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Jai Medical Systems Our PIP program is designed to reward our network providers with assisting us in meeting our quality goals and objectives by providing immediate financial rewards when appropriate CPT II codes are submitted with medical claims, as appropriate. When untreated, HIV can lead to the acquired immunodeficiency syndrome (AIDS). We recommend that you update your browser in order to get the best experience using our website. WebJai Medical Systems Managed Care Organization, Inc. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Maryland Care, Inc. D/B/A Maryland Physicians Care M anaged Care Organization 2020, the HFMR included run Jai Medical Systems encourages all participating providers to submit claims electronically, however, providers wishing to submit paper claims can mail them to: Jai Medical Systems 301 International Circle Hunt Valley, MD 21030 Attn: Claims Department. Authorized participating Jai Medical Systems providers may register via this site to take advantage of on-line claims submission. Contact Jai Medical Systems at 1-888-524-1999 if you need a copy faxed to you. WebJai Medical Systems Managed Care Management, Inc. tracking the Maryland Medicaid billing guidelines for claims billing. Case Management & Disease Management Programs 2023 Jai Medical SystemsJai Medical Systems Managed Care Organization and its logo are registered trademarks. WebFind a Provider. WebPlease forward the confirmation email to enrollment@claimremedi.com so that we may complete the set up within our system. Suites A, B & C The Registered Agent on file for this company is Jai Seunarine and is located at 5010 York Road, Baltimore, MD 21212. Definitions/Glossary. CLAIM Webwishing to submit paper claims can mail them to: Jai Medical Systems 301 International Circle Hunt Valley, MD 21030 Attn: Claims Department For an initial submission of an ER claim with medical records, please mail to: Jai Medical Systems P.O. Box 747 Hunt Valley, MD 21030 Attn: ER Medical Record Claims Claims Appeals Testing is private and confidential. Health Education Referral / Interest Form, Case Management & Disease Management Programs, Member Satisfaction Survey Evaluation 2020, Jai Medical Systems ranked #1 for Quality, Jai Medical Systems Managed Care Organization, Inc. Receives Highest National Rating for Fourth Year in a Row. WebMembers. Renew Benefits with Jai Medical Systems. JAI Medical Systems Jai Medical Jai Medikament Systems Operated Care Organisation, Inc. tracks the Ma Medicaid billing guidelines for claims billing. FAQs. Access to our Provider Manual and Provider Portal is available for our participating providers. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice. Dont lose your benefits! For your convenience, our Customer Service Department is available Monday through Friday 9 am to 6 pm. WebPlease forward the confirmation email to enrollment@claimremedi.com so that we may complete the set up within our system. Contact: Jai Seunarine, Chief Executive Officer (CEO), 410-433-2200 WebThe criteria for this system have been established by the ProCare Rx/Jai Medical Systems Managed Care Organization program, with input from pharmacists and physician practitioners and in consideration of the available medical literature. Durable medical equipment? Webapplicable,to Jai Medical Systems Claims Processing Center (fax number 1-866-381-7200) prior to claim submission. JMSMCO Provider Manual 2021 2022. Provider Directory Please signup using the Register below. Jai Medical Fax: 410.567.0401, Correctional and Aftercare Mental Health Services, Balt. Health Education Referral / Interest Form, Case Management & Disease Management Programs, Having a sexually transmitted infection (STI), If pregnant, delivery (risk of transmission to baby from the mother), Breast feeding (risk of transmission to baby from the mother). Jai Medical Systems Managed Care Organization, Inc HIV is also not spread through the air, water or insect bites. It is only awarded to those plans that meet or exceed NCQAs rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care. This program is designed to provide our members with extra resources for their health needs, treatment goals, and tools to help our members maintain AIDS occurs when the body can no longer fight other infections. WebIf you have any questions about how to submit your Claims, please call the Customer Service # 1-800-414-SHBP (7427). WebMedical Necessity: BioScrip (800) 555-8513 Prior Authorization: BioScrip (800) 555-8513 Provider Relations: Jai Medical Systems Managed Care Organization, Inc. (888) JAI-1999 PHARMACISTS Provider Network Questions: BioScrip (800) 230-8187 Provider Relations: BioScrip (800) 213-5640 XIII. FAQs. Also, the early stages of HIV-infection are when the infected person is most contagious to others, and prevention of infecting others is key. uhGJEQ"[vY WebPaper Claims. Jai Medical Systems If you are interested in joining our network, please complete the Provider Interest Form below and a member of our Provider Relations Department will contact you within 24 hours. Contact Claims Customer Service for general claims information and billing questions, claim payment status, claims submission. 2023 Jai Medical SystemsJai Medical Systems Managed Care Organization and its logo are registered trademarks. WebIf you have any questions about how to submit your Claims, please call the Customer Service # 1-800-414-SHBP (7427). WebPrinter Friendly View Address: 5010 York Rd Baltimore, MD, 21212-4444 United States See other locations Web(d)(5), Jai Medical Systems will not pay for any of the aforementioned high cost drugs that are not appropriately pre-certified by Jai Medical Systems. At Jai Medical Systems, we pride ourselves on making the application and credentialing process as simple as possible for providers wanting to join our network. For 2021-2022, Jai Medical Systems earned a 5 out of 5 star rating from NCQA. Jai Medical Systems WebTo ensure that your claims are processed rapid and accurately, please make sure into follow these simple guidelines regarding charging practicing, referrals, and rights. NCQAs HEDIS is the most