Make sure the dentists business name and address on your electronically submitted claims is exactly the same as you have registered with your software vendor, the clearinghouse and Delta Dental. Detroit, MI 48226. Cypress Benefit Administrators Address: PO BOX 880 FARMINGTON, MI 88056-0000 Website: http://www.cypressbenefit.com Telephone: 855-556-0285 Mail Order Disposable Medical Supplies Are you very busy? If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): New in 2020: Prior Authorization with eQHealth. ZIP code 48331 is located in southeast Michigan and covers a slightly less than average land area compared to other ZIP codes in the United States. It's affordable. Click button below to return to the home page. <>/Metadata 9495 0 R/ViewerPreferences 9496 0 R>> Any provider within the available networks (see applicable provider fact sheet below for directory). All Department . 0 the original pancake house 0 customer relationship resume 0. If you need immediate attention, please call: (855) 887-0855 Email:connect@instamed.com, Prior authorization submitted via email and/or fax number provided on thecorresponding form. Medica Signature Solution Limitations, restrictions, and patient pay amounts may apply. Contact Us. We are excited to announce that Cypress Benefit Administrators is now Lucent Health! The claim information must be typed, with no hand-written information other than applicable signatures. Minneapolis, MN 55440-0212, Authorizations/treatment plans are not required, 2020 Medica Provider Service Center: 1-800-458-5512, 2021 Medica Behavioral Health (MBH): 1-800-848-8327, Medica Behavioral Health Medica with CHI Health Fact Sheet (Accountable Care System Product) . Cofinity (ppom) Cofinity (ppom) PO Box 2720, Farmington Hill, Michigan 48333 (800) 831-1166. Payer ID: IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable. Contact information for corporate headquarters. hbbd```b``6kA$bv &A$0"YL`6ED2 $LUl/0$3m` 7l Update: National Provider Identifier (NPI) is required when billing, unless enrolled as an atypical provider. If you experience any problems receiving your mail order prescription, call Member Services at. Peace Corps has contracted with International Medical Group (IMG) to administer the Peace Corps healthcare program. ZIP code: 48332-0880. po box 880 farmington mi 48331 8555560285 0001121900 dart management corp (dmc) 500 hogsback %PDF-1.7 Sorry, the page you are looking for doesn't exist. Refund Overpayments (on your check stock) Allwell PO Box 3657, Carol Stream, IL 60132-3657 . PO Box 3060 Farmington MO 63640 . Box 59238 Minneapolis, MN 55459-0238 800-448-3815 deltadentalmn.org Payer #07000 Medica with MU HealthCare 0 xoJa# A*J/^d{3$~-t{_?j_O?~z|66xBMmj[/~xzSWf[}m>~}|}'n[eU'zrV5mhmV3$Hm "4CmcoYh6Viz}8Fds_? p~xW>4':5'_N7g>=p6S+hx~6k?l_EYn#FBL71nvz->|\7au*kR07a"j[l:]P?ntfc/[dsn Nkxo_>ZGOvd'__uW';.__;wS;lVG}7G|5?:7Wju0 <> services inc. services health. You will need Adobe Reader to open PDFs on this site. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Farmington, MO 63640-3823 . All Rights Reserved. %%EOF Add a company; . 10030 activa benefit services po box 2720 farmington hill mi 48333 8778271414 . For certain kinds of drugs, you can use the plans network mail-order services. Provider Network Questions: For questions regarding our provider network, or to join the HealthSmart PPO Preferred network, contact HealthSmart Provider Relations at 800-687-0500. Sunshine Health's Payer ID is 68069. Medica Dual Solution/Minnesota Senior Health Options (MSHO) Not only did I arm her with my photo ID, the confirmation number for the . We realize call wait times can sometimes be high this time of year. Cypress Benefit Administrators is now Lucent Health. Delta Dental of Michigan is a part of Delta Dental Plans Association. If you are re-submitting a claim for a status or a correction, please indicate "Status" or . Payer Identification Number - 81600: . Overnight payments for Blue Care Network groups JPMorgan Chase Blue Care Network Lockbox 33608 1 Village Center Drive We're Here to Make Patient Care Simpler Welcome to the Quantum Health provider resource portal. Medica Symphony HSA You can also submit claims for payment through the mail: After 1/1/2021, please use the following address for mailed claims: MeridianCompleteATTN: Claims DepartmentPO Box 3060Farmington MO 63640. If you are re-submitting a claim for a status or a correction, please indicate "Status" or "Claims Correction" on the claim. 