Many of our health plan clients offer both in-network and out-of-network benefits. Verification of medical necessity by out-of-network (referred to as non-participating) providers may be required.
If you are a provider treating a health plan client providing the services listed below, please stay on this page for further instructions.
Anthem Blue Cross - providers of Physical Therapy and Occupational Therapy Services
Empire BlueCross - providers in-network with Empire providing Physical Therapy and Occupational Therapy Services
Empire BlueCross BlueShield - providers in-network with Empire providing Physical Therapy and Occupational Services
If you are a provider treating a health plan client not listed above, please go to the Non-Participating Practitioner Claims Packets page on the Members/Insureds tab of ASHCompanies to get information on what steps you can take to assist the member when they receive services from a non-participating provider. Please bookmark the page for future reference.
If you are treating a patient from a health plan listed above, choose the appropriate selections below for the procedures, instruction guide, and forms you will need to receive reimbursement for the services you render.
ASH Group believes that these forms present the most efficient means of ensuring that all required information is included in your communication. These forms are designed to be easily completed and follow a format that is consistent with standard medical record keeping practices. You are encouraged to use these forms and they are provided for your convenience.
ASH Group Customer Service Agents are available to assist you and answer any questions Monday through Friday from 5 am to 6 pm Pacific Time at 800.972.4226.
To access these PDF files, you must have Acrobat Reader installed on your computer.