MPSRからのよくある質問

  1. MPSRとは何ですか?

    An MPSR is the acronym for Member and Provider Service Representative. This department is the first point of contact for all customer service needs. The MPSR is able to identify issues that need addressed with the appropriate staff and transfer your call. 
  2. What does an MPSR do?

    The MPSR is available from 8:00 AM to 5:00 PM, Monday through Friday to answer procedural questions such as; how do I obtain authorization? What do I do if I need to change my address? Where do I send claims? They verify eligibility, authorizations, status claims and will request adjustments if necessary.

  3. What telephone number do members need to call?

    Each county has a designated toll free telephone number. A list is provided in the provider manual and all member handbooks. Member lines are designated for members.

  4. What telephone number do providers use?

    The toll free provider line is 1-877-615-8503. Providers are to use this telephone number for any questions they may have.

  5. How can I check claim status?

    If you cannot find the information needed from your voucher or if you want to check claim status, you may call the provider telephone number Monday through Friday from 8:00 AM to 5:00 PM or log-in to Provider Online Services. To log-in, go to www.vbh-pa.com, click on "For Providers," then click on the blue Login button or the green Register button, if this is the first time using this service.

  6. クレームのステータスを確認するまでどのくらい待つ必要がありますか?

    プロバイダーは、請求のステータスを確認するために少なくとも30営業日待つ必要があります。

  7. クレームが調整されるまでどのくらいかかりますか?

    The provider should wait approximately 30 – 45 business days prior to checking on an adjustment. The MPSR’s research adjustment issues that are mailed or faxed to the engagement center in date order. The turn around time for adjustments is 10 business days.

  8. 要求された承認を確認するにはどうすればよいですか?

    プロバイダー回線をダイヤルして、MPSR部門に連絡してください。

  9. 苦情を申し立てるにはどうすればよいですか?

    プロバイダー回線をダイヤルして、MPSR部門に連絡してください。

  10. How does a member file a complaint?

    適切な会員の電話番号をダイヤルして、MPSR部門に連絡してください。