Coventry healthcare employer id number

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

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    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.