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Important numbers

Department

Phone

Fax

Case management/care coordination

1-888-643-0005

 

Check claims status

1-888-922-0007, prompt 2

Emdeon    

Sign up for electronic data interchange (EDI)

1-877-363-3666

 

EDI technical support hotline

1-866-428-7419

 

Sign up for electronic funds transfer (EFT)

1-866-506-2830

 

Medical necessity appeals (pre-service)

1-888-913-0362

1-888-987-5830

Member Services (24/7)

1-888-756-0004 1-866-397-4521
NaviNet

Provider portal — care gaps, claim status, panel rosters, member eligibility

1-888-482-8057

 

Non-emergency medical transportation (Logisticare)/

"Where's My Ride?"


 

 

Member hotline

1-877-659-6144  

Provider hotline

1-877-931-4748  

Nurse advice line for members (24/7)

1-888-632-0009

 

Pharmacy (PerformRx)

 

Provider Services

1-800-684-5502

1-855-452-9131
Member Services 1-866-452-1040  
Member Services TTY 1-855-294-7047  

Prior authorizations

   
Pharmacy (PerformRx) 1-800-684-5502  
Radiology (National Imaging Associates, NIA)

1-800-424-4897

 
All other (medical/DME, inpatient/outpatient reviews, discharge planning)

1-888-913-0350

1-866-397-4522
Provider contracting 1-877-588-2248 1-225-300-9126

Provider credentialing

1-888-913-0349

1-225-300-9199

Provider Services

1-888-922-0007

1-866-426-7393

Rapid Response

Care coordination, case management, EPSDT, member outreach,
referrals and appointment scheduling, transportation assistance

1-888-643-0005

 

Referrals

1-888-913-0350

 

Ride Assist

This is also known as the Where's my Ride? line. When a ride is scheduled
for a member through the Non-Emergency Medical Transport (NEMT) line
(1-888-913-0364), you or the member can call Ride Assist to:

  • Check on ride status
  • Tell the NEMT provider that the member is ready to be
    picked up from his/her appointment or discharged from an inpatient stay
1-877-659-6144
 

Verify member eligibility

1-888-922-0007