth for their next non-emergency room doctor visit. BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. A Joint Statement on the Spread of COVID-19 in South Carolina from the South Carolina Medical Association, the South Carolina Hospital Association and BlueCross BlueShield of South Carolina. Provider education webinars. Our prior authorizations, referrals, claims and payment processes are . How to submit a request for prior authorization. BlueChoice HealthPlan of South Carolina, Inc. Post Office Box 6170 Columbia, South Carolina 29260-6170 . Effective Nov. 1, 2018, BlueCross BlueShield of South Carolina and BlueChoice . Access your digital ID card, check claims status, view plan details and check your benefits . Contact Provider Education Provider Education Territory Map {} Navigation. Columbia, SC 29219. Member Center. { { navItem.title }} { { navItem.title }} Overview. 866-781-5094 (TTY 866-773-9634) Monday through Friday, 8 a.m. to 6 p.m. Eastern time. Fax: Prior Authorization Request Form to 1-866-368-4562. 2 Ratings. "Compared to this period last year, we've had twice the number of people apply for health insurance, but we know . Not near one? My Health Toolkit. Our Network. Healthy Blue has a strategic relationship with Availity to serve as our electronic data interchange (EDI) partner for all . BlueCross BlueShield of South Carolina Provider Representative Territory Map. Utilization Management: Phone: 866-902-1689 Fax: 800-823-5520 Monday through Friday, 8 a.m. to 5 p.m. 24/7 NurseLine: Phone: 866-577-9710 TTY: 800-368-4424. VSP is an independent company providing vision benefit services on behalf of BlueChoice HealthPlan. View job description, responsibilities and qualifications. Main menu. BlueCross BlueShield of South Carolina implemented its new provider enrollment tool, My Provider Enrollment Portal (MyPEP), on April 4, 2022. You also get vision, dental, web access to doctors and nurses, and more! Please submit your complaint by phone (1-800-206-1957) or an. Available 24/7 on a computer, tablet or mobile phone, Blue CareOnDemand uses video to securely connect members with a physician who will review their symptoms, ask . You must set up your ride at least three business days before your appointment. Provider.Education@bcbssc.com. The South Carolina Medicaid program is quite comprehensive. Annette.Scott@bcbssc.com. For questions about your vision benefits or to find an eye doctor, call VSP Member Services at 1-800-877-7195 (TTY 1-800-428-4833). The tool guides you through all of the forms you need so you can avoid follow-up calls for additional information. You also get vision, dental, web access to doctors and nurses, and more! University Of Missouri Plastic Surgery, a Medical Group Practice located in Columbia, MO But the companies urge customers not to wait until the last minute. With Blue Option, you get more than just a great health plan. That's why Healthy Blue uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. {} If you can't find your provider, please call 1-877-552-4642, this call is free and we can help. Effective Jan. 1, 2016, BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina require Avalon Healthcare Solutions to precertify certain lab procedures when performed in an office, outpatient or independent lab location. 3.6. Medicaid Healthy Connections members: Learn how to update your contact info here. Medicaid. PROVIDER ENROLLMENT APPLICATION Your application will be considered in process when all fields on this application are completed and all required documentation is included. Breast Reconstruction: Reconstructive. {} Manage Your Plan. 132 West Park Blvd. Columbia, SC - BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina are offering South Carolinians a convenient new option for care that complements traditional health care - Blue CareOnDemandSM. TBD. learn more Insurance We are in-network with the following insurance plans: TRICARE/Humana MilitaryUnited Health Care/OptumBlueCross BlueShield (BCBS) of . From Columbia, dial 786-8476, from anywhere else in the state, dial 855-816-7636 toll free. View vision benefits. Plans are Absolute Total Care, Healthy Blue by BlueChoice of SC, First Choice by Select Health of South Carolina, WellCare, and Molina Healthcare of SC. If your primary language is not English, language assistance services are available to you, free of charge. Interactive Care Reviewer (ICR) FAQ. Check Out Discounts Watch Now! To request authorizations, visit the Availity Portal and select Patient Registration from the top navigation pane. BlueCross BlueShield of South Carolina and its subsidiary BlueChoice HealthPlan announced that effective immediately, the insurers will waive all out-of-pocket costs related to in-network COVID-19 medical treatment for members, through June 1. BlueChoice HealthPlan was founded in 1984, originally as Companion HealthCare, and was the first health maintenance organization offered by BlueCross BlueShield of South Carolina. Toll-free: 800-288-2227. To get a patient set up, please call 877-259-9428. . See if you qualify! Thank you for your interest in becoming a part of our professional mental health network. Member Services # Absolute Total Care. To learn what matters to you, we just ask. HealthyBlueSC.com. You may contact Provider Education by using the Provider Education Contact Form or by calling 803-264-4730 with additional questions. Physicians Eyecare Network is based in Charleston, SC and is 100% owned and operated by South Carolinians. Contact Healthy Blue Customer Care Center. Provider Dispute and Appeals. If your primary language is not English, language assistance services are available to you, free of charge. Easy 1-Click Apply (BLUECHOICE HEALTHPLAN OF SOUTH CAROLINA) Provider Quality and Risk Adjustment Manager, Medicare Advantage job in Columbia, SC. 866-433-6041. We have watched these numbers closely, and we are . Approve of CEO. {} Header navigation. Our network covers plans for BlueCross BlueShield of South Carolina's Preferred Blue , BlueChoice HealthPlan of South Carolina, the Federal Employees Program (FEP) and Planned Administrators, Inc. (PAI).. CBA is a separate company that administers substance abuse and mental health . Getting member handbooks. Check Out Discounts Watch Now!