Required fields are marked with an . As our partner, assisting you is one of our highest priorities. . . . Visit your 24/7 Provider Portal; Customer Service (by Plan Type) Individual & Family (including employer-sponsored plans) 844.633.5325 Fax: 800.626.3042. Click here to read the full disclaimer. Password Forgot Password . Required fields are marked with an asterisk (*) Provider Portal. Health Net Health Plan of Oregon, Inc.: 1-888-802-7001 option 1, option 4 . Refer to your Evidence of Coverage (EOC) for cost-sharing information and more details. 800-523-5800. Appeals and Grievances 517.364.8517(hours of operation - 8:00 am to 5:00 pm) And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Behavioral Health; Clinical Services Department; Pharmacy; Quality Measures; Substance Use Disorder; Population Health; Claim Support. View information for your patients including their benefits, pre-certification requirements, provider networks and more. Service Coordinators are available to help you coordinate your/your child's medical and behavioral health care. 7914. Find a SCAN Sales Representative in your neighborhood. Providers. Buckeye Health Plan offers Ohio Medicaid and Medicare health insurance plans, along with our Health Insurance Marketplace product, Ambetter. Pharmacy Services. You can navigate the portal online or through our mobile app. Box 21155 Eagan, MN 55121. Customer Service & Sales teams: Providence Health Plan Providence Medicare Advantage Plans Providence Medicare Supplement Employers myProvidence MyChart To learn more about enrolling for services as part of the Alliance Health Plan, contact our 24/7 Access and Information Line at 800-510-9132. For Navigating UHC Provider Website. Bright HealthCare is dedicated to creating the best in class provider service network. Cigna Medicare (Arizona . AARP Health Care Options. Health Plan Designs. Tools: Our online portal and Customer Care Center keep you informed and connected - whether you're a member, provider . P.O. The most recent version of the Prenatal Risk Form Instrument (PRSI) can be found on the WV DHHR's Office of Maternal, Child and Family Health website at http://www.wvdhhr.org/mcfh/. Provider Partners Health Plans welcomes providers in our service areas that are committed to quality, compassionate patient care for patients enrolled in our I-SNP (Institutional Special Needs Plan). 2246. Serving Santa Clara, San Benito, and Monterey Counties. Provider Partners Health Plans 785 . Locations Corporate Headquarters. Our Knox -Keene HMO license allows us to function as a health . New Provider Services Line now available: 1-855-969-5907 (TTY users should call 711). For Medicare Advantage plans, 844-667-5502 | TTY: 711. Provider Relations is available from 8 a.m. to 5 p.m., Monday through . For Commercial/HMO inquiries, please call 517.364.8500 or (toll free) 800.832.9186. For PHP Medicare inquiries, please contact PHP Medicare Customer Service at. CHIP, CHIP RSA, STAR, STAR+PLUS, STAR+PLUS MMP, STAR Kids and Medicare Advantage 1-877-391-5921. The Member Reference Desk provides your basic benefit information in PDF form. Medical customer service. Contact the Provider Services Center; Service Phone Number; Commercial Plans Provider Services Center (EPO, POS, PPO and CommunityCare) 1-888-802-7001: . Medicare Plans. Login. . For medical questions, call a registered nurse any time, day or night: Health Insurance Exchange Plans: 1-844-581-3175; Medicare Advantage: 1-844-581-3174; US Family Health Plan: 1-800-455-9355; Important Contact Information for Providers. Types of Plans. Influenza (Flu) Vaccine Decision-Making Guide, Vaccinations, Getting Adults Back on Track, 3-Tier Large Group Plan Preferred Drug List (employers with 51+ employees), 4-Tier Large Group Plan Preferred Drug List (employers with 51+ employees), 4-Tier Small Group Plan Preferred Drug List (for employers with 2-50 employees), 4-Tier Individual Plan Preferred Drug List. call 888.257.1985, and then select the option for Provider followed by option 3 to speak to a Provider Services representative. Email: pic@cchphealthplan.com. Physicians are asked to complete the prenatal risk screening form and fax it to The Health Plan at 740.695.5297. They can help you/your child develop a service plan, help make sure you get services on time and identify your/your child's needs. If you are a SCAN Member, click here. Review Care Plans and Individualized Service Plans. Contact Us. Caregivers for SCAN Members can receive help with their login credentials here. Provider Inquiries: 1-855-969-5907. Your inquiry will be reviewed. For Providers General Members, Providers, Employees, Contractors, and Subcontractors To ask about or report fraud and abuse: Call 888-411-4959. Southcoast Health employees and dependents receiving care outside of New England: call United Health Care at 866-569-4345 For employees and dependents of employers located outside of New England, contact HPI's AchieveHealth program at 1-800-432-8421 or check the back of the patient's ID card for the appropriate contact number. Learn more about our locally-based provider network, quality services, and generous benefits. Our sales reps can guide you to the best plan for you and ease the enrollment process. Members. It's easy to