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  • Beacon Health Strategies 90 Day Waiver Request Form

Get Beacon Health Strategies 90 Day Waiver Request Form

90 Day Waiver Request Form Demographic Information Provider Name: Beacon Provider ID #: Member Name: Member ID #: Contact Person: Telephone #: Reason(s) For Waiver Valid reasons for requesting a 90.

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

Health. Disability. Retirement. Life Insurance. Education. Voluntary Benefits. Paid Time Off. Wellness.

The company is the product of a 2014 merger between Beacon Health Strategies, LLC and ValueOptions, Inc. Beacon Health Options, Inc....Beacon Health Options. TypeSubsidiaryIndustryBehavioral Health ServicesHeadquartersBoston, MassachusettsArea servedUnited StatesKey peopleGlenn MacFarlane(Chief Executive Officer)1 more row

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.

Beacon is only contracted to manage the Medi-Cal mental health services for the member. If a member needs services for a drug and alcohol issue the member would receive those services with the County. Beacon can be contacted to assist with the linkage to drug and alcohol services.

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.

Description. Beacon Health Options is a subsidiary of FHC Health Systems, Inc. The company provides behavioral healthcare management to 41 Fortune 500 companies, national and regional health plans, and federal, state, and local governments. Overall, the company serves over 45 million people in the United States.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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