Cantrell Contracting Service

06/01/2023

Managing Insurance A/R:
1) Know your timely-filing claims deadlines according to your insurance agreements
2) Stay on top of insurance plan newsletters and email notices to not miss important information on changes to payer ID, contractual changes and changes to contact information at network management
3) Verify eligibility on all new patients and existing patients with new insurance plans
4) Work denied and rejected claims daily
5) Delegate tasks to a billing professional

10/28/2021

https://view.provider.aetna.com/?qs=fa77ab1347cef91bab8c52ec6ee07491a3366a7c6afe0a1154d2eff1577f1bb41c798cc29be2435ba47803eac4fbbf887c411a382ac82ab13530889b287935f4f47091508a7f17f8b7f9ee0996ad35d1

Starting in September 2021 through 2022, we’re phasing out paper Explanation of Benefits (EOB) statements and checks. Sign up before it’s your turn. If you don’t enroll to receive direct deposit payments, you may receive future payments by virtual credit card. Keep reading to learn more. Get E...

10/02/2021

On September 1, 2021, Cigna Behavioral Health, Inc. changed its name to Evernorth Behavioral Health, Inc.

On September 1, 2021, Cigna Behavioral Health, Inc. changed its name to Evernorth Behavioral Health, Inc. With this change, we will accelerate the delivery of innovative and flexible solutions that drive the most value for you and your patients.

07/10/2021

BCBSOK Provider Network Representatives can assist with:

Helping ensure compliance with your provider contract.
Making you aware of BCBSOK educational services and resources.
Keeping you informed about BCBSOK products, services, programs and initiatives, such as the ICD-10 transition.
If you have questions concerning your provider contract, please reach out to the appropriate area for the quickest and most accurate response.

Professional Provider Contracts

Email: OKNetworkManagement@bcbsok.com
or call the Provider Contract Support Unit at 800-722-3730, Option 2.
Website:Provider Network Representatives

01/15/2021

BCBS OK

11/06/2020

https://www.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/eap.html

If you are a currently credentialed provider with Optum, then you'll want to become part of the Express Access Network. It's designed to help you expand your practice and generate more revenue.

06/19/2020

BCBS OK is preparing to accept applications to contract LMFTs. We're available to take care of this process for you. Contact me to get started.

05/09/2019

Per Cigna Behavioral Health Credentialing, they have opened up the network to providers who meet their qualifiers. I'm available to assist you with your application. Message me to get started.

04/08/2018

11/17/2017

Now is a great time to review your contract network participation. Most employers will change their employee's health plan yearly with an effective date of 1/1. Let us help you with the application and contract process to get your name listed in the insurance plan's directories before 1/1.

07/27/2017

Aetna purchased Coventry/First Health a few years ago and Aetna has been working on updating the contracts since. MHNet, a product of Coventry, is being faded out and Aetna will no longer be contracting for this plan. The plan seems to be that once all providers are moved off of the Coventry contract and on to the new Aetna product, MHNet will term. This a good time to review your current contract fee schedule with Aetna and Coventry.

07/24/2017

The first step in the Tricare process is to complete the forms to become certified with Tricare standard.
Understanding Tricare Certified and Tricare Contracted from the Tricare website:
What's the difference between TRICARE-certified and TRICARE-contracted?
A TRICARE-certified (authorized) provider is a facility, doctor or other healthcare professional that meets the licensing and certification requirements of TRICARE regulations and practices for that area of healthcare.
TRICARE-certified (authorized) healthcare providers may or may not agree to "accept assignment" — that is, accept the TRICARE maximum allowable charge as payment in full for services. If they don't agree, then they are considered certified (authorized), non-participating providers. They may elect to accept assignment on a claim-by-claim basis. These are also known as TRICARE-certified (authorized), non-network providers.
In other words, just because a provider is TRICARE-certified (authorized) does not mean that the provider is contracted with TRICARE.
A TRICARE-contracted provider is a TRICARE-certified (authorized) provider who has a contract agreement with a TRICARE Prime Contractor. This provider agrees to accept the TRICARE maximum allowable charge as payment in full and submit claim forms for beneficiaries. A TRICARE-contracted provider is a certified (authorized), participating provider or a network provider.