Important Numbers

Department

Phone

Fax

Case management/care coordination

1-888-643-0005

Check claims status

1-888-922-0007, prompt 2

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

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

Member and Provider hotline

1-888-913-0364

Member and Provider hotline

1-888-913-0364

Nurse advice line for members (24/7)

1-888-632-0009

Provider Services

1-800-684-5502

1-855-452-9131

Member Services

1-866-452-1040

Member Services TTY

1-855-294-7047

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