800-838-8957 (TTY users call 711) Claims mailing address Delta Dental PO Box 9298 Farmington Hills, MI 48333-9298. 812 0 obj <> endobj Box 3060 Farmington, MO 63640-3822 ATTN: Claims Department . Visibility that unlocks value. 3. %%EOF Ridgeview Community Network powered by Medica Medica Choice National You will find current eligibility and plan information and you can track claims submissions. Regional President, Diesel Systems North America. The correct address for all claims, paper and electronic, for Delta Dental of Michigan, Ohio, and Indiana: Call DASI at 800-462-7283 to check the status of all claims, including electronically submitted claims. Farmington Hills, MI 48333 Electronic Payer ID: 07000. Want to learn more about becoming a Preferred Provider with Impact Health Sharing? endstream endobj 813 0 obj <. Note: documents in Powerpoint format (PPT) require Microsoft Viewer, download powerpoint. Benefits, List of Covered Drugs, and pharmacy and provider networks may change from time to time throughout the year and on January 1 of each year. Next, the user will select the blue hyperlink "Commercial/Other" for more information. If you are re-submitting a claim for a status or a correction, please indicate Status or Claims Correction on the claim. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Pioneer Precast Concrete LLC > Blog > Uncategorized > butler county community college nursing requirements. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The Infrastructure Investment and Jobs Act:, On June 4, 2021, the Infrastructure Investment, Amerisure Employees Continue to Put Their, In the average welding shop, youll find, Guest Blog Author: Eric Austin (Amerisure Insurance), Amerisure Receives Best Practices Award from, Farmington Hills, Mich., February 3 Amerisure. Meridian is currently accepting electronic claims from the following clearinghouses: Availity Customer Support: 800-282-4548 Claim Types: Professional/Facility Payer ID: IMPORTANT: Please refer to Member ID card for changes effective on April 1, 2022, as the Payer IDs are not interchangeable. Ridgeview Distinct by Medica 866 0 obj <>stream PO Box 3060 Farmington MO 63640. . Contact information for corporate headquarters. Meridian is currently accepting electronic claims from the following clearinghouses: IMPORTANT: Please refer to Member ID card for changes effective on April 1, 2022, as the Payer IDs are not interchangeable. Rx Group: 3Medica, Medica Behavioral Health (MBH): 1-800-848-8327, PO Box 30757 po box 2839 farmington hills mi 48333 payer id. claims. Delta Dental of Michigan is a part of Delta Dental Plans Association. Balance by Medica Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 95956 abs p.o. 0 The clearinghouse may print these claims on paper and send them on to us for processing. 2023 Toll Free |800.451.4318 HOW DO I BECOME A PREFERRED PROVIDER? 1 year . P.O. Or, you may call DASI 24/7 at 800-462-7283 to check the status of claims, including those submitted electronically. The rejection for a missing NPI will be received by your chosen clearinghouse and it will be their responsibility to enroll. Rx Bin: 003858 Box 880 Farmington, MI 48331 www.cypressbenefit.com APPLETON, WI: 877-236-0844 CLACKAMAS, OR: 800-277-8579 OMAHA, NE: 800-223-5508 4/1/2019 CYPRESS BENEFIT ADMINISTRATORS LLC 10158 Farmington, MI 48331. % Before you start submitting your claims electronically, inform your software vendor. Delta Dental Thank you! P.O. