Beacon Health Options (Formerly ValueOptions ORF 2) 2008 free printable template

OUTPATIENT REVIEW FORM (OF 2) NOTE: This form cannot be used to request ECT or psychological testing. Requested Start Date for this Authorization / / Mental Health Current Impairments: (Please select/circle

How to fill out Beacon Health Options Formerly ValueOptions ORF

How to fill out Beacon Health Options (Formerly ValueOptions ORF 2)

1. Obtain the Beacon Health Options (Formerly ValueOptions ORF 2) form from the official website or request it from your provider.
2. Begin by filling out the patient information section with details such as the patient's name, date of birth, and contact information.
3. Provide the insurance information, including the policy number and group number.
4. Complete the section regarding the provider's information, including the provider's name, NPI number, and contact details.
5. Specify the type of service being requested by selecting the appropriate options from the checklist.
6. Include any relevant medical history or additional notes that support the request for services.
7. Review all the information for accuracy and completeness.
8. Sign and date the form as the applicant or authorized representative.
9. Submit the completed form to Beacon Health Options via the specified method (mail, fax, or online submission).
10. Keep a copy of the submitted form for your records.

Who needs Beacon Health Options (Formerly ValueOptions ORF 2)?

1. Individuals seeking mental health or substance use disorder services covered by Beacon Health Options.
2. Providers who need to request authorization for mental health services.
3. Patients who require treatment and support through managed care programs.
4. Organizations looking to coordinate care with Beacon Health Options for their clients.

People Also Ask about

What is Beacon Health Options California?

Contracted by Partnership HealthPlan of California, Beacon provides mental health services for individuals with mild to moderate mental health conditions.

Is EmblemHealth part of Beacon?

Beacon Health Options Is Now Carelon Behavioral Health | EmblemHealth.

What does beacon cover?

Beacon's Group Health is for everyday health issues, such as visits to the doctor, dentist, optician, other medical professionals, and the pharmacy. It can also cover Preventative Care, Emergency Air Ambulance (if included), medical tests, and surgery up to a Major Medical maximum of $450,000.

Is Beacon Health Options and Beacon Health Strategies the same?

The company is the product of a 2014 merger between Beacon Health Strategies, LLC and ValueOptions, Inc. Beacon Health Options, Inc. The company currently employs 4,700 people nationwide, serving over 40 million people.

What are the benefits of beacon health?

Health. Disability. Retirement. Life Insurance. Education. Voluntary Benefits. Paid Time Off. Wellness.

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What is Beacon Health Options (Formerly ValueOptions ORF 2)?

Beacon Health Options, previously known as ValueOptions, is a behavioral health organization that provides various services related to mental health and substance abuse treatment.

Who is required to file Beacon Health Options (Formerly ValueOptions ORF 2)?

Providers and organizations that offer mental health and substance use services and need to report client information for reimbursement and compliance purposes are required to file Beacon Health Options (Formerly ValueOptions ORF 2).

How to fill out Beacon Health Options (Formerly ValueOptions ORF 2)?

To fill out the Beacon Health Options ORF 2 form, providers should ensure they have accurate client information, including demographics, service details, and treatment plans, and follow the specific instructions laid out in the form guidelines.

What is the purpose of Beacon Health Options (Formerly ValueOptions ORF 2)?

The purpose of Beacon Health Options ORF 2 is to collect and report data on treatment services provided to clients in order to ensure quality care, facilitate reimbursement, and comply with regulatory requirements.

What information must be reported on Beacon Health Options (Formerly ValueOptions ORF 2)?

The Beacon Health Options ORF 2 requires reporting of client identification details, service types, dates of service, clinician information, and any relevant treatment outcomes or notes.