WebHealth plans. If you would like information about OBAT or MAT programs, please contact your Provider Representative or Provider Services at . 1-800-682-9091. PROVIDER INFORMATION Practitioner Name Practitioner Specialty . Practitioner Type 1 NPI . Practitioner DEA Number WebAppeals Guide and Your Rights This guide is designed to provide information on what you can do if you want to challenge (appeal) a medical decision that you do not agree with. We want to make sure you understand your rights and assist you with understanding the different appeal options you may have. Appeals Guide and Your Rights
Braven Health (Horizon Blue Cross Blue Shield of New Jersey
WebMar 25, 2024 · To download a paper NPI update form, please visit: cms.gov/cmsforms. Click CMS Forms in the left navigation. Click CMS 10114 to display the NATIONOL PROVIDER IDENTIFIER (NPI) APPLICATION/ UPDATE FORM. If you need to request a form, please call the NPI E numerator at 1-800-465-3203. WebEnter the terms you wish to search for. looking button. Home; Members; Providers sultry outfits
CareCentrix
WebBraven Health Forms Braven Health Forms; Claim Submit; Consent Permission; ... Authorization Request. Behavioral Health providers can use this form for both initial also concurrent my for authorization of ABA services. ID: 40001 ... Behavioral Health providers may use this form to submit information to us pertaining to the evaluation starting ... WebThe Braven Health℠ name and symbols are service marks of Braven Health. For J.D. Power 2024 award information, visit jdpower.com/awards. ¹Physician data as of 6/30/2024. Are you sure you want to leave this website? You are leaving the Horizon Blue Cross Blue Shield of New Jersey website. Request Form – Professional Provider Inquiry, Request & Adjustment FAX Form (for Braven Health℠ patients) Professional providers may use this form to FAX us inquiries, claim adjustment requests, or requests to resolve or provide information about issues related to patients enrolled in Horizon BCBSNJ plans. ID: 40112. pajara inversiones s.l