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  • Neighborhood Health Plan Authorization Form - Portal Mah Harvard

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Procedures & Admissions Pre-certification/Pre-authorization Request Form Neighborhood Health Plan 253 Summer Street, Boston, MA 02210 Phone: 800-432-9449 or 617-772-5530 Fax: 617-478-7175 Provider.

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Contact support

Should you need to submit claims please submit electronically or mail to our claims address PO Box 28259 Providence, RI 02908.

Claims Submission Information Exchange/Commercial and INTEGRITY (Medicare-Medicaid Plan) Claims Payer ID 96240.

Payer Name: Medicaid - Rhode Island|Payer ID: MCDRI|Professional (CMS 1500)

Please contact TurningPoint phone at 1-855- 909-6222 or by fax at 1-603-836-8903.

Complete claims must be received by Neighborhood within one hundred eighty (180) days from the date of service. For date range claim submissions, (i.e., claims that require “from”/ “to” and/or “through” dates) 180 days begins at the “to”/”through” date.

Any provider claim payment dispute received by Neighborhood's Grievances and Appeals Unit after the 60 days will be rejected as 'over the time limit' (unless a provider's contract with Neighborhood states otherwise).

Neighborhood is one of only two Medicaid Health Plans out of 185 across the country to achieve this rating in 2021 and the only Medicaid Health Plan to do so in Rhode Island.

ABOUT NEIGHBORHOOD: Neighborhood serves nearly 217,000 members in the state with 81 percent of its membership Medicaid eligible through its ACCESS and TRUST plans and 6 percent of its membership utilizing Neighborhood's INTEGRITY Medicare-Medicaid Plan (MMP).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Content Takedown Policy
Bug Bounty Program
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:
+1 833 426 79 33
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