Nt Name: _______________________________________________________ Date of Birth: ___________________Age: ______________ M F Address (City/State only): ______________________________________________ Tel #: _____________________Patient’s Insurance ID#:______________________ Patient's Employer/Benefit Plan: _________________________________________ Provider Name: _______________________________License: _______________ Name of Program/Clinic (if applicable): _______________________________.
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How to use or fill out the Beacon Health Options (Formerly ValueOptions ORF 2) online
Filling out the Beacon Health Options (Formerly ValueOptions ORF 2) online can streamline the process of requesting necessary care services. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to fill out the form accurately.
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- Enter the requested start date in the format ____/____/____.
- Select the type of service requested by marking either 'Mental Health' or 'Substance Abuse'.
- Fill in the patient's name, date of birth, age, and gender (male or female).
- Provide the patient’s city and state of residence, telephone number, and insurance ID number.
- Include the patient's employer and benefit plan details.
- Enter the provider's name and license number.
- If applicable, list the name of the program or clinic and the Beacon provider ID number.
- Fill in the service address, city, state, and zip code.
- Indicate whether the service address is the same as the mailing address by selecting 'Yes' or 'No.' If 'No,' provide the updated mailing address.
- Confirm your independent licensure status by selecting 'Yes' or 'No,' and enter your ID number (choose SSN, Tax ID, or NPI).
- Assess current impairments by selecting or circling the appropriate value for each type of impairment. Ensure to include details on weight change as needed.
- In the treatment plan section, select the primary reason for continued treatment.
- Document the diagnoses using the appropriate ICD codes for both behavioral and medical diagnoses.
- Complete any optional functional assessment, if applicable.
- Indicate the types of services provided by you and their frequencies.
- Provide the treatment history, including previous treatments and outcomes.
- Detail the current risk assessment by selecting the appropriate values.
- List current psychotropic medications, dosage, frequency, and adherence status.
- Add your signature as the treating provider and date the form.
- Finally, review all entries for accuracy before saving changes, downloading, or printing the completed form.
Complete the Beacon Health Options (Formerly ValueOptions ORF 2) form online today to ensure timely and effective service delivery.
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Get answers to your most pressing questions about US Legal Forms API.
Who bought Beacon Health Options?
Beacon Health Options (Formerly ValueOptions ORF 2) was acquired by Anthem, Inc. in 2015, solidifying its role in the mental health and substance use treatment market. This acquisition integrated Beacon's services into Anthem's broader healthcare offerings, enhancing access to quality care. As part of Anthem, Beacon continues to deliver essential behavioral health insurance services. If you're looking to understand your options better, USLegalForms can help you navigate through the specifics.
Is Carelon the same as Beacon?
While Carelon and Beacon Health Options (Formerly ValueOptions ORF 2) share a commitment to better mental health services, they are not the same entity. Carelon provides innovative solutions and support systems, while Beacon focuses on insurance coverage for behavioral health issues. Together, they contribute significantly to a more holistic healthcare experience. For simplified access to these services, consider using USLegalForms.
Are Carelon and Beacon the same?
Carelon and Beacon Health Options (Formerly ValueOptions ORF 2) operate under the same parent company, but they serve different functions. Carelon focuses on technology and service improvements for behavioral health, while Beacon provides the actual insurance coverage. Both aim to enhance patient care and streamline processes in mental health services. It's worth exploring USLegalForms for detailed guidance on these services.
What type of insurance is ValueOptions?
ValueOptions, now known as Beacon Health Options (Formerly ValueOptions ORF 2), specializes in behavioral health insurance. This insurance covers mental health services, substance use treatment, and other related services. It provides comprehensive support for individuals seeking help and resources for better health. Our platform, USLegalForms, can assist you in navigating your insurance options effectively.
Who is the parent company of Carelon?
The parent company of Carelon is Anthem, Inc., which has a strong presence in the healthcare sector. Anthem is dedicated to improving health outcomes and access to essential services. Carelon serves as a key division under Anthem, focusing on enhanced behavioral health solutions. As part of its offerings, Carelon also leverages resources from Beacon Health Options (Formerly ValueOptions ORF 2) to optimize care.
Is Beacon Health owned by Anthem?
Beacon Health Options (Formerly ValueOptions ORF 2) is not directly owned by Anthem; it is part of Elevance Health, which operates Anthem. Elevance Health manages multiple health services, under which Beacon and Anthem both contribute to a comprehensive approach to health care. This structure ensures that customers receive coordinated care across different platforms and services.
How do I submit a health insurance claim?
To submit a health insurance claim with Beacon Health Options (Formerly ValueOptions ORF 2), first gather all necessary documents, including your health service provider's information and any receipts. You can submit your claim online through the Beacon Health Options portal, which simplifies the process and allows for quicker processing. Alternatively, you can also mail your completed claim form and supporting documents to their claims department. Make sure to keep a copy of everything you send for your records.
Is Beacon Health part of Anthem?
While Beacon Health Options (Formerly ValueOptions ORF 2) is not directly part of Anthem, it operates under Carelon, which is a subsidiary of Anthem. This affiliation allows users to access a wide variety of healthcare services backed by Anthem's robust network. You will experience improved care coordination and access to comprehensive resources.
Are Beacon Health Options the same as Carelon?
No, Beacon Health Options (Formerly ValueOptions ORF 2) and Carelon are not the same; however, Beacon is now part of Carelon following the acquisition. Carelon focuses on integrating innovative solutions in healthcare, while Beacon concentrates on mental health services. Together, they create a more comprehensive system for addressing mental health needs.
Who owns Beacon Health Options?
Currently, Beacon Health Options (Formerly ValueOptions ORF 2) is owned by Carelon. This ownership ensures a commitment to provide excellent mental health services and integrated care solutions. Carelon aims to streamline access to resources, improving wellness outcomes for individuals and communities alike.
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