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CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers NURSE HOTLINE FOR STUDENTS Nurse Hotline for Students. Medical advice when you need it 24 hours a day, 365 days per year. Simply call the Nurse Hotline at 800-557-0309 for quick, sound medical advice from specially trained RNs. The Nurse Hotline is a 24/7 source of reliable and caring health information, education and support. COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C OPEN ENROLLMENT IS CLOSED. Open Enrollment is Closed. Open Enrollment is Closed. All fields are required. Student ID: example "N99999999" Date of BirthHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers NURSE HOTLINE FOR STUDENTS Nurse Hotline for Students. Medical advice when you need it 24 hours a day, 365 days per year. Simply call the Nurse Hotline at 800-557-0309 for quick, sound medical advice from specially trained RNs. The Nurse Hotline is a 24/7 source of reliable and caring health information, education and support. COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C OPEN ENROLLMENT IS CLOSED. Open Enrollment is Closed. Open Enrollment is Closed. All fields are required. Student ID: example "N99999999" Date of Birth CONTACT US - CONSOLIDATED HEALTH PLAN Fax Numbers: Claims: (413) 733-4612. Sales: (413) 747-8418. Provider Relations: (413)-781-1958. To view a calendar of days Wellfleet will be closed, please click on the "Corporate Calendar" link located in the grey side bar to the left.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
NATIONAL PREFERRED FORMULARY JULY 2021 2 List of Abbreviations ACA: Affordable Care Act AGE: Age Edit OTC: Over the Counter.An OTC drug is a non-prescription drug. PA: Prior Authorization.The Plan requires you or your physician to get prior authorization for certain drugs. CAREINGTON DENTAL DISCOUNT PLAN Careington Dental Plan Features. 20% to 50% on most dental procedures including routine oral exams, unlimited cleanings, and major work such as dentures, root canals, and crowns. 20% savings on orthodontics including braces and retainers for children and adults. 20% reduction on specialist's normal fees. Specialties include: Endodontics, Oral HOW TO USE THE FORMULARY 2 List of Abbreviations ACA: Affordable Care Act. AGE: Age Edit LA: Limited Availability.This prescription may be available only at certain pharmacies. For more information, please call CustomerService.
INSTRUCTIONS FOR COMPLETING A COORDINATION OF BENEFITS Instructions for Completing a Coordination of Benefits Questionnaire As a student and/or dependent enrolled in a Student Health Insurance Plan, it is a requirement to NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C OPTUMRX PHARMACY NETWORK OptumRx pharmacy network A A and P Accredo Health Acme Aurora B Bartell Drugs Bel Air Bi Lo Big Y Foods Bi-Mart Brookshire BrothersBrookshire C Carrs
ON-LINE INSURANCE ID CARDS This card is for identification only. It is not a guarantee of benefits. Any unauthorized use of this card is strictly prohibited. If you are unable to print an ID card from this page, please consult your plan sponsor or contact Customer Service at 1-877-373-1170 or email at nyu@wellfleetinsurance.com.HOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. CONTACT US - CONSOLIDATED HEALTH PLAN Fax Numbers: Claims: (413) 733-4612. Sales: (413) 747-8418. Provider Relations: (413)-781-1958. To view a calendar of days Wellfleet will be closed, please click on the "Corporate Calendar" link located in the grey side bar to the left. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. CONTACT US - CONSOLIDATED HEALTH PLAN Fax Numbers: Claims: (413) 733-4612. Sales: (413) 747-8418. Provider Relations: (413)-781-1958. To view a calendar of days Wellfleet will be closed, please click on the "Corporate Calendar" link located in the grey side bar to the left. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY. ID# GROUP ID# Group - Effective: This card is for identification purposes only. HP Studãl . Created Date: 6/3/2021 12:00:00 AM HOW TO USE THE FORMULARY 2 List of Abbreviations ACA: Affordable Care Act. AGE: Age Edit LA: Limited Availability.This prescription may be available only at certain pharmacies. For more information, please call CustomerService.
