Allwell is contracted with Medicare for HMO, HMO SNP and PPO plans and with local state Medicaid programs. How to Register. If denied, please refer to your Provider Manual or call (800) 465-6972 to be informed of your appeal rights. You will receive notice when necessary. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 550 High Street, Suite 1000 Jackson, Mississippi 39201 Toll-free: 800-421-2408 Phone: 601-359-6050 As a combined PBM and specialty drug management solution that is integrated across the medical and pharmacy benefit, we customize and constantly innovate for our plan sponsor partners and deliver personal, caring service for their members. HEALTH PLAN INFORMATION Health Plan address Magnolia Health Plan 111 East Capitol Suite 500 Jackson, MS 39201 Phone Numbers Phone TTY/TDD 1-877 -687 -1184 1-877 -941 -9235 Department Phone Fax Provider Services 1-877 -687 -1187 Member Services 1-877 -687 -1187 Medical Management Inpatient and Outpatient Prior Authorization Qualified Health Plan (QHP) Enrollee Survey 93 Provider Performance Monitoring and Incentive Programs 93. REGULATORY MATTERS 95. Please click the button to learn how to register. Providers can choose a level of network participation based on their individual office needs. Magnolia Health offers trainings for both behavioral health and physical health providers in our network at no cost. Welcome to Ambetter from Magnolia Health (“Ambetter”). Our registration process is quick and simple. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. Ambetter network providers are important to us, because our members rely on you for quality care. Providers must use participating Magnolia Health Plan facilities and receive authorization for the facility from Magnolia Health Plan. Department Phone . Offer Details: HOW TO USE THIS PROVIDER MANUAL Health Plan address Ambetter from Magnolia Health 111 East Capitol Suite 500 Jackson, MS 39201 Phone Numbers Phone TTY/TDD 1-877-687-1187 . The Claim Dispute must be submitted within 45 calendar days of the date on the determination letter or EOP from your original request for reconsideration. 1-877-941-9235 : 5 October 19, 2016 HEALTH PLAN INFORMATION . Please contact the plan for further details. Magnolia Health’s managed care model for dental services maintains a fee-for-service payment arrangement, so individual dental offices have less financial risk than a capitated model. PROVIDER CLAIM DISPUTE FORM Use this form as part of the Magnolia Health Plan of Mississippi Claim Dispute process to dispute the decision made during the request for reconsideration process. Every year, Medicare evaluates plans based on a 5-star rating system. Provider Registration Video Provider Registration PDF. Learn more. The Formulary, pharmacy network, and/or provider network may change at any time. Ambetter from Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Enrollment in Allwell depends on contract renewal.
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