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. PO Box 9089 Lucent Provider Portal Please email CA.ITHelpDesk@lucenthealth.com if you have forgotten your username or need to have your password reset. Find plans to balance costs, manage chronic conditions and encourage employee engagement. payer id 95440 87726 n n/a p o box 6108 lafayette in 47903 . Eagan, MN 55121, Note: When submitting claims under this payer ID, use only the 10-digit member ID. 1457 0 obj <>/Filter/FlateDecode/ID[<7B94233D07EE1845BBB508D91E8DC694><14EAC53508E3334F82EDE3845BCF797C>]/Index[1437 59]/Info 1436 0 R/Length 103/Prev 138759/Root 1438 0 R/Size 1496/Type/XRef/W[1 3 1]>>stream This Provider website delivers advanced functionality, allowing you and your staff to more easily access the information you need to facilitate treatment for our members. 3 0 obj Same here! Preparing and mailing paper claims is far more costly than transmitting them electronically. For the PHCS Network, 1-800-922-4362 For PHCS Healthy Directions, 1-800-678-7427 For the MultiPlan Network, 1-888-342-7427 For the HealthEOS Network, 1-800-279-9776 For language assistance, please call 1-866-981-7427 For TTY/TTD service, please call 1-866-918-7427 Search for a provider > Medica Advantage Solution HMO Fact Sheet %PDF-1.5 % Our clients are always compliant with HIPAA & COBRA requirements. Box 674416 Detroit, MI 48267-4416. Pay My Bill Industries Products Services Businesses Agents About Us search Contact Us Corporate Headquarters 26777 Halsted Road Farmington Hills, MI 48331-3586 (800) 257-1900 Send Us a Message Reporting a claim? BANKERS CLAIM SER. (Read more) Very important statistics warning: Everyone reading this probably hopes & expects to find precise statistics to compile & process. Automated system is available 24/7. If you are a Member of the Minnesota Health Care Programs or Minnesota Dental Select (formerly CivicSmiles SM): Claim Adjustment or Appeal Request Form (DOC). Please email CA.ITHelpDesk@lucenthealth.com if you have forgotten your username or need to have your password reset. Please ensure the proper claims address and payer ID is used. Ameriben Solutions Po Box 7186; Boise; ID; 83707 (800)786-7930 American Administrative Group Inc Po Box 34297; San Antonio; TX; 78265 . Feb. Box 9000 Johnston, IA 50131-9000 800-544-0718 www.deltadentalia.com Payer #CDIA1 Monday-Friday from 8 a.m. to 8 p.m. (member); 8:30 a.m. to 8 p.m. (provider). Download the free version of Adobe Reader. The user will then enter the "Servicing Provider NPI/Provider ID" and all other required information and select the "Submit" button. Farmington Hill. Salt Lake City, UT 84130-0990 We've also included all necessary forms, in printable format. Phone: 1-877-268-3384. Salt Lake City, UT 84130, Altru & You With Medica International Medical Group PO Box 550, Farmington Hills, MI 48332-0550 Telephone: +1 (855) 851-2974 (USA & Canada) or +1 (317) 833-1711 (Worldwide) Fax: +1 (855) 851-2971 Email: VISTAcare@imglobal.com Check out our Online Health Insurance Quotes. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 4 0 obj If either the provider or chosen clearinghouse has questions about the process of enrolling as an atypical provider, you can contact the Client Services team at 1-800-Availity. Payer ID: 94265 + Product Fact Sheets Altru & You With Medica Clear Value With Medica Essentia Choice Care with Medica (Commercial) Medica Choice Passport Medica CompleteHealth Schedule an Appointment with a licensed insurance agent. Farmington, MO 63640-4402. Park Nicollet First with Medica Learn more about Zelis. Salt Lake City, UT 84130, Medica Advantage Solution H0798-002 (HMO I-SNP) Fact Sheet Other states 71890 Medica PO Box 211435 . Amerisure has been in business for more than 100 years and is consistently named among the best places to work in the industry and throughout the nation. 