WebApr 7, 2024 · Optima Health Community Care Toll-free: 1-888-512-3171 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m. Apply Now Check Eligibility Plan Documents Optima Family Care (Medallion 4.0/FAMIS) Handbook Optima Health Community Care (CCC Plus) Handbook Optima Family Care/FAMIS Provider Directory PDF Last Updated: 3/12/2024 WebRefer to www.Aetna.com under the Health Care Professionals link for additional payer sheets. To prevent point of service disruption, the RxGroup must be submitted ... 111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M 3Ø1-C1 Group ID R As printed on the ID card or as ... 339-6C Other Payer ID Qualifier R
Provider Services - Alliance Secondary Health
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Billing Reference Sheets and Claims Submission Guidelines
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