799 Cromwell Park Drive Suites K-Z We all strive together for the better health of our members. of Benefits to: APWU Health Plan After medical school, he completed a residency in internal medicine at Atlantic City Medical Center in NJ. CIGNA HealthCare 2023 APWU Health Plan | All rights reserved. National Association of Letter Carriers Health Benefit Plan Once approved, we pay the health care provider or reimburse you, depending on who submitted the claim. 2023 APWU Health Plan | All rights reserved. Here are some tips you can use while using the OAP directory: A claim is a request to be paid, similar to a bill. Atlanta, GA 30374-0816. With the provider portal, you can do the following: You can also stay up to date with the latest applications, resources and news from us. In these instances, a claim number will also be required. They help members build health savings while helping control premium costs. 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. You are in the right place. . High Option members can see a doctor 24/7 from home. In both cases, you will be reimbursed based on the amount covered by your plan and subject to your plans deductible, copay, or coinsurance requirements. address relevant to the member's specific plan. 799 Cromwell Park Drive 1-800-222-APWU (2798) If you are looking for apwu dental provider portal, simply check out our links below : 1. 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. Welcome to the Allegiance Online Provider Portal. APWU Health Plan is working hard to understand health care reform and how it might affect us all. An EOB (Explanation of Benefits) is a claim statement that Cigna sends to you after a health care visit or procedure to show you how your claim was paid. Present your current ID card when you receive services. Claims-related correspondence should be sent to: APWU Health Plan We have built a trusted network of health care professionals and were dedicated to working with you, as a health care professional, to help your patients achieve better health, together. This login page is on the upper left hand side of this page. with health conditions or those at risk of developing health conditions. CIGNA Payer ID 62308, Cigna Behavioral Health Claims From there you can add optional benefits such as co-payments, preventive benefits, and even ancillary benefits such as dental, vision, or an accident benefit. network while at home. This tool incorporates claims, pharmacy, and eligibility in one model to enable higher prediction accuracy for identifying members services or supplies. Healthcare Bluebook provides a comprehensive transparency solution that enables consumers Washington DC 20005, Financial Issues for Local, State Union Officers, Click here to register:www.apwuhp.com/virtual-open-season-health-fairs/, Start 2023 Off Right With a Commitment to Your Health, Health Benefits Open Season at APWU Health Plan. If you purchased coverage on your own through a state or federal marketplace, the plan may require that you see providers in the plans network; the claim may be denied for out-of-network services. Log in with your credentials or register a free account to test the product prior to upgrading the subscription. For Providers. Spinal Surgery Form Ongoing Therapy Form Electronic EOB's and EFT Please contact PayPlus Solutions at the following information. Once implemented, postal management should inform injured workers that e-filing is available. MEE means the maximum dollar amount considered for payment by a Plan for any of its or Payer ID 62308. Cigna Collaborative Care Listing. of Practice/Service Address, Remove There will be a description of the claim status in the far right column after the provider listed. Upon employee submission, all new claims (CA1, CA2) will be forwarded to their immediate supervisor for completion of the agency portion of the form. A Fee-for-Service Plan (High Option) and a Consumer Driven Health Plan with Preferred Provider Organizations . How to Access the APWU Provider Portal Login To access the right portal option for you, follow the procedures outlined below. endstream endobj startxref To use ECOMP, claimants must create an account with a unique user ID and passcode. Employees should not attempt to use the electronic filing application before their District is online. Online Learn about the differences between the two health plans so you can choose the one that meets your needs. NALC Health Benefit Plan offers these links for informational purposes only and is not endorsing any product. WEEDS allows claimants, representatives, medical providers and employing agency staff to upload documents into existing claim files. With Healthcare Blue Book, Our plans are designed Apwu provider portal - ubain.talkwireless.info Health (7 days ago) WebEligibility and claim status information is easily accessible and integrated well. insurance premiums, out-of-pocket medical expenses and dependent care expenses.We also offer Documents are assigned a Document Control Number (DCN) as proof of receipt and for tracking purposes. (This article first appeared in the November/December 2019 issue of theAmerican Postal Workermagazine). (Hospital Indemnity, Cancer Treatment, Lump Sum Heart Attack and Stroke, or Whole Life Insurance.) 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. Physician Case Management Referral. Claims Examiners are able to view the newly submitted information within four hours. Customer Service may be reached at 1-800-222-APWU (2798) or through our Web site: www.apwuhp.com. Provider Groups and Facilities may visit our provider portal or call our National Provider Service Line at 800-397-1630 to share your individual provider information. Making simple lifestyle changes can help reduce your risk of heart disease. Please enter a search term Home Am I Eligible? The APWU represents more than 200,000 USPS employees and retirees, and nearly 2,000 private-sector mail workers. 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. To speak with a customer service representative, call: Once you are logged in you can view claims under 'Claims History'. Now managing health care on the go is easier with the myAPWUHP app! 