IMPORTANT CHANGES 

EFFECTIVE SEPTEMBER 1, 2022

 

  • Transitioning to new claims vendor – Conduent Inc
  • Members will be issued new ID Cards – please note Group #s have changed
  • All paper claims must be submitted to our new clearinghouse address:       
    • US Family Health Plan
    • PO Box 14847
    • Lexington, KY 40512
  • Our Payor ID will remain:
    • Claims Submission & ERA – Payor ID 13407
    • Member Eligibility – 270/271 – Payor ID SVMNY
    • Claims Status 276/277 – Payor ID SVMNY
  • IVR will no longer be available to check membership eligibility.
  • Eligibility can be checked through our Provider Portal or via 270/271 transactions.
  • Appeals for Medical Necessity should be submitted to our new address:
    • US Family Health Plan
    • 8440 Jefferson Hwy Ste 101
    • Baton Rouge, LA 70809
    • FAX: 866-337-8690
  • The POS benefit is now applicable to diagnostic lab services.
  • Preferred labs include:
    • LabCorp of America
    • Quest Diagnostics
    • Northwell Health Labs
    • BioReference
  • Referring to labs outside the network will result in higher cost for your patients.
  • Provider Manual and Quick reference Guide available online:  www.usfhp.net