This intel on filing medical billing claims is intended to help medical billing professionals and is not intended for patients or the general public. These are some of the quirks of dealing with Local Unions in New York some of whom act as self-insureds.
The following carriers will not pay for anesthesia in an office setting: GHI, PHS, US Health (US Healthcare), Heritage, Local 1199, Local 32BJ, and Cigna.
For the doctors who participate with Local 1199 CPT code 36620 which is an arterial catheter now pays $58.00 and CPT code 62318 now pays $343.00.
Local 1199 National Benefit Fund
Fax the medical claim to Mr. Sequinot, Claims Representative at 646-473-8598. If the account is a problem account fax the claim to Diane Sweeney at 646-473-8806 and she will investigate the problem.
The claims address for the 1199 National Benefit Fund is below.
1199 National Benefit Fund
Medical Claims Department
P.O. Box 1034
New York, NY 10108-1034
Fax: 646-473-7169 attention Miss Vargas
or
Fax 646-473-7085 attention Helen Chan
You may also use that number to fax to the pre-authorization department attention Miss Brown in claims.
For Local 3 in New York, when the patient calls in advise the patient to forward us an original claim form and then we will attach an itemized bill to the claim and forward it to the patient’s local. Local 3 is acting as their own insurance company so we have to file the bill directly to the local to get it paid.
Local 3 In New York
When calling about or receiving a Local 3 claim you can either call Charlotte Karpe at 718-591-2000 or fax your question to 718-591-1107. The address to send all Local 3 claims is below.
Local 3
Attn: Charlotte Karpe
Joint Industry Board
158-11 Harry Van Arsdale, Jr. Ave
Flushing, NY 11365
Local 1102 RWDSU Related
1587 Stewart Avenue
Westbury, NY 11590
Phone: 516-832-9200
Local 94 (in New York)
331-337 West 44th Street
New York, NY 10036
Phone: 212-541-9880
Local 137 (In New York)
21-42 44th Drive
Long Island City, NY 11101
Phone: 718-937-4514
However Local 137 has Alicare TPA
Phone: 212-539-5115
Local 1034
The claims address is below.
Magnacare Local 1034
P.O. Box 61593
King of Prussia, PA 19406
Phone: 877-378-4710
The appeals address for Local 1034 (In New York) is Insurance Trust of Local 1034, 5235 Barnett Avenue, Long Island City, NY 11104, simply state that we are appealing this charge and we would like to get paid.
Local 202 Union Welfare Fund
(United Teamster's Fund)
Hunts Point Terminal Market
Room 12A
Bronx, NY 10474
Bebe at Local 202 handles the stop pay and re-issue check requests. Call Bebe if the pay to name is wrong and you need a check re-issued. You can reach Bebe at 718-859-2326, 718-859-7071 or 718-859-1624 however stop pay and re-issue requests must be in writing. Fax your request to Bebe at 718-421-6319 attention Bebe.
This is a letter requesting an insurance carrier to stop pay and re-issue a check.
April 1, 2010
Local 202 Union Welfare Fund
Hunts Point Terminal Market
Room 12A
Bronx, NY 10474
Dear Bebe:
Pleas re-issue check #73181 dated 3/25/2010. The payee name listed on the check was Parsons Anesthesiology Group and the correct payee name is Anesthesia Associates. Tax ID#11-1587584. Copies of the patient's check on the front and the back are enclosed.
Thank you,
AngelBean.
Claims Correspondent
All images on this intel are from Photobucket.com.
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Contributor's Note
Written by Angelique author of 91 Smart Sounding Phrases To Put In Your College Academic Papers and Other College Survival Tips https://www.createspace.com/3348044 DOWNLOAD College Academic Paper Writing Help and Other College Survival Tips http://linkbee.com/CollegeBook CEO of BusinessBuzzSEO Search Engine Optimization Services For Your Website http://businessbuzzseo.tripod.com/index.html AngelBean on Associated Content http://www.associatedcontent.com/user/241469/angelbean.html
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