Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your id card. An alternative to visiting a local store is ordering new glasses or contacts via an online provider. As indicated in your provider agreement, you are obligated to comply with the terms of this manual. Thismanual has been a collaborative effort from numerous health department billers. Either fax the address change to us on letterhead at 785 2900734 or mail on letterhead to po box 239, topeka, ks 66629 it must be on providers letterhead so we can confirm the request is coming from the provider. Access to specialists may be coordinated by your primary care physician. Coventry health care of kansas 8535 e 21st st n wichita, ks. The practitioners primary taxonomy code is 302r00000x. Youll find most of the information you need in the provider manual. Find 35 listings related to coventry health in overland park on. Coventry healthcare of kansas, npi 1841773934 health.
Mar 09, 2016 for general information about all of coventry health cares medicare products, call 18779883589 tty. The npi number of coventry healthcare of kansas is 1841773934 and was assigned on september 2018. Before getting any service or item, contact kmapmco customer service. You can print a copy to keep handy, or bookmark this page on your computer. By selecting this link, you will be redirected to another aetna coventry website outside of direct. The manuals provide policy for the medicaid, kancare chip, medikan and other state medical assistance programs and are used by staff when issuing an eligibility determination for these programs. All discontinued manuals no longer contain active information and are strictly available for historical purposes.
Whether you participate for workers comp, auto, or both, the benefits are endless. Adult care homes sccc adult care homes minimum data set mds information. View all 2015 open enrollment plan options, including the provider directories, benefit descriptions and kansas senior plan c or coventry advantra freedom plan. Coventry s free online provider portal, allows you to securely access critical information wherever and whenever you need it. View your claims, explanations of benefits eobs and benefit usage access valuable health and wellness tools. Coventry health care provides quality home care in kansas city, mo for seniors looking for care. Provider manual edrc 983r rev 02012021 homebridge is a. Both current and discontinued manuals have historical versions available.
The provider manual is an essential resource for all of our providers. Once on the site, search for your name or practice to update your provider demographic information. Coventry health care customer service phone number 301. You have 24 hour access to provider contact information via our provider locator. As a former coventry medicare member, you can access your online account, find forms, and view information about your past coverage. Coventry health care of kansas 8535 e 21st st n wichita. Aetna may add, delete or change policies and procedures, including. This organizations exempt status was automatically revoked by the irs for failure to file a form 990, 990ez, 990n, or 990pf for 3 consecutive years. Youll also find information about a wide variety of topics, ranging from how to file a claim to grievance.
For general information about all of coventry health cares medicare products, call 18779883589 tty. Coventry health care of kansas inc guidestar profile. Our provider search engine eliminates the guesswork. This innovative and secure tool is available for coventry health care plans and provides direct connection for uptodate information including. By selecting this link, you will be redirected to another aetna coventry website outside of. Providers may submit reconsideration requests orally by contacting the provider experience department at 18552215656, tty. Exhibit 7 part 1 summary of transactions with providers payment method 1 direct medical expense payment 2 column 1 as a % of total payments 3 total members covered 4 column 3 as a % of total members 5 column 1 expenses paid to affiliated providers 6 column 1. Manuals and instructions kansas department for aging and. Ks coventry health care practitioner application form 20.
Find 14 listings related to coventry in kansas city on. Summary of benefits for the high option of coventry health care of kansas, inc. Network providers help you and your covered family members get the care needed. The provider is registered as an organization and their npi record was last updated 2 years ago. You can call coventry health care at 800 9376824 toll free number, fill out a contact form on their website, or write a letter to coventry health care, inc, 6730b rockledge drive, suite 700, bethesda, maryland, 20817, united states. Coventry health care of kansas quick reference guide. As an aetna better health of kansas provider, there are certain procedures and protocols you need to know. The provider manuals page is divided into two sections. In order for a service to be covered, you must use a kansas medicaid provider. Youll also find information about a wide variety of topics, ranging from how to file a claim to grievance and appeals processes.
The kfmam and medical keesm are two separate manuals and are accessed by selecting the appropriate link. Delegation provider manual this manual is a reference tool to help contracting delegates and their staff understand how to perform delegated functions to aetna standards. Access this site to see your 2019 or older plan information. Introduction this brochure describes the benefits of coventry health care of kansas, inc. Download provider manuals for professionals, facilities, and others for more on our programs and policies. Coventry health care of kansas presence will fade in the wichita area over time with preferred health systems becoming the sole local brand, the companys chief said thursday. Providing excellent customer service every time to citizens, state agencies and state employees.