5. Electronic claims submission is fasteryou and your staff will have more time to devote to your patients and for other responsibilities. Not doing so delays the processing and your payment. Can't find what you're looking for? Date: 3/4/2023 9:53:06 PM PO Box 21342 It also has a slightly higher than average population density. Box 9120 Farmington Hills, MI 48333-9120 1-866-398-9419 Payer Identification Number - 07000 . Farmington Hills, MI 48333, USA . You will also need to select a clearinghouse. When a different address is used, your clearinghouse may not recognize it as a valid address for us and may not transmit your claims to us electronically. Get paid fastersign up today for this free service. Eagan, MN 55121-0342, Rx Bin: 003858 Whether online, through your practice management system, vendor or direct through a data feed, EDI ensures that your claims get submitted quickly. Browse reviews, directions, phone numbers and more info on Robert Hund Inc. Rate Report. Keeping your smile healthy is an important part of keeping your body healthy. Essentia Choice Care with Medica (Commercial) If you need any assistance, we are always here for you. On or before Dec. 31, 2020: 52563. Box 880. PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 AUXIANT-MEDICAL BENEFIT ADMINISTRATORS MBA02 36326 PO Box 0392 Milwaukee, WI 53201 www.auxiant.com 800-475-2232 4/1/2019 CYPRESS BENEFIT ADMIN CBA03 88056 Cypress Benefit Administrators P.O. PO Box 21993 Eagan, MN 55121 (800) 4534302 CDS AFMC CDS ADMINISTRATORS Five Gateway Center, Ste. Note: documents in Word format (DOC) require Microsoft Viewer, download word. City / suburb: Farmington. Copyright 2023 Meridian. Click Here. Farmington Hills, MI 48333-9089. Printed copies of this document are considered uncontrolled. Corporate Address: Delta Dental of Minnesota . Here you can submit referrals, check the status of authorizations, verify patient benefits and more. Medica AccessAbility Solution / Special Needs Basic Care (SNBC) PO Box 21051 d `T9@w#n Your submission has been received! Meridian Birmingham, AL 35266-0787 Rx Group: 2Medica, Medicaid Families and Children: If you need further assistance, please visit the contact us section for help on ways get the information you need. PO Box 212 Whether your company has two employees or thousands, we have health care plans to support companies big and small. Version: 4.0.30319.42000 Delta Dental Payer ID: 94265, Benefits/Claims: Medica 1-800-458-5512 2020 Provider Manual. Alternative Insurance Resources, Inc. MI Health Link customer service. po box 880 farmington mi 48331 payer id. Review the information in this section before contacting customer service. Medica Applause Self-funded (or self-insured) health plan is one in which the employer assumes some or all of the risk for providing health care benefits to his employees. United States. hb```f``: @1V 0bgzk30wt4 R `g`,[X$ 0y*3tfL^fi=btf5 }@9`q :l8F: 58$ Farmington Hills, MI 48333, BIN/PCN/Group # vary by product see member's ID card, Any available provider within the Zelis network, Medica Government Programs If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 Dragging your feet on going digital? For Travel Claims: A written formal claims appeal may be sent to IMG requesting a review of previously processed claims. Harmony by Medica If you include the 2-digit suffix for the member, the claim will reject as invalid eligibility for member, InstaMed: 1-866-945-7990 Insurer in Farmington Hill, Michigan. Medica Prime Solution Allwell PO Box 3060 Farmington, MO 63640-3801 ATTN: Returned Check . Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP) It has been sent. Delta Dental has affordable individual dental plans available for you. PO Box Online; Lot Parking; Passport Appointment Hours; Visit our Links Page for Holiday . Note: documents in Excel format (XLS) require Microsoft Viewer, download excel. PO Box 30990 endobj Note: documents in Quicktime Movie format [MOV] require Apple Quicktime, download quicktime. 