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 Remember to save your EOBs for tax purposes and for your records. states, Change Find a Provider Find a pharmacy Find a local pharmacy that's convenient for you. or Payer ID 62308. that their employees will be able to shop for care so that they get the most affordable, high quality care. Just show your Cigna ID card and pay your copayment at the time of service. PO Box 188004 We are committed to providing our members with innovative high-quality products and services. If your account has been deactivated, please create a new account; all prior data will be available through this new account. 2022 https://ubain.talkwireless.info/apwu-provider-portal.html Category: Health Show Health The APWU Health Plan is one of the five largest health plans in the Federal Employees Health Benefits (FEHB) Program, and has been protecting APWU members, retirees and federal employees since 1960. Our plans are designed to give the freedom to choose the benefits that are most important to your client. They will also be able to submit new forms, such as a CA7 Claim for WLC directly from an existing claim in their dashboard, and be able to file for scheduled awards. Become a Member Enroll Healthy Living Members Send a claim status inquiry ARE YOU AN APWU BARGAINING UNIT EMPLOYEE? We're Mobile! Chattanooga, TN 37422 You have the ability to choose your Have your Name, Contact information, and your Tax ID available. Monday - Friday, Call 1300 L Street NW 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. APWU Health Plan P.O. If you need assistance completing your application or have any questions, please email proview@caqh.org or call 844-259-5347. The APWU provider portal helps you spend less time on administration so you can focus more on patient care. The address for the APWU Health Plan administrative office is: APWU Health Plan Bookmark and group claims for easy reference. At Allegiance Life & Health your health care is our first priority. APWU Health Plan Claim Status Inquiry ARE YOU AN APWU BARGAINING UNIT EMPLOYEE? Allegiance can bill fees and premiums for other employee benefits including, but not limited to, group life, group AD&D and/or group short term and long term disability to the Plan Sponsor, and will remit the premium collected to the applicable carrier. Personnel Management, as authorized by the Federal Employees Health Benefits law. Details, Claims and Explanation of Benefits (EOBs). View and print explanation of payments. Submit a referral or prior authorization request. The Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. You get a one-stop portal to quickly perform essential functions you do every day. procedures and/or facilities. amount and choose services to be covered from a menu which may include various group medical Find network providers near you, and estimate the costs before you get care. ]1nx,>\fDU>OcJjd@(">hySx5?) P Providers. Cigna may not control the content or links of non-Cigna websites. and even ancillary benefits such as dental, vision, or an accident benefit. deductible, co-insurance, and out of pocket amounts. Since 1950, the NALC Health Benefit Plan (HBP) has provided letter carriers and their families with first-rate health insurance. If you are still unable to resolve the login problem, read the troubleshooting steps or report your issue . Your EOB is not a bill but an explanation of how your claim was paid. Member Rights and Protections Against Surprise Medical Bills, https://www.changehealthcare.com/solutions/eligibility-patient-access, https://www.changehealthcare.com/resources/detail/medical-edi-network-benefits-providers. All health insurance policies and health benefit plans contain exclusions and limitations. all Allegiance and Cigna members. When Cigna receives a claim, its checked against your plan to make sure the services are covered. Submit an online claim. Our online system allows you to look-up claims, to give you the freedom to choose the benefits that are the most important to you. 0 Healthcare Blue Book provides a comprehensive transparency solution that enables consumers to compare healthcare costs and quality. 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. This is a secure website. Member Rights and Responsibilities Statement, Get free at-home COVID-19 tests this winter, Heart disease in women: Take steps to reduce your risk factors, CDC expands updated COVID-19 vaccines to include children ages 6 months through 5 years, Colon cancer is being spotted in younger people, and at later stages, How to find infant formula during the shortage, Medicare covers over-the-counter COVID-19 tests, COVID-19 vaccines for High Option members, COVID-19 vaccines for Consumer Driven Option members, Cigna Care and Costs Directory for High Option members, Telehealth visits for Consumer Driven Option members. A toll-free number gets participants connected to a doctor within minutes. Each employees HSA funds are held in an individual trust or custodial account. Automated Phone System: Direct provider credentialing information, has launched the next generation of the Universal Health (2 days ago) WebFor providers: How to submit claims to APWU Health Plan. P.O. We , https://logincave.com/apwu-provider-portal/, Health (2 days ago) WebElectronic EOB's and EFT Please contact PayPlus Solutions at the following information. No Yes 1-800-222-APWU Log In or Register Comprehensive, affordable health benefits for postal workers, federal employees and retirees. Submit claims along with Other The Postal Service has established a staggered Area rollout for its Districts. 1300 L Street NW Sometimes referred to as cafeteria plans, these plans let each employee elect an annual dollar The following link will provide you with many helpful tools as well as allow you to login to the HealthEquity account. to compare health care costs and quality. Customer Service 800-222-2798 . APWU Health Plan has the same mission as our health care professionals, hospitals and facilities. He went on to complete a fellowship in cardiology at St. Joseph's Hospital in Paterson, NJ. With COVID-19 disrupting our lives, many of us havent been back to the doctor for our annual checkups or yearly screenings. Find out where vaccines and booster shots are available in your state. Or, if you prefer to fill out a paper form, visit SuppHealthClaims.com to download a claim form.
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