District of Columbia Providers
Welcome to Bravo Health's District of Columbia Provider Homepage!
Our goal is to partner with you to deliver better outcomes for our members–and your patients–so that they can "Live life well." Please refer to this site often for special notices and provider reference materials. We have recently posted our new 2011 Provider Manuals, please click here.
If you have any questions or provider related issues, please contact:
Provider Services Department
1-800-291-0396
Press option #2 for provider related services.
Important Provider Updates:
NPI Initiative
Effective May 1, 2008, Bravo Health complies with CMS regulations that require a valid National Provider Identifier on all submitted claims. This regulation pertains to both electronic (8371, and 837P) and paper (UB04 and CMS-1500) claims. All Part A and B claims submitted to Bravo Health must contain a valid National Provider Identifier (NPI) number in the primary provider fields, i.e., billing, pay-to provider, and /or rendering provider.
Timely Filing Period for Paper and Electronic Claims
Claims must be submitted with all required information within 365 days (or the time period specified in your Provider Agreement) of the date on which the service was rendered. For institutional claims that include span dates of service, the "Through" date on the claim will be used to determine the date of service for timely filing. For professional claims submitted by physicians and other suppliers that include span dates of service (such as supplies and rental items), the line item "From" will be used to determine the date of service for timely filing. If a line item "From" date is not timely, but the "To" date is timely, Bravo Health will split the line item and deny untimely services as not timely filed.
Click here to find a Bravo Health provider.