1 0 obj Keeping your smile healthy is an important part of keeping your body healthy. First Name: Required Last Name: Required Company Name: Required Title: Email: Required Phone: Required Comments: Required Type of inquiry: Answer the question below: endstream endobj startxref To avoid delays, send X-rays and reports only for the procedures that require them. Box 880 Farmington, MI 48331 www.cypressbenefit.com APPLETON, WI: 877-236-0844 . If you have questions or dont understand the reports, contact your clearinghouse for clarification. This is presented, because sometimes TPAs and their current & prospective clients take for Self-funded (or self-insured) health plan is one in which the employer assumes some or all of the risk for providing health care benefits to his employees. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 deltadentalmi.com Payer #DDPMI Minnesota, North Dakota Delta Dental of Minnesota P.O. Medica Solo endobj Medica Advantage Solution PartnerCare HMO I-SNP Meridian follows State Medicaid guidelines for claims payment. A very large employer asked SPBAs Past President Fred Hunt what criteria a consultant should recommend back to the employer whether or not to hire a TPA. US506049: Presentation - Robert Bosch LLC (HQ) . What is a self-funded health plan? endstream endobj startxref Fax | 205.871.3259, 24/7 access to benefits and eligibility through the portals on this website or our automated response system (FaxBack) which can be reached by calling our office and following the prompts, EVERYTHING YOU WANTED TO KNOW ABOUT TPAS BUT WERE AFRAID TO ASK. Including a payer ID on electronic claims allows them to be routed correctly and quickly. PO Box 9162. Procedure Codes that Require X-ray or Document Submission Electronic claims ensure greater accuracy, because of built-in checks on claims submission. We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. Medica Pinnacle The number of middle aged adults is extremely large while the number of people . Heights, IL 60006-1938 AMERICAN HEALTHCARE ALLIANCE. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+) bcbs mi hm710 n n/a po box 68767 grand rapids mi 49516 blue cross blue shield az 53589 n n/a . Box 2907 Milwaukee, WI 53201-2907 617-886-1234 deltadentalma.com Payer #04614 Michigan Delta Dental of Michigan P.O. Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader. you may call the number above, request one at the website link provided above, or email memberservices.mi@mhplan.com. Essentia Choice Care with Medica (Individual and Family Business) Claims will no longer be rejected at Availity for a missing NPI once you have completed the enrollment process. Providers can file EDI: Payer ID IH400 . Oops! Eagan, MN 55121 : See details on claim submission and product guidelines. You'll be more efficient. 1495 0 obj <>stream One of our team will reach out to gather information and get you . Delta Dental PO Box 9089 Farmington Hills, MI 48333-9089 Call our customer service team at 800-524-0149 for member eligibility, benefits information and claims inquiries. Go to homepage Because most dental offices are already computerized, it's just a matter of a software program and a clearinghouse. Accuracy counts. Language Assistance & Notice of Nondiscrimination, Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission ofclaims to Meridian, Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10when billing Meridian, Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment, Providers may also submit and check the status of claims electronically via the secure Meridian, Claim must be original, using national or state form types as applicable. connecticare inc 06105 n n/a po box 546 farmington ct 06034. corp. health. Executives - Robert Bosch LLC (HQ) Buy the executives list from same sector. Box 9085 Farmington Hills, MI 48333-9085 800-524-0149 www.deltadentalin.com Payer #DDPIN Delta Dental of Iowa P.O. For DOS on or after July 1, 2021. Eagan, MN 55121-0051, Note: When submitting claims under this payer ID, use only the 10-digit member ID. Review which codes require additional submissions. Meridian. These plans make it easy to receive Delta Dental coverage and protect your health. PO Box 211435 . Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Inspire by Medica Engage by Medica 39372.Rev003 12.17.2020 Was this answer helpful? 