This document is a user guide for Ambetter.BuckeyeHealthPlan.com website, including how to submit claims, how to check member eligibility and how to manage patient care gaps.
This document provides instructions for submitting claims, obtaining prior authorization, and checking member eligibility through various channels including secure portals, fax, and phone. It also includes a pre-visit planning checklist for providers to address patient care gaps and manage administrative tasks efficiently.
Claims must be filed within 180 days from the date of service.
Members can check eligibility via the Secure Web Portal or a 24/7 toll-free line.
Providers should fax medical and behavioral documents to 1-888-241-0664.