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. STUDENT HEALTH INSURANCE PLAN 4 Administered by: Consolidated Health Plans 2077 Roosevelt Ave. Springfield, MA 01104 TRINITY WASHINGTON UNIVERSITY 2018-2019 STUDENT INSURANCE PLAN All registered students taking 6 or more credits and students in Business and Graduate Studies (BGS), School of HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a PRIOR AUTHORIZATION REQUEST FORM Prior Authorization Request Form For Medical Procedures MEMBER INFORMATION Name: Gender (Circle One): M F DOB: Other Insurance:Member ID:
OPTUMRX PHARMACY NETWORK OptumRx pharmacy network A A and P Accredo Health Acme Aurora B Bartell Drugs Bel Air Bi Lo Big Y Foods Bi-Mart Brookshire BrothersBrookshire C Carrs
HOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C CONTACT US - CONSOLIDATED HEALTH PLAN Fax Numbers: Claims: (413) 733-4612. Sales: (413) 747-8418. Provider Relations: (413)-781-1958. To view a calendar of days Wellfleet will be closed, please click on the "Corporate Calendar" link located in the grey side bar to the left. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions.PROVIDER SEARCH
Provider Search. Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service. To find providers in one of the networks we work with, click the below link that corresponds with the logo on your ID card: Cigna PPO. Cigna PPO Behavioral Health. Cigna OAP.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. HOW TO USE THE FORMULARY 2 List of Abbreviations ACA: Affordable Care Act. AGE: Age Edit LA: Limited Availability.This prescription may be available only at certain pharmacies. For more information, please call CustomerService.
THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY. ID# GROUP ID# Group - Effective: This card is for identification purposes only. HP Studãl . Created Date: 6/3/2021 12:00:00 AM HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. STUDENT HEALTH INSURANCE PLAN 4 Administered by: Consolidated Health Plans 2077 Roosevelt Ave. Springfield, MA 01104 TRINITY WASHINGTON UNIVERSITY 2018-2019 STUDENT INSURANCE PLAN All registered students taking 6 or more credits and students in Business and Graduate Studies (BGS), School of HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — aHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C CONTACT US - CONSOLIDATED HEALTH PLAN Fax Numbers: Claims: (413) 733-4612. Sales: (413) 747-8418. Provider Relations: (413)-781-1958. To view a calendar of days Wellfleet will be closed, please click on the "Corporate Calendar" link located in the grey side bar to the left. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions.PROVIDER SEARCH
Provider Search. Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service. To find providers in one of the networks we work with, click the below link that corresponds with the logo on your ID card: Cigna PPO. Cigna PPO Behavioral Health. Cigna OAP.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. HOW TO USE THE FORMULARY 2 List of Abbreviations ACA: Affordable Care Act. AGE: Age Edit LA: Limited Availability.This prescription may be available only at certain pharmacies. For more information, please call CustomerService.
THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY. ID# GROUP ID# Group - Effective: This card is for identification purposes only. HP Studãl . Created Date: 6/3/2021 12:00:00 AM HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. STUDENT HEALTH INSURANCE PLAN 4 Administered by: Consolidated Health Plans 2077 Roosevelt Ave. Springfield, MA 01104 TRINITY WASHINGTON UNIVERSITY 2018-2019 STUDENT INSURANCE PLAN All registered students taking 6 or more credits and students in Business and Graduate Studies (BGS), School of HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — aHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C CONTACT US - CONSOLIDATED HEALTH PLAN Fax Numbers: Claims: (413) 733-4612. Sales: (413) 747-8418. Provider Relations: (413)-781-1958. To view a calendar of days Wellfleet will be closed, please click on the "Corporate Calendar" link located in the grey side bar to the left. ONLINE ID CARD LOGIN This on-line ID card generator is for use exclusively by active participants. In order for a card to be generated, your enrollment must have been approved and submitted by your plan sponsor. By printing your insurance card you are acknowledging you meet the eligibility requirements and that you have read and understand the benefits and exclusions.PROVIDER SEARCH
Provider Search. Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service. To find providers in one of the networks we work with, click the below link that corresponds with the logo on your ID card: Cigna PPO. Cigna PPO Behavioral Health. Cigna OAP.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. HOW TO USE THE FORMULARY 2 List of Abbreviations ACA: Affordable Care Act. AGE: Age Edit LA: Limited Availability.This prescription may be available only at certain pharmacies. For more information, please call CustomerService.
THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY. ID# GROUP ID# Group - Effective: This card is for identification purposes only. HP Studãl . Created Date: 6/3/2021 12:00:00 AM HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. STUDENT HEALTH INSURANCE PLAN 4 Administered by: Consolidated Health Plans 2077 Roosevelt Ave. Springfield, MA 01104 TRINITY WASHINGTON UNIVERSITY 2018-2019 STUDENT INSURANCE PLAN All registered students taking 6 or more credits and students in Business and Graduate Studies (BGS), School of HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — aHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
BASIX DENTAL SAVINGS PROGRAM A: The Basix Dental Savings Program is a discount plan, NOT an insurance plan. The Dental Savings Program provides dental care at substantially reduced rates from contracted dental providers. And because it is a discount program-not insurance-there are no lifetime maximums, exclusions or claim forms. Q: If I use the Program how muchwill I owe?
