WebP.O. Box 4080 Farmington, MO 63640-3835. You must send us your dispute within 365 days. California Health & Wellness will acknowledge receipt of your dispute within two working days of receipt of an electronic provider dispute, or within 15 working days of receipt of a paper provider dispute. WebPO Box 4050 Farmington, MO 63640- 3829 Road Home State Attn: Claim Disputes PO Box 4050 Farmington, MO 63640-3829 Home State Attn: Medical Necessity 16090 Swingley Ridge Suite 500 Chesterfield, MO 63017 Electronic Claims Submission Home State c/o Centene EDI Department 1-800-225-2573, ext. 25525 or by e-mail to: [email protected]
Centurion of Missouri – Inmate Billing Instructions
WebIRS Form 2290 Help. Address: 540 E Foothill Blvd #100G. San Dimas, CA 91773. Email Address: [email protected]. Monday Through Friday: 5a-5p Pacific Time. Phone: (909) 596-0050. Fax: (909) 596-2042. Call our help line at 888-802-4299 to talk to one of our experienced staff members. WebPO Box 4050 Farmington, MO 63640-3829 TDD/TTY: 1-877-250-6113 Provider/claims information via the web: www.HomeStateHealth.com. Medical claims: Home State Address: 16090 Swingley Ridge Road, Suite 500 Chesterfield, MO 63017 EDI/EFT/ERA please visit Provider Resources at www.homestatehealth.com mock water
SECTION XI: Billing, Claims And Encounters CLAIM …
WebPO Box 4090 Farmington, MO 63640-4198 . Claims inquiries – 1-833-996-2234, option 2 For inpatient admissions associated with an ER visit – please contact the Centurion UM department at 1-833-996-2234, option 1. Centurion of Kansas– Inmate Billing Instructions . Effective for Dates of service on or after 7/1/2024 WebPO Box 4090 Farmington, MO 63640-4198 Claims inquiries – 1-833-647-2075, option 2 For inpatient admissions associated with an ER visit – please contact the Centurion UM department at 1-833-647-2075, option 1 . mailto:[email protected]. http://www.centurionmanagedcare.com/ WebP.O. Box 932500, Louisville, KY 40293-2500. Mailing address for Form 2290 without HVUT payment: Department of the Treasury, Internal Revenue Service Ogden, UT 84201-0031. Note: IRS Recommends filers to e-file Form 2290 for quick processing. mock warhead