insurance billing

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Everything You Need to Know About Insurance Billing for Addiction Treatment in Pennsylvania 

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If you’re running an addiction treatment center, IOP program or any type of behavioral health concern in Pennsylvania, you know that addiction treatment billing in Pennsylvania is anything but straightforward.

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The Biggest Insurance Billing Mistakes Addiction Treatment Providers Make in Ohio

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Addiction treatment organizations in Ohio are most likely to run across plans issued by Medical Mutual of Ohio, Anthem Blue Cross and Blue Shield in Ohio, Aetna Inc, United HealthCare of Ohio, Caresource Management Group, Molina Healthcare Inc, Buckeye Community Health Plan and Paramount Advantage.

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Answers to Your Top Questions About Addiction Treatment Billing in Illinois

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So, you’ve How to Open an Addiction Treatment Center in Illinois and now you’ve got questions about insurance billing in the state. Billing in Illinois is complicated, but it doesn’t have to be a mystery.

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Denial Rates for Addiction Treatment with Centene Corporation (With Level of Care Breakdown!)

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Here’s what the actual rates of denial are with Centene when it comes to behavioral health. We’ll also look at what levels of care are most likely to be denied at Centene and why.

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Here's How to Find the Addiction Treatment Billing Claims Address for Blue Cross Blue Shield of Minnesota

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Blue Cross Blue Shield of Minnesota is still accepting paper billing claims from addiction treatment centers but they are NOT accepting all utilization management forms by mail.

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Top 5 Addiction Treatment Diagnosis Codes to Use for URs with Healthfirst Insurance

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There is no “best” addiction treatment diagnosis code (or ICD-10 code) to use when completing URs or authorizations with Healthfirst. All behavioral health diagnosis codes are subject to more or less the same utilization management decision making criteria at Healthfirst.

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How to Complete Insurance Registration with Florida Blue for Addiction Treatment Centers

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Wondering how to get your addiction treatment center started with registration and network registration for Florida Blue?

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Finding Addiction Treatment Billing Contact Information for Blue Cross Blue Shield Association Corporation

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Every state has a different BCBSA company with different addiction treatment billing contact information. To make matters even more confusing, some states have more than one BCBSA company operating within their borders!

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How to Find the Right Billing Claims Address for Addiction Treatment Patients with Cigna Health Insurance

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If you’re a behavioral health provider, you probably don’t actually want a billing claims address for Cigna at all.


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Everything You Ever Wanted to Know About Aetna Precertification for Addiction Treatment Billing

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When it comes to addiction treatment, Aetna uses the terms precertification and preauthorization interchangeably. Aetna may also refer to this concept as Authorization, Certification, Prior authorization, or Pre-service utilization review .

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What Anthem Inc's Level of Care Denial Rates Mean for Your Addiction Treatment Center's Billing Department

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Who is Anthem, Inc? What are their average denial rates and how do they compare to the industry average? What levels of care are most likely to be denied by Anthem, Inc? What can your addiction treatment center do to fight back against behavioral health care denials from Anthem, Inc?

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How to Quickly Appeal a Centene Corporation Health Addiction Treatment Claim Denial Using the Expedited Appeal Line

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Understanding how to request an expedited appeal from big addiction treatment insurance providers - like Centene Corporation - is a key component to advocating for SUD patients.


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How to Determine the Medical Necessity of Addiction Treatment Services for UnitedHealth Group, Inc

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Got questions about working with addiction treatment and UnitedHealth Group Inc when determining the medical necessity (or if treatment is medically necessary)? Here’s how it works.

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Here’s How to Fix Your Substance Abuse Billing Issues

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Step #1: Realize that substance abuse billing is rigged against addiction treatment providers.

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Has Your Addiction Treatment Center Nailed Outcomes Tracking Yet? Here's Why It's More Critical Than Ever

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Large-scale research for addiction treatment lags far behind research for other health conditions. As an industry, we’ve been slow to move towards standardized models for understanding and evaluating the success of our work. That’s changing now as market forces are requiring the addiction treatment to undertake objective progress monitoring and outcomes tracking as never before.

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Is It Time to Outsource Your Addiction Treatment Medical Billing?

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You’ve been curious about outsourcing your medical billing for a while, but you’ve heard it’s expensive and you’re apprehensive about hiring the work out.

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The Ultimate Addiction Treatment Medical Billing Glossary

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Working with medical billing isn’t the most exciting part of addiction treatment, but it is one of the most necessary parts of a successful business in the behavioral health field.

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VOB Delays = Addiction Treatment Admissions Killer. Turbocharge Your Insurance Verifications with eVOBs

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Learn about instant VOBs — also known as eVOBs — and how they could be a game changer for your addiction treatment center.