NURSE HOTLINE FOR STUDENTS Nurse Hotline for Students. Medical advice when you need it 24 hours a day, 365 days per year. Simply call the Nurse Hotline at 800-557-0309 for quick, sound medical advice from specially trained RNs. The Nurse Hotline is a 24/7 source of reliable and caring health information, education and support. COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
BASIX DENTAL SAVINGS PROGRAM A: The Basix Dental Savings Program is a discount plan, NOT an insurance plan. The Dental Savings Program provides dental care at substantially reduced rates from contracted dental providers. And because it is a discount program-not insurance-there are no lifetime maximums, exclusions or claim forms. Q: If I use the Program how muchwill I owe?
NURSE HOTLINE FOR STUDENTS Nurse Hotline for Students. Medical advice when you need it 24 hours a day, 365 days per year. Simply call the Nurse Hotline at 800-557-0309 for quick, sound medical advice from specially trained RNs. The Nurse Hotline is a 24/7 source of reliable and caring health information, education and support. COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CPROVIDER SEARCH
Provider Search. Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service. To find providers in one of the networks we work with, click the below link that corresponds with the logo on your ID card: Cigna PPO. Cigna PPO Behavioral Health. Cigna OAP. BASIX DENTAL SAVINGS PROGRAM A: The Basix Dental Savings Program is a discount plan, NOT an insurance plan. The Dental Savings Program provides dental care at substantially reduced rates from contracted dental providers. And because it is a discount program-not insurance-there are no lifetime maximums, exclusions or claim forms. Q: If I use the Program how muchwill I owe?
FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers CONSOLIDATED HEALTH PLANS Contact Wellfleet Customer Service: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369. Phone: (877) 657-5027 ♦ Claims Fax: (413) 733-4612. Contact Us: Click here. Group Number: ST0941SH. IMPORTANT CLAIM INFORMATION: Please send all medical claims to. Cigna, PO Box 188061, Chattanooga,TN 37422-8061.SPECIAL RISK
Special Risk. Blanket group coverage that pays medical expenses for uninsured participants and fills gaps such as co-pays, deductibles and coinsurance for participants who have other insurance. WELLFLEET STUDENT HEALTH PLANS Wellfleet Student Health Plans. At Wellfleet Group, LLC we realize that your students are important to you. Therefore, our team of experienced, talented and decisive professionals are committed to providing you with the efficient and individualized service you deserve. We take pride in our work and quality is reflected in ourattitude.
NEW YORK STATE OUT-OF-NETWORK SURPRISE MEDICAL BILL YOU New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a STUDENT HEALTH INSURANCE PLAN NBHCert-280(2016) KS 4 Country of Assignment means the country in which an Eligible International Student, scholar or visiting faculty member is: 1. Temporarily residing; and 2. Actively engaged in education or educational research related activities sponsored by the National AssociationHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers CONSOLIDATED HEALTH PLANS Contact Wellfleet Customer Service: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369. Phone: (877) 657-5027 ♦ Claims Fax: (413) 733-4612. Contact Us: Click here. Group Number: ST0941SH. IMPORTANT CLAIM INFORMATION: Please send all medical claims to. Cigna, PO Box 188061, Chattanooga,TN 37422-8061. COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CHOME
CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers CONSOLIDATED HEALTH PLANS Contact Wellfleet Customer Service: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369. Phone: (877) 657-5027 ♦ Claims Fax: (413) 733-4612. Contact Us: Click here. Group Number: ST0941SH. IMPORTANT CLAIM INFORMATION: Please send all medical claims to. Cigna, PO Box 188061, Chattanooga,TN 37422-8061. COORDINATION OF BENEFITS QUESTIONNAIRE Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CMEMBER HOMEPAGE
Wellfleet Student Health Plans. Welcome to Wellfleet's Student Web Pages. At Wellfleet you are important to us! Our team of experienced professionals is committed to providing you with the efficient and individualized service you deserve. We take pride in our work and quality is reflected in our attitude. Please start by selecting yourschool
PROVIDER SEARCH
Provider Search. Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service. To find providers in one of the networks we work with, click the below link that corresponds with the logo on your ID card: Cigna PPO. Cigna PPO Behavioral Health. Cigna OAP.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
NURSE HOTLINE FOR STUDENTS Nurse Hotline for Students. Medical advice when you need it 24 hours a day, 365 days per year. Simply call the Nurse Hotline at 800-557-0309 for quick, sound medical advice from specially trained RNs. The Nurse Hotline is a 24/7 source of reliable and caring health information, education and support. FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. BASIX DENTAL SAVINGS PROGRAM A: The Basix Dental Savings Program is a discount plan, NOT an insurance plan. The Dental Savings Program provides dental care at substantially reduced rates from contracted dental providers. And because it is a discount program-not insurance-there are no lifetime maximums, exclusions or claim forms. Q: If I use the Program how muchwill I owe?
THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY. ID# GROUP ID# Group - Effective: This card is for identification purposes only. HP Studãl . Created Date: 6/3/2021 12:00:00 AMSPECIAL RISK
Special Risk. Blanket group coverage that pays medical expenses for uninsured participants and fills gaps such as co-pays, deductibles and coinsurance for participants who have other insurance. HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a HOME CONSOLIDATED HEALTH PLANS CHP CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers CONSOLIDATED HEALTH PLANS Contact Wellfleet Customer Service: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369. Phone: (877) 657-5027 ♦ Claims Fax: (413) 733-4612. Contact Us: Click here. Group Number: ST0941SH. IMPORTANT CLAIM INFORMATION: Please send all medical claims to. Cigna, PO Box 188061, Chattanooga,TN 37422-8061. COORDINATION OF BENEFITS QUESTIONNAIRECOORDINATION OF BENEFITS RULES 2019WHAT IS COORDINATION OF BENEFITSANTHEM COB QUESTIONNAIRECIGNA COB QUESTIONNAIREHEALTH PLAN COB QUESTIONNAIRE FORM Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF C HOME CONSOLIDATED HEALTH PLANS CHP CHP is committed to. providing affordable, top-quality health and. personal property insurance products and services to our customers world-wide. We take pride in our customer service so you will always get the answers you need, when you need them. You can expect timely and accurate administration and user-friendly reporting.PROVIDER LOGIN
If you do not currently have a log-in, please email us at websiteaccesshelp@wellfleetinsurance.com. If you have questions on claims status, please " Contact Us " or call (413) 733-4540, toll-free (800) 633-7867, and select option 2. LOGIN TO THE CHP WEBSITE Don't have an account? If you are a provider, group administrator or broker, please Contact Us If you are a plan member, register here. Forgot your password? Click Here.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
APPLY FOR THE SAREMI HEALTH AND WELLNESS GRANT Consolidated Health Plans. Providing superior insurance solutions by being accessible, responsive, and flexible.. Zelis. Zelis Healthcare is a technology company and market-leading provider of integrated healthcare cost management and payments solutions including network analytics and design, network access and cost management, claims cost management and electronic payments to payers CONSOLIDATED HEALTH PLANS Contact Wellfleet Customer Service: Wellfleet Group, LLC, PO Box 15369, Springfield, MA 01115-5369. Phone: (877) 657-5027 ♦ Claims Fax: (413) 733-4612. Contact Us: Click here. Group Number: ST0941SH. IMPORTANT CLAIM INFORMATION: Please send all medical claims to. Cigna, PO Box 188061, Chattanooga,TN 37422-8061. COORDINATION OF BENEFITS QUESTIONNAIRECOORDINATION OF BENEFITS RULES 2019WHAT IS COORDINATION OF BENEFITSANTHEM COB QUESTIONNAIRECIGNA COB QUESTIONNAIREHEALTH PLAN COB QUESTIONNAIRE FORM Coordination of Benefits Questionnaire As a employee and/or dependent enrolled in an Employer Sponsored Insurance Plan, it is a requirementto
WELCOME TO THE STUDENT HEALTH INSURANCE ONLINE ENROLLMENT Welcome to the Student Health Insurance Online Enrollment/Waiver Process - Summer 2021. If you have a problem using this website, please contact 877-373-1170 or email us at nyu@wellfleetinsurance.com.. Given the unique situation that continues to evolve around the coronavirus, students with NYU-sponsored Student Health Insurance (Washington Square: Basic and Comprehensive Plans)are no longer
MASSACHUSETTS STANDARD FORM FOR MEDICATION PRIOR 2 Massachusetts Collaborative — Massachusetts Standard Form for Medication Prior Authorization Requests May 2016 (version 1.0) CONSOLIDATEDHEALTHPLAN.COM NY SHIP CERT (2018) The New York Conservatory for Dramatic Arts 1 . New York Student Health Plan . This is Your . PREFERRED PROVIDER ORGANIZATION(PPO) INSURANCE . CERTIFICATE OF CMEMBER HOMEPAGE
Wellfleet Student Health Plans. Welcome to Wellfleet's Student Web Pages. At Wellfleet you are important to us! Our team of experienced professionals is committed to providing you with the efficient and individualized service you deserve. We take pride in our work and quality is reflected in our attitude. Please start by selecting yourschool
PROVIDER SEARCH
Provider Search. Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service. To find providers in one of the networks we work with, click the below link that corresponds with the logo on your ID card: Cigna PPO. Cigna PPO Behavioral Health. Cigna OAP.PROVIDER RELATIONS
