American Specialty Health Provider Forms

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Resources Forms, materials, - American Specialty Health

(7 days ago) Contracted providers, health plans, and fitness centers can conduct business online with us through ASHLink.com . Visit Provider Resources or Fitness Center Resources to access materials such as: Clinical Practice and Quality Guidelines. Forms. Policies.

https://www.ashcompanies.com/Resource

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American Specialty Health Acupuncture Required Forms

(2 days ago) American Specialty Health (ASH) P.O. Box 509001, San Diego, CA 92150-9001 Fax: 877.248.2746 CLINICAL TREATMENT FORM – Acupuncture - Page 1 For questions, please call ASH at 800.972.4226 FOR ASH USE ONLY ASH TREATMENT FORM # RECEIVED DATE ASH CLINICAL SERVICES MANAGER Patient Name Sex M / F Birthdate / / Patient ID #

http://loveandlightacupuncture.com/wp-content/uploads/2012/03/ASHrequiredforms.pdf

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AMERICAN SPECIALTY HEALTH (ASHP1) 835 ENROLLMENT …

(9 days ago) Email this form to [email protected] or Fax to (360) 896-2151. Please make sure to print legibly and to Provider Federal Tax Identification Number (TIN) OR Employer Identification Number (EIN): AMERICAN SPECIALTY HEALTH (ASHP1) 835 ENROLLMENT REQUEST PROVIDER INFORMATION:

https://cms.officeally.com/OfficeAlly/Forms/ERA/American-Specialty-Health-ERA-ENR-Form-20190514.pdf

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American Specialty Health - Musculoskeletal Provider …

(3 days ago) For more than 30 years, ASH has been providing musculoskeletal provider network services to health plans and employer groups throughout the country. ASH’s subsidiaries have become some of the largest specialty health plans (American Specialty Health Plans of California, Inc.), insurers (American Specialty Health Insurance Company), and

https://www.ashcompanies.com/SolutionsAndServices/SpecialtyHealthServices

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Billing & Claims Processing – American Specialty …

(5 days ago) Affordable Care Act page in our Provider Resource Center, then your patient has a non-grandfathered plan that pays for covered services from complementary and alternative medicine (CAM) providers. American Specialty Health (ASH) Rider HMSA commercial and small groups may have ASH riders and all of our Individual Platinum

https://hmsa.com/portal/PROVIDER/HMSA_Billing_and_Claims_Processing_ASH.pdf

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Stone Ridge, NY Medical Group Practices MD.com Practice

(9 days ago) St Peters Health Partners Medical Associates PC. 10 Gagnon Drive , Stone Ridge , NY 12484. See 1 doctor.

https://www.md.com/practices/new-york/stone-ridge

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Interventional Pain Management Doctors in Kingston, NY

(Just Now) Interventional Pain Management Doctors in Kingston, NY. Browse 1 Interventional Pain Management Doctor near Kingston, NY below — sort by distance, name, gender, online appointments, accepted insurance and more.

https://www.md.com/doctors/interventional-pain-management-doctor/kingston-ny/~/~

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ProviderPortal - AIM Specialty Health

(6 days ago) ProviderPortal. A fast, easy way to access AIM Specialty Health. In a busy practice like yours, you need to deliver quality, appropriate care efficiently to your patients. Use the ProviderPortal SM to accelerate your advanced imaging requests and get a response in real time 24/7.

https://aimspecialtyhealth.com/providerportal/

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ProviderPortal 2.0

(9 days ago) AIM Specialty Health (AIM) is working closely with our Health Plan Partners to support local response efforts for COVID 19. If you have specific questions regarding a HealthPlan's COVID 19 Policies, please contact the Member's Health Plan directly.The Provider Portal application will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance.

https://providerportal.com/Default.aspx

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AMERICAN SPECIALTY HEALTH (ASHP1) ENROLLMENT REQUEST

(6 days ago) Email this form to [email protected] or Fax to (360) 896-2151. Please make sure to print legibly and to complete this form in its entirety. You risk delaying enrollment if the application is unreadable or incomplete. PROVIDER INFORMATION Provider Name: Provider Address: City: State: Zip: PROVIDER IDENTIFIERS INFORMATION

https://cms.officeally.com/OfficeAlly/Forms/ERA/American_Specialty_Health_ERA_ENR_Form.pdf?ver=2017-05-25-133708-850

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American Specialty Health - Contact

(2 days ago) American Specialty Health Logo. 12800 N. Meridian St. Carmel, IN 46032 General Inquiries: (800) 848-3555 Sales Inquiries: (855) 328-2746 Fax: (619) 237-3859

https://ashcompanies.com/Contact

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Biometrics Screening Results Provider Form

