Provider Frequently Asked
Healthcare Questions

A: The Health Fund is available to take calls from 8:30am-5:00pm, Pacific Standard Time

A: Yes, you can write to [email protected]

A: Call Delta Dental Customer Service at (800) 765-6003, Group # 0825.

A: Call Express Scripts Customer Service at (800)987-6551

A: For services rendered prior to January 1, 2012:

• Contact OptumHealth at (888) 301-0056.

For services rendered on or after January 1, 2012:

In California:

• Pre-authorization for in-patient and outpatient facility: Contact Anthem Blue Cross at (800) 274-7767.


• Eligibility, benefits, claim status and all other general questions: Contact the Fund office at (818) 846-1015 or (800) 227-7863.

Outside California:

• Pre-authorization for in-patient and outpatient facility: Contact Anthem Blue Cross at (800) 274-7767.
• Eligibility and Benefit questions: Contact the Fund office at (818) 846-1015 or (800) 227-7863.

*All other questions: Contact your local Blue Cross/BlueCard® office.

A: For question regarding Vision Benefits for services rendered on or after July 1, 2017, contact VSP Customer Service at (800) 877-7195.

A: You may start the process by visiting VSP’s website at www.vsp.com. Once on the home page, look to the bottom left corner under the section entitled “About VSP”, and click on “Become a VSP Provider”.

A: This is a 12-digit unique identification number used to identify the patient and must be submitted on the claim in order for the patient's claim to be recognized as a Writers Guild-Industry Health Fund participant.

A: See Claim Submissions for instructions and filing addresses.

A: For California providers: You will need to submit your electronic data to Anthem Blue Cross using payor id number 47198.

For non-California providers: All claims must be submitted to the local Blue Card office. See Claim Submissions for instructions in filing claims outside of California.

A:

• If you are a network provider and are located outside of California call: 800-810-BLUE (2583).
• If you are a network provider located within California call Anthem Blue Cross at 800-688-3828.
• If you are an non-network provider call the Health Fund at 818-846-1015 or 800-227-7863.

Make sure to provide them with the participant WRX#, the patient's name, the name of the provider of service, the date of service and the total amount of the claim.

A: View our benefits section or call Participant Services at (818)846-1015 or (800)227-7863 or email [email protected].

A: You can call the Health Fund at (818)-846-1015 or (800)-227-7863 (outside of Ca). You should choose prompt "2" for Healthcare Providers.

A: No, in order to receive the higher benefit the TIHN referral number must be noted on the claim by the provider. If submitting electronically, the referral number needs to be in the "Prior Authorization Number" field. The referral is effective for one year from date of issue.

A: If the testing is rendered outside your medical group, you must submit a referral request to the Motion Picture Television Fund (MPTF) office for authorization in order for the provider/patient to receive the higher benefit.

A: For in-network claims, the patient is responsible for any applicable copaymentA fixed dollar amount you pay for an eligible expense at the time the service is provided., the deductibleThe amount you must pay for covered services in a plan year before the plan begins to pay benefits., the coinsurance The percentage of eligible expenses you're responsible for paying. amount, amounts that exceed plan maximums and limitations and any expenses not covered by the plan.

Our contracts with network physicians require that you accept the network contracted amount. You can collect any applicable copaymentA fixed dollar amount you pay for an eligible expense at the time the service is provided.. As a Network provider you are not allowed to balance bill the patient for costs over the contracted rate. The patient is also responsible for any expenses not covered by the plan.

For out-of-network claims, the patient is responsible for the deductibleThe amount you must pay for covered services in a plan year before the plan begins to pay benefits., the coinsurance The percentage of eligible expenses you're responsible for paying. amount, the amount in excess of reasonable and customary, amounts that exceed plan maximums and limitations and any expenses not covered by the plan.

A: For Inpatient Services, Home Health CareA program for care and treatment of a sick or injured person in that person's home by a home health care agency. The program must be ordered by the sick or injured person's attending physician and approved by case management intervention., Hospice, Skilled Nursing Facilities, Mental Health and Chemical Dependency Inpatient/Outpatient facility (Facility includes: residential, partial hospitalization and intensive outpatient programs) or Transplants you must call Blue Cross/Blue Card's Pre-Authorization or Pre-Service Review department at (800)-274-7767.

A: If we believe an overpayment has occurred on a claim, where the Health Fund issued the payment, we will notify you in writing providing a clear identification of the disputed item, the date of service and an explanation of the basis upon which we believe the overpayment exists. You will then have 30 business days to dispute the overpayment; otherwise, we may automatically recoup (offset) the amount of overpayment from one or more of your subsequent claims.

If you receive a letter from your local Bluecard/Anthem Blue Cross office related to any overpayment, you will need to contact their office directly for any further questions.