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  • Beacon Health Strategies 90 Day Waiver Form

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Beacon Health Strategies, LLC 90 Day Waiver Request Form I. Demographic Information Provider Name: NPI #: Member Name: Member ID #: Contact Person: Telephone #: II. Reason(s) For Waiver Valid reasons.

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The company is the product of a 2014 merger between Beacon Health Strategies, LLC and ValueOptions, Inc.

Contracted by Partnership HealthPlan of California, Beacon provides mental health services for individuals with mild to moderate mental health conditions. Services include mental health assessments, individual and family therapy and case management.

Beacon Health Options, formerly known as ValueOptions, offers treatment for clinical mental health and substance use disorders, work/life support, and specialty programs for autism and depression.

On March 1, 2023, Beacon Health Options (Beacon) will change its name to Carelon Behavioral Health.

Use delay reason code 8. The provider is making a change to the pay-to-provider number on a claim that was originally submitted within the time limits defined in MassHealth regulations at 130 CMR 450.309 and 450.313. Use delay reason code 8. Other.

Call the MassHealth Customer Service Center: Main: (800) 841-2900. TTY: (800) 497-4648.

90-day waiver requests must be submitted electronically via the Provider Online Service Center (POSC) direct data entry (DDE) using the attachments tab and the appropriate HIPAA delay reason code(s). Each individual 90-day waiver claim must be submitted with supporting documentation that is relevant to that claim.

Initial claims must be received by MassHealth within 90 days of the service date. If you had to bill another insurance carrier before billing MassHealth, you have 90 days from the date of the explanation of benefits (EOB) of the primary insurer to submit your claim.

Beacon Health Options will operate as a wholly-owned subsidiary of Anthem and its associates will join Anthem's Diversified Business Group .

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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