Providence Health Plan

Important Documentation

Claims Resources

Although paper claims are accepted, physicians, other health care professionals, and facilities are strongly encouraged to submit claims electronically.

Beginning on March 1, 2022, Availity Essentials is 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 questions, please contact Availity Essentials Client Services at 1-800-282-4548, from 8 a.m. to 8 p.m. ET, Monday through Friday.”

Electronic claim submissions can be made utilizing your current clearinghouse or through Availity Essentials, Beacon Health Options’ preferred multi-payer portal of choice. When utilizing a clearinghouse, please visit their payer ID page and utilize the value identified for Beacon Health Options, as this may vary payer to payer. When submitting through Availity, files should contain Payer ID  ‘BEACON963116116’ and comply with  X12 837 format.

For support with Electronic claim submission, please reach out to our EDI Helpdesk 1-888-247-9311 from 8 a.m.- 6 p.m. ET Monday through Friday.

For electronic claims submitted via a clearinghouse, refer directly to their website payer list.

Paper Claims Mailing Address:

Beacon Health Options
P.O Box 1850
Hicksville, New York 11802-1850

Contact Information

Providence Customer Service:

Authorizations, Member Benefits, Eligibility
Monday-Friday, 8 a.m.-5 p.m. PST

Main Customer Service numbers:

  • Medicare – 503-574-8000, 800-603-2340
  • All other LOBs others – 503-574-7500, 800-878-4445
  • Main Healthcare Service Medical Management 800-638-0449, option 5

Fax numbers:

  • BH PA – 503-574-8110  
  • BH CCR – 503-574-8192   

Provider Relations:

Credentialing and contracting
Monday-Friday, 8 a.m.-5 p.m. PST
beaconphppr@beaconhealthoptions.com
National Provider Service Line 800-397-1630

Claims:

Claims payment questions
Monday-Friday, 8 a.m.-5p.m. PST
beaconphppr@beaconhealthoptions.com

EDI Helpdesk:

ProviderConnect technical questions
888-247-9311 Monday-Friday, 8 a.m.-6 p.m. ET
e-supportservices@beaconhealthoptions.com

Alerts

Please check back soon.