1437 0 obj <> endobj These plans make it easy to receive Delta Dental coverage and protect your health. Learn about our HSA & HRA plans, Dental & Vision offerings, Pharmacy solutions, and Care Management Or, you may call DASI 24/7 at 800-462-7283 to check the status of claims, including those submitted electronically. 1 Campus Martius, Suite 720. The next screen will display the Other Insurance information, along with specific Payer IDs for the . Instructions regarding resetting your password have been sent to the email address on file. Call one of our licensed agents at 866-966-9868. Claims Billing Requirements: hb```f`` @1V 0&>TY6@Sk~dp;I;Egki``Ft "UY63Leg,l9 3'C {&AQ730 XqQ? Mailing address for written inquiries Delta Dental PO Box 9230 Farmington Hills, MI . BIN/PCN/Group # vary by product see member's ID card, Optum Chiropractic LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. 4. For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. If you are interested in electronic claims submission, we encourage you to take a look at ourlist of clearinghouses. Administrative Claim Appeals Allwell PO Box 3000 Please follow these guidelines for claims submission to. Its quick. Provider Network Questions: For questions regarding our provider network, or to join the HealthSmart PPO Preferred network, contact HealthSmart Provider Relations at 800-687-0500. Review the reports from your clearinghouse. Please follow these guidelines for claims submission to Meridian: For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. P.O. Call, Puede obtener esta informacin en otros idiomas de manera gratuita. Usually a mail-order pharmacy order will get to you in no more than 5 days. PO Box 2839 Cypress Benefits Administrators Po Box 880; Farmington; MI; 48331-0000 Delta Health Systems Po Box 780; Stockton; CA; 95201-0780 (800)418-5409 Phone: (248) 476-5555 2021 at 2:32 pm FARMINGTON, MI 48334 The address is: The DharmaShop 24148 Research Drive Farmington Hills, MI 48335. This field is for validation purposes and should be left unchanged. Box 880 Farmington, MI 48331 PO Box 3060 Farmington MO 63640 For 2020 dates of service, please continue to use this address: MeridianComplete 1 Campus Martius, Suite 720 Detroit, MI 48226 Attn: Claims Department If you are re-submitting a claim for a status or a correction, please indicate "Status" or "Claims Correction" on the claim. university of queensland entry requirements for masters; butler county community college nursing requirements. Register Blog; Contact; Understanding Your Dental Plan; DeltaDental.com; Find My Delta Dental; ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available . 49438 advantage by bridgeway healthcare po box 3060 farmington mo 63640 8664753129 95327 adventist risk mgmt p.o. All Rights Reserved. PO Box 37705. Electronic claims submission tips. . PO Box 2060 Farmington, MI 48333 26777 Halsted Rd Farmington, MI 48331 Detroit, MI 48226 26777 Halsted Rd Farmington Hills, MI 48331 Mutual Building Detroit, MI 48226. Timely Filing Guidelines Initial Filing - 180 calendar days of the date of service . Machine Name: PWIM4-CDWEB01, Medica.com Provider Portal/Admission Notification, Inpatient Admission Notification Guidelines, Medica.com Provider Portal/Administrative Referral Entry for referral based products, Essentia Choice Care with Medica (Commercial), Ridgeview Community Network powered by Medica, Medica AccessAbility Solution / Special Needs Basic Care (SNBC), Medica AccessAbility Solution Enhanced / Special Needs Basic Care (SNBC SNP), Medica Dual Solution/Minnesota Senior Health Options (MSHO), Medica Choice Care MSC+/Minnesota Senior Care Plus (MSC+), Essentia Choice Care with Medica (Individual and Family Business), Medica with CHI Health Direct Primary Care (DPC), Medica with CHI Health Fact Sheet (Accountable Care System Product), Medica Advantage Solution HMO-POS Fact Sheet, Medica Advantage Solution PartnerCare HMO I-SNP, BIN/PCN/Group # vary by product see member's ID card.
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