Claims Information
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Speak To Someone In Your Community
Find Someone In Your Neighborhood And In Your Language
Please see below for information and instructions regarding claims pertaining to Behavioral Health services:
Claims must be submitted detailing all services rendered for every encounter within 90 days of the date of service or discharge
Please allow 30 days for electronic and 45 days for paper claim submission date to receive payment.
Claims for all members can be submitted electronically using MetroPlusHealth Emdeon Payer ID# 13265.
Paper claims must be submitted on CMS 1500 or UB-04 forms
MetroPlusHealth Health Plan
P.O. Box 830480
Birmingham, AL 35283-0480
MetroPlus Health Plan
P.O. Box 381508
Birmingham, AL 35238-1508
If you disagree with a claim payment determination, you have the right to appeal. You must explain the reason for the appeal and include:
All pertinent information as well as a copy of the original claim. Claims must be submitted in writing within 45 calendar days of the date of the original check or denial notification.
In writing: MetroPlus Health Plan
P.O. Box 830480
Birmingham, AL 35283-0480
MetroPlusHealth Plan
50 Water Street, 7th Floor
New York, NY 10004
By phone: 800-303-9626
By fax: 212-908-8789
Talk To Us About Questions Or Concerns
Monday–Saturday | 8 a.m.–8 p.m. (ET)
Sunday | 9 a.m. –5 p.m. (ET)
Talk To Us About Any Questions or Concerns
Monday–Saturday | 8 a.m.–6 p.m. (ET)
Sunday | 9 a.m. –5 p.m. (ET)
Find Someone In Your Neighborhood And In Your Language
Topic: MetroPlusHealth Annual Public Meeting
Date/Time: Tuesday, December 13th @ 4:00PM
Zoom Webinar Information Below
Please click the link below to join the webinar:
https://metroplus-org.zoom.us/j/85027965324?pwd=bDRBTnFjeW1JZUxLQ2pHU1NZY0pnQT09
Passcode: 498808
Or One tap mobile :
Or Telephone:
Dial (for higher quality, dial a number based on your current location):
+1 646 558 8656 or +1 301 715 8592 or +1 312 626 6799 or +1 253 215 8782 or +1 346 248 7799 or 1 669 900 9128
Webinar ID: 850 2796 5324
International numbers available: https://metroplus-org.zoom.us/u/kbBFHldTq
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