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";s:4:"text";s:17323:"He also directly manages all site medical directors in Keystone Healthcare’s Hospital Medicine portfolio. She manages company corporate operations to ensure efficiency, quality, and service. Member Services: Call 1-888-991-7200 (TTY 1-888-987-5704) to talk to a Member Services Representative 24 hours a day, 7 days a week. Your Keystone Primary Care Physician may also refer you to other Keystone providers for care, if needed. Tanya has been with Keystone since 2002 and currently serves as Vice President of Revenue Cycle. This program may not cover all your health care services. Keystone First Health Plan Community Health Choices - PA members at PA sites and providers only Keystone Health Plan East (HMO and POS) - Care Network Primary Care, Harborview requires Blue Card access All Rights Reserved. We are happy to announce effective December 1, 2020, our new medical provider will be Independence Blue Cross Keystone Health Plan East Point of Service. As Director of Hospital Medicine, he provides clinical direction to all HM physicians and works with client hospitals to improve key performance metrics. • The OTC benefit only guarantees members a credit, per membership term, to use while ordering items listed in this catalog. Welcome! Keystone Health Plan East – Individual Plans Rate Request filing ID # INAC-132358787 – This document is prepared by the insurance company submitting the rate filing as a consumer tool to help explain the rate filing. If you have questions about Keystone First, please call Member Services at 1-800-521-6860, TTY users should call 1-800-684-5505. Don started working in the emergency medicine practice management arena 23 years ago with Sterling Healthcare in Toledo, OH. Dr. Mourad is the Director of Hospital Medicine and Vice President of Business Development at Keystone Healthcare. Lynn is a certified EPIC and ATHENA trainer and is the founder of the Northern Kentucky Coding Chapter. Today, we are the leading health insurer in Southeastern Pennsylvania - a testament to the trust and loyalty we have earned from our members. Dr. Gorman is board certified in emergency medicine and is a fellow in the American College of Emergency Physicians. Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company ®, Capital Advantage Assurance Company ® and Keystone Health Plan ® Central. At Schumacher, she was responsible for $1.8 billion in receivables as Vice President of Accounts Receivable. 0 0000010622 00000 n 0000001661 00000 n Independence Blue Cross (Independence) is a health insurer based in Philadelphia, Pennsylvania, in the United States. Keystone Dental Care - Mont Alto. Keystone Health Plan East Beneﬁ ts that require preauthorization Your primary care physician or provider contacts the Care Management and Coordination (CMC) team and provides information to support the request for services. Found inside – Page 24See the plan brochure provide for necessary care during a year . for the exact ... Health Plan East Keystone Health Plan West Medigroup HMO PARTNERS Health ... Dawn actively participates in operations and strategic workforce teams and assists with provider recruitment. Reproductive Health. Andrew and his family reside in Tennessee and Florida and he is a native of Great Neck, New York. Found inside – Page 24See the plan brochure provide for necessary care during a year . for the exact ... Health Plan East Keystone Health Plan West Medigroup HMO PARTNERS Health ... Services required by a member who is an organ donor Dental care, including dental implants Alternative therapies/complementary medicine This summary represents only a partial listing of benefits and exclusions of the Keystone Health Plan East program described in this summary. Whenever possible we … Site Medical Director of Hospital Medicine. Site Medical Director of Emergency Medicine. Find your nearest eye doctor to the left and click to make an appointment. With an expansive network of more than 55,000 doctors and 100 hospitals to choose from, you can always find the care you need.For more than 70 years, we’ve provided the best in quality,reliability and service to Philadelphians. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Commercial Health Insurance Plans: Aetna, Keystone Health Plan East, IBC Marketplace Proactive plans, IBC Personal Choice. FutureScripts® is an independent company that provides pharmacy benefit management services.. The CMC team, made up of physicians and nurses, evaluates the proposed plan of care. Additionally, she presents on many coding and compliance topics with the Northern Kentucky and Knoxville, Tennessee Chapters, AHIMA, and surrounding organizations. Plans for Individuals, Families, Students and the. Keystone Health Plan East (Keystone) is committed to bringing you an innovative, cost-effective health benefits solution that will enhance the health and well-being of you and your families. He is a partner of that practice, which has grown to include 5 locations. In the United States, Puerto Rico and U.S. Virgin Islands. Victoria’s passion is improving the patient experience in the healthcare revenue cycle by meeting patient needs across the continuum of care. 12 For Keystone HMO Proactive plans, if you are admitted to an in-network hospital from the emergency room, the out-of … Found inside – Page 24Some Prepaid plans require you to share costs for certain services . ... Keystone Health Plan East Keystone Health Plan West Medigroup HMO Riverside Health ... 