Mar 18, 2021 for kansas members prescription drug services. Coventry healthcare of kansas is a provider established in overland park, kansas specializing in health maintenance organization. This manual has information about our specialty programs and clinical practice guidelines, along with information on credentialing. Youll learn which services are covered for our members. To better serve the kansas medical assistance program kmap providers during the covid 19 public health emergency, this page contains the latest information regarding the covid 19 changes being implemented by kmap. Register your practice product identification office type please identify your office as either a provider office or a billing agency. Coventry, contract number h2672, were appropriate for beneficiaries reported as institutionalized for the audit period. International association of independent medical evaluators. Our network customers include aetna florida and georgia, allways health partners, beech street. Coventryother service providers in kansas listed on have been practicing for an average of. Anthem provides health care professionals with supporting resources to help your relationship with us run as smoothly as possible.
Providers are encouraged to use edi claims submission. To better serve the kansas medical assistance program kmap providers during the covid 19 public health emergency, this page contains the latest information regarding the covid 19 changes being implemented by kmap covid 19 provider information. Bcbsks customer service providers faqs professional. Statement of revenue and expenses current year to date prior year to date prior year ended december 31 1 uncovered 2 total 3 total 4 total 1. Total number of other service providers in kansas on who accept coventry. Contact information mailing address for provider correspondence and claims. Pharmacy and other manual claims will always pay the me.
Access to the cmfhp agreements through the provider assignments at the time coventry purchased cmfhp effective 12. Bcbsks customer service providers education webinars credentialing june 20. Beneficiaries with institutional status at coventry healthcare of kansas, inc. This manual applies to any health care provider, including physicians, health care professionals, hospitals, facilities and ancillary providers, except when indicated otherwise. Specific limits and guidelines apply to all services, and these change often. Preferred health systems is one of the leading providers of health insurance plans in the united states. Cofinity, coventry, fallon, florida blue, horizon healthcare. The authorized official of this npi record is nicholas patrick martin director of operations.
Coventry health care customer service phone number 301 581. Coventry health care of kansas coventry health care of kansas. Explore our provider manuals to find resources about aetna policy guidelines that. If youre an eyemed member looking for vision benefit services, please call your provider to confirm their specific response whether amending store hours or closing. This organization has not appeared on the irs business master file in a number of months. Interested in joining one of the largest networks in the country. This manual is for you the physicians, the hospital and facility staffs. Florida provider administration manual coventry medicare first health part d. Located in wichita, kansas, phs has been operational for more than 15 years. Other service providers in kansas who are confirmed as being board certified and take coventry. Review of medicare payments for beneficiaries with. It may have merged with another organization or ceased operations. Aetna better health of kansas po box 81040 cleveland, oh 44181.
We acknowledge provider reconsiderations in writing within 10 calendar days. Our objective was to determine if capitation payments to coventry healthcare of kansas, inc. For provider support questions pertaining to the coventry health care, inc. Coventry to offer choices for employers the wichita eagle. Since this manual is updated regularly, we encourage you to visit our provider portal. Medicare provider manual for former coventry members aetna. Frequently asked questions main medicare provider noncontracted provider dispute process. Bcbsks customer service providers education webinars. Complete ks coventry health care practitioner application form 20 online with us legal forms. Coventry 1health care of kansas has selected nia magellan to implement a radiology benefit management program for outpatient advanced imaging services for coventry of kansas members. Jun, 20 we offer innovative kansas health insurance coverage, caring customer service, and a full range of health and wellness initiatives for individuals and businesses.
The providers authorized official is nicholas patrick martin. To best view this site, your screen resolution should be set at 1024 x 768 or higher. Privately owned by via christi health system, the firm s subsidiaries include preferred plus of kansas, kansas health plan and preferred health care. The coventry health care of kansas payor id number is 253. The type of coverage you have will determine how you receive coverage. For functional issues, please call net support at 18666293975. Coventry health care of kansas quick reference guide for. For questions, please call the pharmacy helpdesk specific to the members plan. Coventry health care of kansas has selected nia magellan1 to implement a radiology. For coventry customer service questions call 18663702336. February 2019 version 2 revised errors on attachment 11. The provider is registered as an organization entity type. Membership office number listed in the contact information section.
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