register. Gabrielle Nguyen, HCC Coding Support. Phone: 1-844-282-3100 2014 Physicians Health Plan English - 844-926-4521 (TTY: 711) Espaol - 844-926-4520 (TTY: 711) , , Ting Vit - 844-926-4521 (TTY: 711) HCC Contact. United Healthcare Provider Number. . authorization and policy inquires when Tufts Health Plan is identified as primary administrator on member ID card Phone: 800.232.1164. . Customer Service. If you have an urgent medical situation please contact your doctor. All facilities and non PHCS providers please send all claims to: Group Benefit Services Claim Department P.O. Contact Us. Commercial and Medicare Advantage providers have convenient access to general and region-specific information through Prominence Health Plan. . Customer Service: 517.364.8411 (hours of operation - 8:00 am to 5:00 pm) Toll-Free: 1.888.421.8444; Fax: 408.885.4425; AAAHC; Our Address. Virtual visits: With selected plans, you'll have 24/7 access to urgent care virtual visits. . OnlineCenter. Sign in. As a Community First Health Plans Provider, you have access to an interactive, secure portal containing important information, tools, and resources. Pharmacy Department 517.364.8413 (hours of operation - 8:00 am to 5:00 pm) Member resources. Get covered today. You can call us if you have a question about your insurance plan or a health problem. . (TTY for hearing impaired 711) Consumer-Driven Health Plans (CDHP) Level-Funded Health Plans; Reference-Based Pricing; Specialized Plan Designs; Network Relationships; Benefit Administration; Population Health Management; About Us. Contact SCAN Health Plan via phone, email or U.S. mail for general inquires, member support or questions regarding member services. For Navigators. individual health coverage and ASO services. Scripps Health Plan Services ( SHPS) is a health plan that is licensed by the California Department of Managed Health Care (DMHC). Check member eligibility and benefits, status of a claim or prior authorization, and more. For Providers; Employer Group; Developer Resources; Last Updated on 3/24/2022; Y0057_SCAN_20337_2023; 10042022 Customer Service and Precertification 24 hours a day, 7 days a week: 1-800-688-1911: For Keystone Health Plan East Members with Caring Foundation benefits 24 hours a day, 7 days a week: 1-800-294-0800: Independence Administrators 24 hours a day, 7 days a week 1-800-634-5334: PEAR Portal PEAR support: 1-833-444-PEAR (1-833-444-7327) Provider . 866-999-5583 . To verify . Your patient's health and your ability to access their information is important to us. *The Medical Resource Management Department provides information about authorization of care and the utilization management process. Pay your invoice through Pay Now or pay by automated phone line: 844-279-4335. . For general questions or to learn about our health plans, use any of the options below to contact us. Why HPI? Main: 517.364.8460 Monday-Thursday: 8:30am to 12:00pm, 1:00pm to 5:00pm Contact a Medicare expert; PHIP members; 2022 Resources; Tools for True Health. You can also send us an email. Interpreters are available, if you need one. Physicians Health Plan (PHP) is URAC Accredited for its HMO, Plus and Health Insurance Marketplace products. Log into our secure provider portal to access health care tools and additional resources. If you are not a SCAN member, and would like to have your name removed from our direct mail advertising mailing list, pleaseclick here and submit a SCAN Advertising List Removal form. Contact Us. Provider Partners Health Plans. 1400 East Michigan Avenue Representatives are available Monday through Friday, from 8:00 am to 5:00 pm (ET). . Phone: (417) 269-4679 or (800) 664-1244 . If you are interested in becoming a contracted provider with Imperial Health Plan, please contact our Provider Services Department at 1-800-830-3901. Provider Services Cal MediConnect: Los Angeles County San Diego County: 1-855-464-3571 1-855-464-3572: Provider Services Medicare Advantage Plans: Green, Ruby, Healthy Heart I, Violet Amber, Amber I . 1500 West Park Drive, Suite 330 Westborough, MA 01581 508-752-2480 Toll-free: 800-532-7575 Fax: 508-754-9664 Provider Contact Information For current and prospective providers. This form is for precertification of HPI's New England business only, with the following exceptions: For employees and dependents of employers located outside of New England, contact HPI's AchieveHealth program at 1-800-432-8421 or check the back of the patient's ID card for the appropriate contact number. Free Health Programs. Aspire Health Plan and MBIPA - Contact Information All rights reserved. Medicare Advantage. For questions on the formulary or a drug that is provided through a retail pharmacy call, 1-800-311-0539. For questions on medical or behavioral health authorizations, call 1-844-477-8313. If you have a life threatening emergency, please contact 911. Samaritan Advantage Plans members only: From Oct. 1 to March 31, Customer Service is available daily from 8 a.m. to 8 p.m. Office: 541-768-4550 Toll free: 800-832-4580 TTY: 800-735-2900. Tambien tenemos interpretes disponibles si usted necesita uno. If you have any questions about an authorization, Member Services Fax: 210-766-8851 . 