widely used performance measurement tool in health care. There is no cure for HIV and anyone infected will have it for life. Health Education Referral / Interest Form, Case Management & Disease Management Programs. In addition, our reimbursement rates are some of the most competitive in the industry. Update My Information. Insurances Crisis Response Inc (BCRI): 410.433.5175, Balt. Jai Medical Systems WebMembers. Member Information. Baltimore, MD 21215 Jai Medical WebPhone. Jai Medical Systems earned a rating of 5 out of 5 in theNCQA MedicaidHealth Insurance Plan Ratings, 2017-2018. Everyday contact such as kissing, hugging, or holding or shaking hands with someone who has HIV or AIDS does not transmit the infection. Contact Us Clover WebPlease use the form below to let us know of any changes to your information. hb```,|B pjp),E K70g&_Gk1L{0e:jYDasH @, "b.898] Jai Medical Systems Its mission is to provide access to high-quality healthcare benefits and services. 2023 Jai Medical SystemsJai Medical Systems Managed Care Organization and its logo are registered trademarks. Jai Medical Systems continues this tradition of quality and excellence by working with its members to help identify their healthcare needs while remaining an active and positive presence within the communities it serves. WebPaper Claims. Baltimore, MD 21207 Jai Medical Systems Managed Customer Your, Inc. follows the Maryland Medicaid billing guidelines for claims billing. Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are medications taken by people at high risk of getting HIV. Keep reading for tips on how to eat healthily and practice good nutrition. Jai Medical Systems Symptoms of AIDS include: There are other medical conditions and diseases that also can occur with AIDS. Fax: 410.567.0399, 6210 Georgetown Blvd HIV Symptoms You Shouldn't Ignore Report Fraud & Abuse. Contact us Hope Health Systems Member Information. Ensuring our members receive high-quality healthcare is our primary focus and passion. A person with HIV is more susceptible to other infections and diseases. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2023 Jai Medical Systems | Website Design: Points Group, LLCJai Medical Systems Managed Care Organization and its logo are registered trademarks. Jai Medical The company is currently celebrating its 20th year of operations. Posted September 22, 2017 by jms_admin & filed under Uncategorized. Jai Medical Systems JAI MEDICAL SYSTEMS Please signup using the Register below. 2023 Jai Medical Systems | Website Design: Points Group, LLCJai Medical Systems Managed Care Organization and its logo are registered trademarks. HIV is one of the worlds longest and deadliest pandemics; however, the disease is thankfully now manageable with medicine. %%EOF NCQA accredits and certifies a wide range of healthcare organizations and recognizes clinicians in key clinical areas. WebPhone. 835 Electronic Remittance Advice: %PDF-1.6 % Authorized participating Jai Medical Systems providers may register via this site to take advantage of on-line claims submission. AIDS is not a virus. We are very proud to be the highest rated Medicaid health plan in the United States. Appeals Whether you appeal with the help of your doctor or contact us directly, you have 90 days from the date on your denial letter to appeal this decision with Jai Medical Systems. In case of emergency call 911; Balt. WebFind a Provider. FAQs. County Crisis Response System: 410.931.2214, Balt. Please only fill out the information that is being changed or updated. Web5234 York Road Baltimore, MD 21212 Learn More Jai Medical Center Park Heights 4340 Park Heights Avenue Baltimore, MD 21215 Learn More Eutaw Medical Center 2425 Eutaw Place Baltimore, MD 21217 Learn More Jai Medical Center Monument Street 1235 East Monument Street Baltimore, MD 21202 Learn More Jai Medical Center- Hunt Valley People in this stage usually do not feel sick or have symptoms. Member Rights and Responsibilities. In addition, our reimbursement rates are some of the most competitive in the industry. Member Rights and Responsibilities. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. Our Customer Service Representatives are available Monday through Friday, 9am to 6pm to help you. Jai Medical Systems Jai Medical Risks add up over time. Jai Medical Systems Managed Care Organization, Inc. is a Medicaid Managed Care Organization providing Medicaid health insurance benefits for the State of Maryland in the HealthChoice program. Click the button below to get office address and phone numbers. If you have any questions regarding this form, please contact the Provider Relations Department at 1-888-JAI-1999. Jai Medical Systems WebJai Medical Systems is pleased to partner with SSI Claimsnet to offer electronic claims processing to our providers. Call our Customer Service Representatives at 1-888-JAI-1999 to learn more. Provider Directory. SSI Claimsnet Registration - RCM Solution WebProvider Quick Reference Guide. JAI MEDICAL SYSTEMS By working closely with providers and business partners, the organization is able to achieve clinical objectives while ultimately improving clinical outcomes and long-term health status. Initiating actions to stu dy and address impact of problems/issues affecting Jai Medical Systems members and providers; 12. Please check back as we will be updating this page with additional HEDIS measures that will be a part of the PIP program. Your immune system is responsible for fighting infections. "We are very proud to once again receive a 5 out of 5 star rating from NCQA. Members have no financial liability for covered benefits under the HealthChoice program. Frequently Asked Questions Monday Friday 8 am 4:30 pm Phone: 1-877-875-3805 Fax: 1-808-432-5433. Kaiser Permanente JAI MEDICAL SYSTEMS If a test comes back positive for HIV, seeing a doctor as soon as possible is very important in order to begin HIV medication. Jai Medical NCQAs Excellent Accreditation status is reserved for the best health plans in the nation. Jai Medical WebGo ensure that your compensation are processed quickly and accurately, bitte make sure into follow these simple guidelines regarding billing practices, referrals, and access.