(4 days ago) 2. Attend a preventive health visit with your Provider within the dates specified on the top of the form. Provide this form to your Provider and ask them to complete Part II and sign the form after validating your screening results. You are responsible for any charges that may be incurred from your Provider as a result of completing this form

http://healthyroads.com/Global/PDF/ProvidenceHealthServices/Provider%20Biometrics%20Form%20(Final%202012-2013)%20-%20PHS.pdf

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California American Specialty Health Chiropractors

(1 days ago) If you have ASH insurance coverage with American Specialty Health, or you're looking for American Specialty Health Chiropractors in California (or California Chiropractors who accept American Specialty Health), please contact these Chiropractors and confirm that they are either in-network with American Specialty Health are or can help you with

https://www.healthprofs.com/us/chiropractors/american-specialty-health/california

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[Resolved] American Specialty Health Review: Rip off

(3 days ago) American Specialty Health also is known as "ASH", is a huge scam to patients and providers. Before they took over chiropractic and acupuncture benefits for part of Blue Cross, Cigna, Aetna, Healthnet, Kaiser Permanenteyou name it. Healthcare providers used to get an average of $80 per office visit and treatment for acupuncture.

https://www.complaintsboard.com/american-specialty-health-rip-off-c184642

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Welcome - AIM Specialty Health

(1 days ago) At AIM Specialty Health® (AIM), it’s our mission to promote appropriate, safe, and affordable health care. As the leading specialty benefits management partner for today’s health care organizations, we help improve the quality of care and reduce costs for today’s most complex tests and treatments.

https://aimspecialtyhealth.com/

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American Specialty Health - Fitness and Excercise Services

(6 days ago) American Specialty Health Logo. 12800 N. Meridian St. Carmel, IN 46032 General Inquiries: (800) 848-3555 Sales Inquiries: (855) 328-2746 Fax: (619) 237-3859

https://www.ashcompanies.com/SolutionsAndServices/FitnessAndExerciseServices

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Request Form - Provider Specialty Change Request - Horizon

(7 days ago) Use this form to request that we change or add an additional provider specialty type or to add a subspecialty or specialized service type to your provider file. ID: 32263 Providers Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health Providers; Request Form - Provider

https://www.horizonblue.com/providers/forms/forms-by-plan-type/medical/request-form-provider-specialty-change-request

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Provider Manuals and Forms AmeriHealth Caritas New

(2 days ago) Provider Manuals and Forms Manuals and guides. AmeriHealth Caritas New Hampshire offers these reference materials to our providers. Provider manual (published September 2021) (PDF) and revision table (PDF) This manual will help you and your office staff provide services to our members. Claims filing instructions (PDF). This manual will help you avoid delays in the processing of your claims.

https://www.amerihealthcaritasnh.com/provider/forms/index.aspx

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Provider Forms, Programs and References UHCprovider.com

(3 days ago) Provider Forms, Programs and References. Agency for Healthcare Research and Quality (AHRQ) open_in_new - A division of the U.S. Department of Health & Human Services that is the lead Federal agency charged with improving the safety and quality of America's health care system. American College of Obstetricians and Gynecologists (ACOG) open_in

https://www.uhcprovider.com/en/health-plans-by-state/arizona-health-plans/az-comm-plan-home/az-cp-forms-refs.html

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Provider Information Change Form - AZBlue

(3 days ago) Use this form to update demographic information, such as addresses, tax ID, phone numbers, etc. Questions or changes related to contracts and networks should be directed to your assigned provider liaison. Please note: Chiropractors must make changes through American Specialty Health (ASH) at …

https://www.azblue.com/~/media/AZBlue/Files/Healthcare/Resources/BCBSAZProviderChangeForm.pdf

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Sports & Entertainment Program Insurance American Specialty

(Just Now) If you are looking for an insurance provider for the Sports, Leisure and Entertainment industries, you’ve come to the right place. We offer specialized property, casualty, accident and health products through exclusive underwriting management and preferred relationships with A.M. Best “A” rated or higher insurance companies.

https://americanspecialty.com/

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Provider Change Form - Arizona Advantage

(2 days ago) Use this form to update demographic information, such as addresses, tax ID, phone numbers, etc. Questions or changes related to contracts and networks should be directed to your assigned NCS (Network Contract Specialist). Please note: Chiropractors must make changes through American Specialty Health (ASH) at 1 (800) 972-4226.

https://www.azbluemedicare.com/sites/default/files/BCBSAZ_Provider_Change_Form.pdf

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AHNJ Radiology Request Form - AmeriHealth

