What is the EIN for Neighborhood Health Plan of Rhode Island?

Simply enter the organization's name (Neighborhood Health Plan of Rhode Island) or EIN (050477052) in the 'Search Term' field.

How do I cancel my neighborhood health plan in RI?

1-855-840-4774 if you have questions or would like help withdrawing your request for coverage during regular operating hours: Mon - Fri 8:00 am-7 pm.

What is the timely filing limit for neighborhood health plan appeal?

Claims must be resubmitted with all appropriate information within one hundred eighty (180) days from the date of service. For date range claim submissions, (i.e., claims that require from / to and/or through dates) 180 days begins at the to / through date.

What is the PO box for the Neighborhood Health Plan of Rhode Island?

Please avoid violating PHI rules by sending only claims for members of Neighborhood Health Plan of Rhode Island to PO Box 28259, Providence, RI 02908-3700.

Is Neighborhood Health Plan of Rhode Island a Medicaid plan?

Neighborhood is one of only two Medicaid Health Plans out of 185 across the country to achieve this rating in 2021 and the only Medicaid Health Plan to do so in Rhode Island.

What is the payer ID for Medicaid in Rhode Island?

Payer Name: Medicaid - Rhode Island Payer ID: MCDRI Professional (CMS 1500)

Get Po Box 28259 Providence Ri

Q: What is the EIN for Neighborhood Health Plan of Rhode Island?

Simply enter the organization&#039;s name (Neighborhood Health Plan of Rhode Island) or EIN (050477052) in the &#039;Search Term&#039; field.

The new appeal s receipt date will be consistent with the date the corrected form is received by NHP. To ensure a timely response please include the address to be used by NHP when responding if different from what is listed within the Provider Information section of this form. If possible please complete this form electronically and then print to fax or mail. Check applicable reason for Appeal No Authorization including sick newborn Contract/fee schedule payment dispute Other please explain For audit specific appeals please use the designated Provider Audit Appeal Form http //www. Administrative Provider Appeal Form Mail form to Neighborhood Health Plan 253 Summer Street Boston MA 02210-1120 Attn Provider Appeals Department Or fax to Fax 617-772-5511 Appeals submitted with all required information will be processed within 30 calendar days from receipt. When applicable providers are strongly encouraged to include relevant documentation to support the reason for the appeal i.e. evidence of timely filing Explanation of Payment/Remittance Advice authorization request fax transmittal etc. Please do not include medical records with your submission. Upon receipt and review providers are notified by NHP if additional information is required. All fields are required. Incomplete forms will be returned to the sender for review and resubmission to NHP. Administrative Provider Appeal Form Mail form to Neighborhood Health Plan 253 Summer Street Boston MA 02210-1120 Attn Provider Appeals Department Or fax to Fax 617-772-5511 Appeals submitted with all required information will be processed within 30 calendar days from receipt. When applicable providers are strongly encouraged to include relevant documentation to support the reason for the appeal i*e* evidence of timely filing Explanation of Payment/Remittance Advice authorization request fax transmittal etc. Please do not include medical records with your submission* Upon receipt and review providers are notified by NHP if additional information is required* All fields are required* Incomplete forms will be returned to the sender for review and resubmission to NHP. nhp*org/PDFs/Providers/AuditAppealForm*pdf Contracted NHP Provider Yes No Revised December 2010 Provider Information Provider Name Address City State Zip NPI Number Tax ID Number Fax Sender/Contact Information Name Title Telephone Email Address if different from above Member Information NHP Member Name NHP Member ID Claim Information NHP Claim Number s Date s of Service Claim Amount s Is Explanation of Payment EOP enclosed Is additional supporting documentation enclosed Additional Information. Administrative Provider Appeal Form Mail form to Neighborhood Health Plan 253 Summer Street Boston MA 02210-1120 Attn Provider Appeals Department Or fax to Fax 617-772-5511 Appeals submitted with all required information will be processed within 30 calendar days from receipt. When applicable providers are strongly encouraged to include relevant documentation to support the reason for the appeal i*e* evidence of timely filing Explanation of Payment/Remittance Advice authorization request fax transmittal etc.

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