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Beacon Health Options P.O. Box 1290 Latham, NY 12110 PLEASE PRINT OR TYPE APPROVED OMB09381197 FORM 1500 (0212) Tips for Completing the CMS1500 Version 02/12 Claim Form FAILURE TO PROVIDE VALID INFORMATION
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How to fill out beacon health options:

01
Start by gathering all necessary information. Before filling out the beacon health options form, make sure you have all the required information at hand. This may include details such as your personal identification information, healthcare provider information, and any relevant medical history.
02
Access the beacon health options form. You can typically find the beacon health options form on their official website or by contacting their customer service. Make sure you have the latest version of the form to ensure accuracy.
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Carefully read the instructions. Before filling out the form, take the time to read through the instructions provided. This will help you understand the purpose of each section and any specific requirements or guidelines.
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Provide accurate personal information. Begin by accurately filling out your personal information section. This may include your name, address, contact details, date of birth, social security number, and insurance information. Ensure that all the information provided is correct and up to date.
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Provide healthcare provider information. In the designated section, provide the necessary information about your healthcare provider or primary care physician. This may include their name, address, contact details, and any other relevant information they might require.
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Fill out the medical history section. The beacon health options form may include a section dedicated to your medical history. Be thorough and provide all the relevant medical information, including past medical conditions, surgeries, medications, allergies, and any ongoing treatments. This will help the beacon health options team assess your healthcare needs more effectively.
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Employers and organizations. In addition to individuals, beacon health options also serves employers and organizations who want to provide quality mental and behavioral health benefits for their employees. By partnering with beacon health options, employers can ensure that their workforce has access to the necessary support and care for their overall well-being.
Overall, beacon health options is an essential resource for individuals seeking mental and behavioral health support, as well as for employers and organizations aiming to prioritize the well-being of their employees. Properly filling out the beacon health options form ensures that you provide accurate and thorough information, leading to a more effective assessment of your healthcare needs.
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Beacon Health Options is a managed behavioral health care company.
Healthcare providers and facilities that participate in the Beacon Health Options network are required to file.
Beacon Health Options forms can be filled out online or submitted through the provider portal.
The purpose of Beacon Health Options is to manage and coordinate behavioral health care services.
Providers must report patient demographics, services rendered, diagnoses, and billing information on Beacon Health Options forms.
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