Contact Information

Interested in joining the network?

Follow the instructions on How to Become a Provider

Claims – General Information

If you have questions about claims in general, call (800) 888-3944.

Claims Submission/ Address

Reference the address on the member’s identification card, as the address may vary based on payment location.

Electronic Payment Solutions and Remittance Advice

Register for Payspan to receive direct deposit of provider payments and access remittance data 24/7.

Phone:877-331-7154 from 8 a.m.-8 p.m. ET, Monday through Friday
Website:www.payspanhealth.com

Member Benefits, Eligibility, and Authorizations

If you have a question about authorization or benefits, call the (800) number on the back of the member’s identification card.

Member Customer Service

To reach Member Customer Service, call the (800) number on the back of the member’s identification card.

Provider Supporting Documentation

To send supporting documentation such as malpractice or insurance cover sheets please fax to (866) 612-7795

Regional Offices

If you have general questions and would like to contact Provider Relations in your region, visit the list of our regional offices.

Electronic Claims Submission/ EDI Helpdesk

Beginning on March 1, 2022, Availity Essentials becomes the preferred multi-payer portal of choice for submitting the following transactions to Beacon Health Options:

  • Claim Submissions (Direct Data Entry Professional and Facility Claims) applications or EDI using the Availity EDI Gateway
  • Eligibility & Benefits
  • Claim Status

For Availity-related questions, please visit the Availity Essentials website or contact Availity Essentials Client Service at 1-800-282-4548, 8 a.m. to 8 p.m. ET, Monday through Friday.

Credentialing Status

To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 a.m.-8 p.m. ET.

Fraud and Abuse

Reports of fraud and abuse, or suspicions thereof, can be made in writing to:

Mailing Address:Beacon Health Options
ATTN:  Special Investigations Unit
1400 Crossways Blvd
Suite 101
Chesapeake, VA 23320

Clinical Appeals

To request a clinical appeal on a member’s behalf, call the (800) number included in the adverse determination letter you received.

Administrative Appeal

To request an administrative appeal, call the (800) number included in the administrative denial letter you received.

Complaints/Grievances

To file a complaint/grievance, call the (800) number on the back of the member’s identification card to speak to Customer Service.

Adverse Incident

Report all adverse incidents to the Clinical Care Manager with whom you conduct reviews.

Duty to Warn

Report all potential situations to the Clinical Care Manager with whom you conduct reviews.

Provider Coverage During Absences

Contact the Clinical Care Manager with whom you conduct reviews during absences (i.e. coverage while on vacation). Or call the number on the card to provide coverage information.

Changing your Provider Profile (e.g. Name, address)

The preferred method to updated your provider profile is to select the “Update Demographic Information” option in ProviderConnect. Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect.

Fax:(866) 612-7795
Mailing Address:Beacon Health Options
c/o Practitioner Maintenance
P.O. Box 989
Latham, NY 12110

General Information