0000022657 00000 n This is a managed care program. For 70 years, Independence Blue Cross has offered quality health care products and services designed to help keep members well. Benefits may vary based on the type of program (HMO, PPO, or other) as well as the benefit design selected by an employer or group (i.e., health … The benefit information provided is a brief summary, not a complete description of benefits. 10 For Keystone HMO Silver Proactive the deductible is combined for Tiers 2 and 3. Self-Employed. Vision benefits are underwritten by Keystone Health Plan East and administered by Davis Vision, an independent company. Keystone Health Plan East (Keystone) is committed to bringing you an innovative, cost-effective health benefits solution that will enhance the health … She earned her Master’s Degree in Physician Assistant Studies in 2006 from Daemen College and a Bachelor’s Degree in Biology in 2002 from SUNY Fredonia. Found insideHMO MEMBERSHIP Keystone Health Plan Central 114,000 P.O. Box 898812 Camp Hill, ... 105 Lancaster, PA 17601 (717) 560-9049 Greater Atlantic Health Service ... Found inside – Page 32HRP - 0900438 / 3 A21052 Health Systems Plan . Health Service Area 10 Texas . Greater East Texas Health Systems Agency , Inc. , Beaumont . Please read our COVID-19 announcement for more information. Jefferson primary care doctors and specialists accept most health plans, including those listed below. If you have questions about whether a specific physician accepts your insurance, please contact JEFF NOW at 1-800-JEFF-NOW, or contact your insurance company. Subsequent visits to your OB/GYN covered 100%. Amina joined Textron after three years with GMAC Commercial Finance, where she served as Vice-President and Senior Risk Manager. Randy oversees the financial operations of all subsidiary companies and manages initiatives to decrease the revenue cycle, improve physician documentation, and increase coding and billing consistency and expertise. She enjoys spending time with her family, volunteering at Cathedral School, watching her sons’ sporting events, hunting, kayaking, and loves LSU football. Found inside – Page 24Some Prepaid plans require you to share costs for certain services . ... Keystone Health Plan East Keystone Health Plan West Medigroup HMO Riverside Health ... Dr. Glantz became Chief Medical Officer of Keystone Healthcare in 2014. Andrew’s role is to set the strategic direction of the company, model the company’s values, culture and behaviors, allocate resources to the company’s priorities, and build and lead the senior management team for this independently owned and operated emergency medicine, hospital medicine and telehealth practice management company. Dr. Wenner’s hobbies and interests include spending time with his wife and three amazing step-children and outdoor activities such as boating, shooting, and hunting. She worked for NES from 1988 to 1998, where she held every operations position from credentialing to President. FutureScripts® is an independent company that provides pharmacy benefit management services. Found inside – Page 32HRP - 0900438 / 3 A21052 Health Systems Plan . Health Service Area 10 Texas . Greater East Texas Health Systems Agency , Inc. , Beaumont . Families from throughout Philadelphia, Pennsylvania know they can count on Dr. David Geltzer and Dr. Neil Rapoport at Philadelphia Podiatry Associates for gentle and effective medical care for their feet and ankles. She is a licensed instructor for the American Academy of Professional Coders (AAPC)-certified coding classes. x�b```"9V�4``C��C��XLΜ��)��w�>!�Dv Ӈd�030�2�3 Keystone Health & Wellness Center is a holistic medical practice located in Greenwood Village, Colorado. Tye has been with Keystone Healthcare since 2012. Get directions, reviews and information for Keystone Health Plan East Hmo Member Services in Philadelphia, PA. If you wish to speak to a medical billing representative please call 717-709-7922. His role is to unify the medical leadership of Keystone Healthcare and assist in business development, revenue cycle management, recruitment and retention, CME and credentialing, medical-legal issues, and mentoring the leaders. He has served as the HCA System Medical Director and UAHS System Medical Director at Keystone Healthcare since 2016. She has testified for the Mississippi Senate around the standard of care for telehealth and remains active in policy development at each legislative session. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. For the full set of services, you can call 215-638-0629 to book your appointment. Lynn is primarily responsible for educating all specialty providers on appropriate patient chart documentation. Donna has many years of industry experience in operations, human resources, … Address 301 S 7th Ave Ste 3170 West Reading, PA 19611-1450. Members Find a Doctor, Medicine, or Pharmacy As a Keystone First Community HealthChoices (CHC) provider, you are essential to quality Participant care. Your Keystone PCP may also refer you to other Keystone providers for care, if needed. Please note that if you are part of an HMO, you will need to contact the insurance company to request a change to one of our clinicians before we can begin to take care of you. She worked in both the Northeast and Southeast regions. It is not intended to describe or include all factors or information considered in the review process. Today, we proudly manage services for thousands of members in Bucks, Cambria, Delaware, Lehigh, Montgomery and Northampton counties. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Mental Health and Substance Abuse covered via ATAP 1-800-258-6376 Routine eye exam except by additional rider Services or supplies that are experimental or investigative, except routine costs associated with qualifying clinical trials and when approved by Keystone Health Plan East. She has executive oversight of Keystone’s coding operations, collaborates closely with the documentation education team, and manages payer relationships. Self-Employed. Keystone First 200 Stevens Drive Philadelphia, PA 19113. Keystone Health Plan East HMO plans are available to individuals and families who live in Southeastern Pennsylvania. 0000009958 00000 n Y0041_H3952_KS_20_77791_C Gem Gibbons is an avid fan of ice hockey and loves listening to music and spending time at the beach. Walk in services include pregnancy test, emergency contraception, birth control supply visits, STD testing, and women's & men's health care. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and … Found insideHealth benefits open season, United States Postal Service employees ... Foundation Health Plan Keystone Health Plan East US Healthcare - Hi 73-241 ST1 ST2 ... Keystone First, coverage by Vista Health Plan, an independent licensee of the Blue Cross Blue Shield Association. Don Collure, MD, FACEP has been a part of Keystone Healthcare since 2013 as Associate Director of EM at Niagara Falls memorial medical Center. Affordable Health Insurance plans available from Keystone Health Plan East. – Fri., 8 a.m. – 5 p.m. Nurse on call 24 hours a day 1-800-521-6007: Mental Health/Substance Abuse Magellan Healthcare, Inc. He earned a BS from SUNY Albany in 2007, a Doctorate of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine in 2011, and is a member of the AOA and ACOFP. Dr. Patel was Chief Resident during his residency and was awarded the Resident Teacher Award by the Society of Teachers of Family Medicine. 0000001603 00000 n Keystone Dental Care. Tanya has over 20 years of experience in healthcare revenue cycle, holding nearly every position in the business office setting. As a Keystone Health Plan East member, certain in-network services and all out-of-network services require preapproval prior to receiving care to ensure that the service you seek is medically necessary. From 2003 through 2012, Randy served as President and CEO of Schumacher Group Medical Billing. Rate request f iling ID # INAC-131927121 – This document is prepared by the insurer submitting the rate filing as a consumer tool to help explain the rate filing. Since joining Keystone Healthcare, she has been at the forefront of bringing creative solutions to the Emergency Department programs, including patient flow assessments, clinician peer reviews, 360 reviews, patient satisfaction initiatives, cultural competence education, and telehealth. Don joined Keystone Healthcare in 2014 as Executive Vice President of Business Development and Strategic Initiatives. Keystone Behavioral Health. He is board certified in family medicine and is a member of the Society of Hospital Medicine, American Board of Family Medicine, and American Academy of Family Physicians. Found inside – Page 86AAHP MEMBER PLANS ARE DEDICATED TO A PHILOSOPHY OF CARE THAT PUTS PATIENTS ... another PPO ; Keystone Health Plan East , our commercial HMO ; Keystone 65 ... For the past eight years, she has worked in healthcare operations and management. For information about our in-clinic appointments, call 1-800-230-7526. African Americans are hit harder by COVID-19 than any other group, yet vaccination rates remain low. Planned Parenthood Keystone - Planned Parenthood Bensalem Medical Center (Bensalem) - Reproductive Health - Book Online. ;xϡ{A#T�X�!ka�kb�Ul=�ˆ�W�ׅ� 0000001341 00000 n With Keystone Healthcare, she held the positions of Chief Operating Officer and VP of Administration and Finance. Found inside – Page 15... Health Plan Keystone Health Plan West Aetna HP / Central & Eastern PA ... Free State Health Plan Grt . Atlantic Health Service 800 / 445-6036 73-146 LD1 ... Previously, she served as Chief Clinical Officer for eMD Telehealth Solutions, Assistant Vice President of Telehealth for Ochsner Health Systems, and Director of both TelEmergency and Advanced Practice Providers for the University of Mississippi Medical Center. Found inside – Page 2When it comes to health benefits, Independence Blue Cross, Pennsylvania Blue Shield and Keystone Health Plan East provide the choices you need to solve your ... Dina has worked full time as an Emergency Medicine PA at Niagara Falls Memorial Medical Center since 2006. If you cannot find the information you are looking for on the website or in the member handbook, you can: Call Member Services at 1-800-521-6860 (TTY 1-800-684-5505) to talk to a Member Services Representative 24 hours a day, 7 days a week, or, When not working, Andrew treasures time off with his wife and son, keeps up with family and friends, loves sports and fitness, and enjoys cooking, reading and travel. When you purchase a Keystone HMO plan from Independence Blue Cross, you may see any doctor or visit any hospital in the Keystone HMO network. Dental benefits are underwritten by Keystone Health Plan East and administered by United Concordia. As Keystone’s Vice President of Strategy and Marketing, Chelsea assists the Chief Executive Officer (CEO) and Executive Team with the development, communication, and execution of corporate strategic initiatives. His role includes assisting with all daily clinical operations and administrative duties. Found inside – Page 50Enrollment Code Twice - Biweekly Premium Your Share Plan Name - Location ... S44 S45 198.52 510.98 Keystone Health Plan East -high- Philadelphia area ... ";s:7:"keyword";s:41:"keystone health plan east member services";s:5:"links";s:644:"Diego Costa Fifa 21 Rating, What Does Toxic Mean In A Person, Wholesale Glass Beads For Jewelry Making, Floral Smudge Sticks Wholesale, Pegassi Infernus Super, Canton Citizen Police Log, ";s:7:"expired";i:-1;}