More in Healthcare Professionals. Covered Plans. Services Offered. Eligibility and Benefits. Preauthorization Requests. Claims Submission. Claims Correction. Filing an Appeal. Phases of Appeal.
COVENTRY HEALTHCARE OF THE CAROLINAS - insurance company profile
View All. Call the Member Services number on the member's ID card. Log on to the Coventry provider portal. Log on to your Emdeon Office account, which provides revenue and payment cycle management for healthcare professionals. For specific questions, contact the preauthorization number listed on the member's ID card.
There are three ways to switch your claims to Coventry Health:. Secondary Claims. The adjustment amount at both the claim land service-line level if available The reason for the adjustment such as contractual obligation, deductible , coinsurance , or others using the codes furnished by the primary payer's remittance The primary payer's paid amount at both the claim level and service-line level if available.
When submitting the appeal, be sure to include:. For the initial reconsideration phase , you should receive a decision within 3 to 5 days. If a specialty review is needed, the decision can take as long as 60 days. For the secondary appeals phase , which occurs if the initial reconsideration is denied, expect a decision within 60 days. For urgent appeals , in which the denial of service can place a patient's health at risk, a response will be returned within 36 to 72 hours.
For an external review , which can be requested if the secondary appeal is denied, expect a response within 30 days. Tips for Fighting an Insurance Claim Denial. Was this page helpful?
Coventry appeals address
- Get a quote;
- find someone by their phone number in ireland?
- vietnam children location of american fathers;
- Healthcare, without the headaches.
- Health insurance acceptance | Novant Health;
- how to record to vinyl.
State-certified Networks. Outcomes-based Network Program. Auto Network. Locate a Provider. Clinical Solutions. Clinical Overview. NT24 - Nurse Triage. Case Management. Independent Medical Examinations. RxRN Pharmacy Nurse. Specialty Solutions. Specialty Overview. Helpful Links.
California Workers' Compensation Institute. Coventry Connect. Risk and Insurance. Locate a Pharmacy. State rules, laws, information and events. The Risk Management Society. Workers' Compensation Research Institute. Work Comp Wire. Provider Tools. About Us. Locate a MetraComp Provider. Make a Referral. Workers' Compensation. The Sounding Board Blog. News and Insights. Drug Trends. Coventry News. Thought Leadership.
- find lincoln car dealer agusta ga?
- Coventry Health Care, Inc.;
- nyc department of correction inmate look up.
- find with phone numbers uk people!
- free vin number auto search.
- find people that have arrested in charlotte nc;
- bureau of criminal identification illinois number.
Regulatory Updates. First Script Newsletters. First Script Bulletins. Kids Chance of America. Provider Network Overview. Provider Updates and Announcements. Provider Portal.
NPI Record of COVENTRY HEALTH CARE WORKERS COMPENSATION, INC NPI 1891086807
State Resources. Provider Manuals. International Association of Independent Medical Evaluators. Join the Coventry Network.
We keep it simple
Calendar of Events. Contact Us. Coventry in the Community. Leadership Team. State Resources Most Coventry documents are stored on our provider portal directprovider. Home Providers State Resources. State-specific information In addition to information stored on our directprovider.