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  • Contract Application - Provider Communications - Keystone First

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Contract Application Contract Type: Medicaid Medicare Both Medicaid & Medicare Practice Name: Provider Type: PCP Specialist Ancillary Facility Legal Entity Name: Group NPI (10 char), if applicable:.

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Keystone First's policies and procedures must be followed for Non-Covered Medicare services. The following is a list of services requiring prior authorization review for medical necessity and place of service. Here are some helpful tips when submitting requests for services (PDF) Opens a new window.

Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia.

Call Member Services at 1-800-521-6860 (TTY 1-800-684-5505) to talk to a Member Services Representative 24 hours a day, 7 days a week, or, Call the Nurse Call Line at 1-866-431-1514.

Timely filing limits Initial claims: 180 days from date of service. Resubmissions and corrections: 365 days from date of service.

What is the time limit for submitting claims to Medical Assistance? The original claim must be received by the department within a maximum of 180 days after the date the services were rendered or compensable items provided.

Our payer ID number is 23284.

Our corporate parent partners are Independence Blue Cross Opens a new window and Blue Cross Blue Shield of Michigan, two of the nation's largest Blue health insurers.

Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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