Effective February 1, 2016, the address to submit claims for services provided to Montefiore Diamond Care members will change.

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1 Dear Provider: Effective February 1, 2016, the address to submit claims for services provided to Montefiore Diamond Care members will change. All claims with dates of service beginning February 1, 2016, and claims appeals for dates of service beginning on that date must be submitted to: PO Box 1070 Yonkers, NY All claims with dates of services prior to February 1, 2016 should continue to be sent to: Montefiore HMO Claims Department PO Box Lake Mary, FL Beginning February 1, 2016, you will be able to check member eligibility and benefits; check claim status for services provided after February 1, 2016; and view authorizations for your members via Post N Track, our free online portal. Please refer to the attached guidelines for instructions on how to register for Post N Track. Also included with this letter is a quick reference guide to the new claims process. If you have any questions, please us at MontefioreHealthPlans@montefiore.org or call Provider Relations at Thank you for the care and services you provide to our members. Sincerely,, a managed long term care plan approved by the State of New York

2 MONTEFIORE DIAMOND CARE QUICK REFERENCE GUIDE Updates to Claims Submission Process Dates of Service Prior to February 1, 2016 Dates of Service After February 1, 2016 Member Eligibility OR Claims Submissions and Appeals Paper Claims: Montefiore HMO Claims Department PO Box Lake Mary, FL Electronic Claims: Paper Claims: PO Box 1070 Yonkers, NY10701 Electronic Claims: Claim Inquiries and Status Phone: Phone: Fax: OR Provider Relations Phone: Phone: Fax: , a managed long term care plan approved by the State of New York

3 POST N TRACK REGISTRATION GUIDE Step 1: Enter the website into your URL browser, click on read more in the Provider Services Center section. Step 2: Click on PNT Organizational Agreement to access the downloadable form. Please have a supervisor/manager/owner complete and sign the agreement and fax it to CMO Provider Relations at , a managed long term care plan approved by the State of New York

4 Step 3: Press the back button to return to the main screen. Click on Log In. Step 4: Register by clicking on Register., a managed long term care plan approved by the State of New York

5 Step 5: Completely fill out this page. Each user must use their either personal or work to register. You cannot share IDs or passwords. After you register, it will take 24 to 48 to gain full access to Post N Track. Step 6: After 24 to 48 hours, you can log in to check your access status. If you see the CMO tab next to the HOME tab, this means that you have been granted full access to the portal and can now check claims status, member eligibility, and generate authorizations. If you have any questions regarding registration, or need assistance generating an authorization, please reach out to Provider Relations by calling , a managed long term care plan approved by the State of New York

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