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  • Alic Health Claim Form For Reimbursement - Paramount Health ...

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He same in originals. Claims Submitted by : Insured / Corporate / Agent / Broker / Insurer / Hopsital Claim Submitted by: Mobile No. Remarks Date of Claim Submission: Claim Submitted at: DD/MM/YYYY HH:MM PHS - (Location) / Help Desk PHS Executive Name: Signature: Important Points to Remember:1. Please mark either or against respective check box 2. Date of File Received will be considered as next working day for Claim Files picked up at Help Desk 3. Claim Need to be Submitted within 7.

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Call or contact the Paramount Electronic Claims Department at 419-887-2532 or 1-855-803-6777, or email phcecshelpdesk@promedica.org.

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.

Helpline No. & Email ID Helpline No. : +91 22 666 20 808. Toll free No. : 1800 22 66 55. Senior Citizen Helpline No. : +91 22 666 29 813. Cashless Authorization Email Id : al.request@paramounttpa.com. Email Us : contact.phs@paramounttpa.com. Claim Intimation Email Id : claim.intimation@paramounttpa.com.

Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims including: Total amounts charged. Your discounts just for being a member. What your health plan paid on your claims.

Paramount Advantage Medicaid has been acquired by Anthem Blue Cross and Blue Shield (Anthem). Anthem is working with Paramount Advantage to continue providing your healthcare coverage. You do not need to take any action to begin receiving healthcare benefits through Anthem and there will be no disruption in your care.

Payer Name: Paramount Health Care|Payer ID: PARHC|Professional (CMS1500)/Institutional (UB04)[Hospitals]

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232