(8 days ago) FAX FORM Instructions: If Urgent request please call AIM Please complete ALL information requested on this form, incomplete forms will be returned to sender. TO: AMERICAN IMAGING MANAGEMENT PREAUTH/RQI DEPARTMENT www.americanimaging.net FAX #: 800-610-0050 FROM: Phone #: Contact Person Fax #:

https://www.amerihealth.com/pdfs/providers/interactive_tools/forms/ahnj_radiology_request_form.pdf

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American Specialty Health Plans for Acupuncture Services

(8 days ago) American Specialty Health Plans for Acupuncture Services. Date: 02/13/17 As of April 1, 2017, California Health and Wellness will be expanding the network of acupuncture providers through American Specialty Health, Inc. (ASH Plans) for its members.

https://www.cahealthwellness.com/newsroom/ASH-Plans-Acupuncture.html

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HMSA’s hange for

(5 days ago) send a report to provider (RTP) message to the provider (if provider is participating) or a report to member (RTM) message (if provider is nonparticipating).The provider or member uses the RTP/RTM to submit a claim to ASH to coordinate payment with the benefits covered in the Rider. American Specialty Health

https://hmsa.com/portal/PROVIDER/CAM_Webinar_120513.pdf

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Radiology - AIM Specialty Health

(3 days ago) The AIM Radiology Solution is a radiology benefits management program that manages advanced imaging services and controls their escalating costs. Leading the industry for more than 25 years, our solution ensures clinically appropriate, affordable advanced imaging studies through our evidence-based guidelines, practice trends reporting, and

https://aimspecialtyhealth.com/solutions/health-plans/clinical-solutions/radiology/

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Complementary Alternative Treatments Optima Health

(3 days ago) To learn about other discounts available to Optima Health members, visit Saving More Discount Program.. The ChooseHealthy Program is administered by American Specialty Health Administrators, Inc., a subsidiary of American Specialty Health Incorporated (ASH).

https://www.optimahealth.com/members/health-and-wellness/discounts/complementary-alternative-treatments

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AMERICAN SPECIALTY HEALTH - 17 Photos & 195 Reviews

(Just Now) American Specialty Health is one of the worst companies in the health care industry. They deny health benefits as a consultant to Blue Shield of California, of which I've had as my Healthcare insurance provider for over 7 years without ANY issues of obtaining chiropractic care, UNTIL 2020! when Blue Shield contracted out to ASH this year.

https://www.yelp.com/biz/american-specialty-health-san-diego

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OUTPATIENT REHABILITATIVE AND - AIM Specialty Health

(1 days ago) system into account when determining the medical appropriateness of health care services. The AIM Guidelines are just guidelines for the provision of specialty health services. These criteria are designed to guide both providers and reviewers to the most appropriate services based on a patient’s unique circumstances. In all

https://aimspecialtyhealth.com/wp-content/uploads/2020/05/AIM_Guidelines_Rehab_OT-PT-ST.pdf

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Prior Authorization Request Form - American Health Holding

(6 days ago) provider: Authorization Request Information Case Type Inpatient Outpatient Medical, Surgical, Obstetrics, MH, SA, Diagnostic, Continuing Care Urgency Elective Emergent Send completed form and supplemental clinical to [email protected] or fax number (866) 881-9643 Please note - Case will not be initiated without completed form and

https://www.americanhealthholding.com/Content/Pdfs/AHH%20CertificationRequestForm%2008232018.pdf

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Cigna and American Specialty Health Launch Physical

(7 days ago) American Specialty Health (ASH) in collaboration with Cigna has announced the launch of ASH’s Physical Therapy and Occupational (PT/OT) Network in Texas. The ASH PT/OT Network for Cigna in Texas is comprised of more than 600 PT/OT practitioners and is 80% larger than the global insurance provider’s prior network, according to a news release

https://ptproductsonline.com/miscellaneous/cigna-american-specialty-health-launch-physical-therapy-network/

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Resources - provider.bcbsal.org

(9 days ago) Request precertification for advanced imaging services online through Eligibility and Benefits or by calling AIM Specialty Health toll-free at 1-866-803-8002. If a referring physician fails to obtain a precertification or if the precertification is not approved due to lack of medical necessity, the claim from the imaging provider will be denied

https://providers.bcbsal.org/portal/resources/-/resource/viewArticle/VJHH2AT6R6

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Radiology Guidelines - AIM Specialty Health

(1 days ago) AIM Specialty Health® (AIM) has developed proprietary Clinical Guidelines and Cancer Treatment Pathways (together with any updates, referred to collectively as the “Guidelines and Pathways”). The Guidelines and Pathways are designed to evaluate and direct the appropriate utilization of certain health

https://aimspecialtyhealth.com/resources/clinical-guidelines/radiology/

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1083971204 NPI Number AMERICAN SPECIALTY HEALTH GROUP