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at providerrelations@wellfleetinsurance.com or fax to 413-781-1958. New Jersey ONLY Appeal Form: If you are a provider in the state of NewJersey and you need
NURSE HOTLINE FOR STUDENTS Nurse Hotline for Students. Medical advice when you need it 24 hours a day, 365 days per year. Simply call the Nurse Hotline at 800-557-0309 for quick, sound medical advice from specially trained RNs. The Nurse Hotline is a 24/7 source of reliable and caring health information, education and support. FAQS - CONSOLIDATED HEALTH PLAN If you do not currently have log-in access and would like access, please contact Wellfleet Provider Relations at: provider_relations@wellfleetinsurance.com. If you have questions on claim status, you may also contact us at (413) 733-4540, or toll-free at (800) 633-7867, and select option 2. BASIX DENTAL SAVINGS PROGRAM A: The Basix Dental Savings Program is a discount plan, NOT an insurance plan. The Dental Savings Program provides dental care at substantially reduced rates from contracted dental providers. And because it is a discount program-not insurance-there are no lifetime maximums, exclusions or claim forms. Q: If I use the Program how muchwill I owe?
THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY. ID# GROUP ID# Group - Effective: This card is for identification purposes only. HP Studãl . Created Date: 6/3/2021 12:00:00 AMSPECIAL RISK
Special Risk. Blanket group coverage that pays medical expenses for uninsured participants and fills gaps such as co-pays, deductibles and coinsurance for participants who have other insurance. HOW TO FILE A MEDICAL CLAIM WITH CHP How to File a Medical Claim with CHP 1. Obtain a Claim Form from your school or on-line at www.chpstudent.com. 2. Complete ALL of the information on the claim form. HOME DELIVERY FREQUENTLY ASKED QUESTIONS OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a NOTICE: WELLFLEET CUSTOMER SERVICE WILL BE CLOSING AT 5 P.M. EST WEDNESDAY, AUG. 14 AND OPENING AT 8:30 A.M. EST ON THURSDAY, AUG. 15.* Home
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PROTECTING PEOPLE
It’s what drives us every day. Wellfleet delivers customer-centric insurance solutions with quality service and uncompromising ethics — protecting people against risk throughout every stage of life.LEARN MORE
A BERKSHIRE HATHAWAY COMPANY Wellfleet, formerly known as Consolidated Health Plans, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet works to protect people against risk throughout every stage of life – from grade school to collegeto the workplace.
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OUR LINES OF COVERAGE A leading provider of insurance solutions to the college market, including Student Health, Accident, ICS, Stop Loss & moreLEARN MORE
Offering Critical Illness, Accident, and Disability products and Health Plans -- helping members protect the people they care aboutLEARN MORE
Participant Accident coverage, including International Medical, K-12, Business Travel, Accident coverage & moreLEARN MORE
The only pharmacy solution designed exclusively for the college student population, offering student-focused features & moreLEARN MORE
A leading provider of student insurance solutions to colleges and universities, including Student Health, Accident, ICS, Stop Loss &more
LEARN MORE
Offering Critical Illness, Accident, and Disability products and Health Plans -- helping members protect the people they care aboutLEARN MORE
Participant Accident coverage, including International Medical, K-12, Business Travel, Accident coverage & moreLEARN MORE
The only pharmacy solution designed exclusively for the college student population, offering student-focused features & moreLEARN MORE
LOOKING FOR MORE INFORMATION OR WANT TO GET IN TOUCH? Contact us and a member of our team will be in touch shortly.CONTACT US
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PO Box 15369, Springfield, MA 01115-5369 Copyright 2019 © All rights Reserved. Wellfleet Wellfleet is the marketing name used to refer to the insurance and administrative operations of Wellfleet Insurance Company (formerly Commercial Casualty Insurance Company), Wellfleet New York Insurance Company (formerly Atlanta International Insurance Company), and Wellfleet Group, LLC (formerly Consolidated Health Plans, LLC). All insurance products are administered or managed by Wellfleet Group, LLC. Product availability is based upon business and/or regulatory approval and may differ among companies.Details
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