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  • Keystone First Vip Choice Behavioral Health Clinical Fax Form 2016

Get Keystone First Vip Choice Behavioral Health Clinical Fax Form 2016-2025

Behavioral Health Clinical Fax Form When complete, please fax to 18553965740. Today's date:Date of admission/service start:Type of review: PrecertifcationEstimated length of stay: Continued stay Discharge(days/units)Type.

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Keystone First VIP Choice payer ID is 77741. Providers can submit claims directly to Change Healthcare through WebConnect. Claims - Provider - Keystone First VIP Choice keystonefirstvipchoice.com https://.keystonefirstvipchoice.com › pdf › training keystonefirstvipchoice.com https://.keystonefirstvipchoice.com › pdf › training

Our payer ID number is 23284.

Call 1-800-450-1166 (TTY 711), Monday through Friday, 8 a.m. – 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. – 8 p.m., from October 1 to March 31. 1-855-707-0847. You can contact us by using our secure contact form.

About Keystone VIP Choice Keystone First VIP Choice is a Medicare Advantage Special Needs Plan for dual-eligibles offered by Vista Health Plan, Inc., an affiliate of Independence Blue Cross, in five Southeastern Pennsylvania counties.

Medicaid Keystone First is a Medical Assistance (Medicaid) managed care health plan that was founded by the Sisters of Mercy in 1982 to help people get care, stay well, and build healthy communities. About us - Keystone First keystonefirstpa.com https://.keystonefirstpa.com › about keystonefirstpa.com https://.keystonefirstpa.com › about

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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