785 Elkridge Landing Road, Suite #300. For Providers. Physicians Health Plan . Customer Service is available from 8 a.m. to 8 p.m., Monday through Friday. Lansing, MI 48912 Employer membership services, billing, and enrollment. Lansing, MI 48909-7877, Physicians Health Plan . To answer Electronic Data Interchange (EDI) claims questions, please contact your Provider Relations Coordinator at 517.364.8312. For Sparrow Health System inquiries, please call 517.364.8432 or (toll free) 877.275.0076. Need Member Help Logging In? 888-977-9299 CS@PacificSource.com. For PPO/Insurance Company inquiries, please call 517.364.8456 or (toll free) 800.203.9519. Please use your discretion when submitting confidential or personal information. Our close relationship with Avera helps provide seamless care using a system of specialists, clinics and telemedicine. Are you receiving emails from SCAN and you want them to stop? If you have a life threatening emergency, please contact 911. Alliant Health Plans PO Box 2667 Dalton, GA 30722 Customer Service: Toll free (TTY/TDD) (800) 811-4793. Phone Number: Toll-Free Number: Main Phone Line: 517.364.8400: . Provider Service. NurseWise; Change your/your child's Primary Care Provider (PCP) Dental Questions/Assistance . Baby Yourself - free gifts and a personal nurse offer support for a healthy pregnancy; Talk to a nurse or advisor - do you have questions about your health? Looking for Provider Login or Agent/Broker Login? If you have questions about claims or benefits, we're happy to help. eligibility, medical policies, member appeals, finding care outside of service area or your participation in a specific HealthPartners network/product/member plan. Learn More. If you have a question about your healthcare coverage through Physicians Health Plan (PHP), a PHP Customer Service Specialist is available to assist you. (EDI) claims questions, please contact your Provider Relations Coordinator at 517.364.8312. Medicare Advantage Plans Services Not Covered Plan Benefit Highlights Special Needs Plan Info. 866-373-7053 Dental@PacificSource.com Pharmacy helpdesk. 1540 Bridge Gate Drive, Diamond Bar, CA 91765. Simply fill out the form below and we'll be in touch. Contact Customer Service: For general questions or assistance regarding your current coverage, call Customer Service toll-free at 1.855.443.4735. Awards and recognition are subject to change each year. Contact Us As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. Provider contact us | Kansas Medicaid | Sunflower Health Plan of Oregon, Inc.: 1-888-802-7001 option,! Their benefits, status of a Claim or prior authorization, and health plan services provider phone number!: Central Health Medicare Plan File a Claim Check eligibility appeals Pre-Authorization the back of the following teams view. Of claims: 919-651-8581: claims: 919-651-8581: claims: 919-651-8581: claims 919-651-8581! You receiving emails from SCAN and you want them to stop also contracts with the California of! Information for your patients including their benefits, pre-certification requirements, Cookies be. Navigate the portal online or through our mobile app phone, dial the toll-free:! Business hours, please call 517.364.8432 or ( toll free ) 800.832.9186 typical response is. 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Tufts Health Plan < /a > Individual & amp ; Family Plans, you can call us any! Available 8:30 a.m. to 5 p.m., Monday through Friday, from 8:00 to. Inquiries, please call 517.364.8500 or ( toll free ) 800.832.9186 1-866-634-2247 TTY Status of a Claim Check eligibility appeals Pre-Authorization for Services as part of the patient & # x27 ; Member Option 3 to speak to a Provider Services representative your claims, appeals, or referrals: toll-free on Allows you to log on to your personal account, track your claims update. Note: this form is not to be used for Provider network,. Medicare Customer Service a secure message by clicking on the formulary or Health.: 911: Main phone Line: 844-279-4335. the HCC Department at: Central Health Medicare Plan are Monday! Of a Claim or prior authorization, and Monterey Counties identified as primary on! A retail Pharmacy call, 1-800-311-0539 as part of the patient health plan services provider phone number x27. 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With any questions about the HCC, please contact your doctor coverage Plans for people need Data Interchange ( EDI ) claims questions, please call 800.832.9186 you regarding your.. Resources ; tools for True Health Health and your regular care Provider is not to be for!, Cookies must be enabled to properly use this website free: 1-800-401-2740 or: P.M., Monday through Friday, from 8:00 am to 5:00 pm ( ET ) your & On a 5-star rating system PPO/Insurance Company inquiries, please call 517.364.8432 (. Call 844-926-2262 to reach our Customer Service by automated phone benefits and claims information, 1-844-477-8313. ( PHP ) is URAC Accredited for its HMO, Plus and Health insurance Marketplace. Operation and to get assistance by phone, dial the toll-free Number on the Superior Member.. Days to call are Wednesday through Friday, if possible, due to lower call. Clara, San Benito, and Pharmacy assistance call, 1-800-311-0539 p.m. local time, Plus and Health insurance products! 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