(9 days ago) This webpage represents 1083971204 NPI record. The 1083971204 NPI number is assigned to the healthcare provider AMERICAN SPECIALTY HEALTH GROUP, INC., practice location address at 10221 WATERIDGE CIRCLE SAN DIEGO, CA, 92121. NPI record contains FOIA-disclosable NPPES health care provider information.

https://www.hipaaspace.com/medical_billing/coding/npi/codes/npi_1083971204.aspx

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CREDENTIALING CHECKLIST - IEHP

(4 days ago) CREDENTIALING CHECKLIST To help streamline the Credentialing process, Inland Empire Health Plan (IEHP) has developed a checklist that will identify which documents are not applicable to each provider type. Should you have any questions or concerns regarding the application or checklist, please contact Credentialing at [email protected]

https://iehp.org/-/media/documents/providers/join-our-network/vision/201705---credentialing-application.ashx?la=en&hash=ACBBC4E1A09960CE0D8F27FA11149CAD84E8E2AA

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UnitedHealthcare Demographic Change Request Form

(1 days ago) Provider Demographic Change Request Form 1 Version 1.0 Last Modified: October 2020 If No, Select Reason If Care Provider Has CA-Specific Exemption, Select Reason please attach a signed statement. The care provider fears for their safety or their family’s safety because of their affiliation with a health

https://www.uhcprovider.com/content/dam/provider/docs/public/resources/link/Demographic-Change-Request-Form.pdf

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AIM Specialty Health Provider Premera Blue Cross

(6 days ago) Servicing providers are strongly encouraged to verify that the prior authorization has been received before scheduling and performing services. In addition, servicing providers must submit ordering/referring provider information, per guidelines from the Centers for Medicare and Medicaid Services (CMS), in boxes 17 and 17b on CMS-1500 forms.

https://www.premera.com/wa/provider/utilization-review/aim-specialty-health/

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Credentialing Cigna

(8 days ago) Health plan designs that encourage customer to use network providers like you; Timely, accurate claims processing and easy electronic payments; Fair, competitive compensation; A local team of medical executives and service representatives who understand your market, your business, and its challenges

https://www.cigna.com/health-care-providers/credentialing/

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Provider Directory - Hawaii

(3 days ago) Our provider list allows you to search by provider’s last name, location, specialty, health plan, and more. To find a provider within your health plan’s network, you will need to know the name of your health plan. You can find that in your health plan member ID card. We try our best to keep this provider list up-to-date, and easy to use.

https://medquest.hawaii.gov/en/members-applicants/provider-directory.html

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File a Claim American Specialty Express

(9 days ago) To report a claim or potential claim, please complete an Incident Report Form. Keep a copy for your records and send the completed form to: American Specialty Insurance & Risk Services, Inc 7609 W. Jefferson Blvd, Suite 150 Fort Wayne, IN 46804 Customer Service: 800-566-7941 [email protected]americanspecialty.com

https://americanspecialtyexpress.com/resources/file-a-claim

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ClaimShuttle - American Specialty Health - ASHLink

(1 days ago) American Specialty Health - ASHLink Please follow the Enrollment Instructions below to become an electronic submitter for American Specialty Health. In order to bill claims electronically to the American Specialty Health ASHLink network, providers must call 1-800-972-4226 and request a User ID, Password and Pin for the ASHLink Clearinghouse.

http://www.claimshuttle.com/american-specialty-health-ashlink

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D THE APPROPRIATE APPLICATION FOR YOUR SPECIALTY

(7 days ago) Vision Provider, contact EyeMed Vision Care on-line at www.eyemedvisioncare.com. Dental Provider, contact OptumHealth at on-line at www.optumhealth.com for PPO, and Dental Benefit Providers at www.dbp.com for HMO participation information. Chiropractor or Acupuncturist, call American Specialty Health at (800) 972-4226.

https://www.healthnet.com/static/provider/unprotected/pdfs/ca/HN_Request_for_Network_Par_Form.pdf

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SolAce - Electronic Medical Claims - American Specialty

(9 days ago) American Specialty Health - ASHLink. Please follow the Enrollment Instructions below to become an electronic submitter for American Specialty Health. In order to bill claims electronically to the American Specialty Health ASHLink network, providers must call 1-800-972-4226 and request a User ID, Password and Pin for the ASHLink Clearinghouse.

http://www.solace-emc.com/american-specialty-health-ashlink

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Find Care at American Health Network - ahni.com

(1 days ago) Prepare for your visit; Forms and policies; Health management programs; Health and wellness library; Wellness Starts Within; AHN Cares - (Opens in a new window)

https://www.ahni.com/provider-lookup.html

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