Important Numbers
Department |
Phone |
Fax |
|---|---|---|
|
Case management/care coordination |
1-888-643-0005 |
|
|
Check claims status |
1-888-922-0007, prompt 2 |
|
| Change Healthcare | ||
|
Sign up for electronic data interchange (EDI) |
1-877-363-3666 |
|
|
Sign up for electronic funds transfer (EFT) |
1-866-506-2830 |
|
|
EDI technical support hotline |
1-866-428-7419 |
|
|
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 |
||
|
Member and Provider hotline |
1-888-913-0364 | |
|
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 and Outreach Team Care coordination, case management, EPSDT, member outreach, referrals and appointment scheduling, transportation assistance |
1-888-643-0005 |
|
|
Referrals |
1-888-913-0350 |
|
|
Verify member eligibility |
1-888-922-0007 |