Refer to the NALC Health Benefit Plan brochure RI for detailed information regarding your benefits. Dental care providers are limited to coverage for the repair of sound natural teeth resulting from an accidental injury. A provider listed in the directory does not guarantee services are covered by the Plan. Please confirm provider participation prior to your visit. Some facility-based physicians may not be contracted as in-network providers. While CIGNA HealthCare Shared Administration PPO Network makes every effort to maintain accurate up-to-date information, we cannot be responsible for any omissions or errors after publication. Some health services may be provided by resident physicians under the supervision of the listed physicians. The quality results of the care provided are the responsibility of the physician.
All decisions about the type of care you receive are the responsibility of you the physician whom you select. This directory is provided by CIGNA HealthCare Shared Administration PPO Network to present to you information on hospitals, physicians other providers who have agreed to provide their usual services to you at specially contracted rates of payment. After normal business hours select the 24-Hour Nurse Line prompt for assistance Hour Nurse Line If you have questions regarding health issues medical treatment options, you may call discuss your concerns with a registered nurse 24 hours-a-day, 7 days-a-week. Telephonic Provider Directory To confirm your provider s participation or to locate a hospital, doctor or other provider. To Precertify a Hospital Admission Prior to your medical hospitalization or for an emergency admission (you must call within two business days following the admission) you, a representative, hospital or your physician must call for precertification. CIGNA can assist you with information about this program. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.6 Preferred Provider Organization (PPO) Directory of the NALC Health Benefit Plan CIGNA LIFESOURCE Transplant Program The Plan participates in the CIGNA LIFESOURCE Transplant Program that includes 114 or more transplant centers. The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. Our Data: Information on is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act). The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.
Most doctors, providers, and suppliers accept assignment, but you should always check to make sure.
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD. Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. Prabhakara Reddy Tukivakala allows following entities to bill medicare on his behalf.Īrkansas Emergency Staffing Solutions Inc Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Medicare ReassignmentsSome practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
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