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

    If you have a technical question about ProviderConnect or EDI Claim Submission, please contact the EDI Helpdesk at:

    Phone: (888) 247-9311 from 8 a.m.-6 p.m. ET, Monday through Friday
    Fax: (866) 698-6032
    E-mail: e-supportservices@beaconhealthoptions.com
    Mailing Address: Beacon Health Options
    Attn: EDI Helpdesk
    PO Box 1287
    Latham, NY 12110

  • 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
    Mail Address: Beacon Health Options
    c/o Practitioner Maintenance
    P.O. Box 989
    Latham, NY 12110

General Information