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Patient Demographics Entry 2021-2024 Form
Video instructions and help with filling out and completing Provider Demographic Information Change Request Form1199SEIU Funds
Instructions and help about Provider Demographic Information Change Request Form1199SEIU Funds
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People also ask
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What is the phone number for 1199 claim status?
We make it easy for you to verify your 1199SEIU patient's eligibility and claims status! Our Interactive Voice Response system (IVR) is available 24 hours a day, 7 days a week. Simply call (888) 819-1199 and enter your tax ID number, the member's ID number and date of birth. -
How do I file a claim to 1199?
Paper Claims Send UB04 claims to: PO Box 933, New York, NY 10108-0933. Send CMS 1500 claims to: PO Box 1007, New York, NY 10108-1007. For ADA claims: The Benefit Funds do not administer dental benefits for 1199SEIU members. -
What is the payer ID for 1199 National Benefit Fund?
Claims submission: ChangeHealthcare.com, payer ID# 13162. -
What is the timely filing limit for 1199 appeal?
CLAIMS SUBMISSION org or by mail to 1199SEIU Benefit Funds, Medical Claims Reconsideration, PO Box 717, New York, NY 10108-0717. Reconsideration requests of denied claims must be submitted within 180 days of the date of denial. -
How do I contact 1199 National Benefit Fund?
Call our Provider Call Center at (646) 473-7160 if you have questions, or email Providers@1199Funds.org. Check eligibility and claim status automatically, 24 hours a day, by calling (888) 819-1199 or online with NaviNet. -
What is 1199 Local Benefit Fund?
The 1199SEIU Funds began with the Local 1199 Benefit Plan. Formed in 1945, its goal was to provide basic health, disability and life insurance benefits to just 300 New York City retail drugstore workers with employer-paid contributions. In 1948, the Benefit Fund became self-insured and self-administered. -
How do I file a claim to 1199SEIU?
Paper Claims Send UB04 claims to: PO Box 933, New York, NY 10108-0933. Send CMS 1500 claims to: PO Box 1007, New York, NY 10108-1007. For ADA claims: The Benefit Funds do not administer dental benefits for 1199SEIU members. -
What does 1199 insurance cover?
More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors' visits, dental and vision care, prescription drugs, etc. — with no or minimal out-of-pocket expenses for themselves and their families. In all, the benefit covers more than 450,000 lives.
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