Contact Reference Guide - Blue Cross Blue Shield of Georgia
Contact Reference Guide - Blue Cross Blue Shield of Georgia
Contact Reference Guide - Blue Cross Blue Shield of Georgia
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<strong>Contact</strong> <strong>Reference</strong> <strong>Guide</strong>2010 SmartValue Medicare Advantage PFFS PlanCustomer ServiceFor questions related to membereligibility, benefits, copays and claimstatus, speak with one <strong>of</strong> our dedicatedprovider representatives by calling:(866) 364-23748:00 a.m. – 8:00 p.m.Seven days a week.Interactive Voice ResponseSystem (IVR) available 24/7.Submission <strong>of</strong> ClaimsFile claims to your local <strong>Blue</strong> <strong>Cross</strong> and<strong>Blue</strong> <strong>Shield</strong> plan.Sample MemberIdentification CardCustom Care ConnectionA free benefit that <strong>of</strong>fers members anexperienced nurse care manager to helpplan and coordinate care with our valuedhealthcare providers.(866) 797-98848:00 a.m. – 5:00 p.m. ESTMonday - FridayGrievance and AppealsResolutionAs a health care provider renderingcovered services to a SmartValue member,you have the right to file a grievance orappeal. If you disagree with the paymentmade to you for services provided, callCustomer Service at (866) 364-2374.You also have the option to submit agrievance or appeal in writing. Pleaseinclude supporting documentation withyour request and submit to:SmartValueP.O. Box 1975Fond Du Lac, WI 54936Additional plan information isavailable at:bcbsga.comInterim Rate LettersFax interim rate letters and updates to:Fax: (920) 923-8995Click on the Provider tabClick EnterClick Plans & BenefitsChoose from the list <strong>of</strong> MedicareAdvantage products to access theinformation you need including:Anthem Insurance Companies, Inc (AICI) is the legal entity who has contracted with the Centers for Medicare and Medicaid Services (CMS)to <strong>of</strong>fer the Private Fee for Service plan(s) (PFFS) noted above or herein. AICI is the risk bearing entity licensed under applicable state lawto <strong>of</strong>fer the PFFS plan(s) noted. AICI has retained the services <strong>of</strong> its related companies and the authorized agents/ brokers/producers toprovide administrative services and/or to make the PFFS plan(s) available in this region. <strong>Blue</strong> <strong>Cross</strong> and <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Georgia</strong>, Inc. is anindependent licensee <strong>of</strong> the <strong>Blue</strong> <strong>Cross</strong> and <strong>Blue</strong> <strong>Shield</strong> Association.
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