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Suite 102 Carson City, NV 89701 Phone: (877) 638-3472 and (775) 684-3600 Medicaid Recipient Customer Service Las Vegas District Office: (702) 668-4200 Reno District Office: (775) 687-1900 All other areas: (866) 569-1746 Automated Response System (ARS) Recipient eligibility, recent payments, claim status, and prior authorization information via phone Phone: (800) 942-6511 Electronic Verification System (EVS) Recipient eligibility, claim status, prior authorization status, provider payments Note: For EVS, there can only be one provider administrator for each NPI/FEIN/zip code.

The provider administrator must register as a “Provider” and will be responsible for creating delegates for that provider.

19, 2017 RC Claim Assist tool is now available January 2017 Use new PT, OT codes when billing BCN for physical and occupational therapy Hospitals must give BCN Advantage members receiving outpatient observation services the Medicare Outpatient Observation Notice Obstetrician-gynecologists can refer BCN and BCN Advantage members to specialists December 2016 BCN will not require authorization for monitored anesthesia care during GI endoscopies starting Jan.Recipient eligibility may also be accessed using a Medicaid Eligibility Verification System (MEVS) through Emdeon.Providers who desire to participate in South Dakota Medicaid must be eligible to provide a covered service, must be an appropriately enrolled provider to receive payment, and must continue to maintain their enrollment records.1, submit authorization requests for outpatient ECT and TMS services via e-referral but no forms are required ALERT: Phone issues on evi Core's BCN provider line September 2016 Updated BCN authorization criteria and preview questionnaires now available BCN's Behavioral Health e-referral User Guide updated evi Core healthcare to review additional outpatient pain management services for BCN effective Dec.1 REMINDER: BCN will review inpatient readmissions occurring within 30 days of discharge effective Online self-paced training modules now available Changeover to using Novologix web tool is delayed for BCN providers ALERT: e-referral system is displaying updated BCN knee arthroscopy questionnaires earlier than expected MSU Student and Graduate Assistant Health Plans information Authorization requests for outpatient ECT and TMS services must be submitted via e-referral starting Nov.

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