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1-800-407-9069
Toll Free 711 - TTY
8am-8 pm local time -7 days a week
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Provider Contacts

 

Claims

Claims submissions, encounters, claim inquiries, claim status.

PHONE: (800) 348-5548 - Toll free
FAX: (305) 715-1816
ADDRESS: P.O Box 56-6616, Miami, FL 33256 Payer ID 78857
Eligibility and Benefits Verification - Providers Only

Verify benefits and eligibility, general claims information.

PHONE: (305) 421-1220
FAX: (305) 670-2308
Enrollment

Medicare beneficiaries interested in plan information and/or enrolling in the health plan.

PHONE: (800) 507-0544 - Toll free
TTY: 711 at Florida Relay
FAX: (855) 479-5645
E-MAIL: benefitandadvisor@medicaplans.com
Fraud, Waste, and Abuse

Report suspected fraud, waste or abuse

PHONE: (305) 460-0636
FAX: (800) 544-4521 - Toll Free
E-MAIL: ReportFraud@medicaplans.com
Grievance and Appeals

Grievance and appeals procedures, forms and status.

PHONE: (800) 407-9069 - Toll free
FAX: (888) 517-7113
ADDRESS: P.O Box 6106 MS CA124-0157 Cypress, CA 90630
Member Services

General benefit information, select or change primary care physician, assistance with prescriptions and transportation.

PHONE:

(305) 421-1244

(800) 407-9069 - Toll Free

FAX: (305) 476-0616
E-MAIL: membersvc@medicaplans.com
Network Management Services

Contracting, orientation and follow-up, changes (demographic and contractual), forms, credentialing status/inquiries.

PHONE: (877) 670-8432 - Toll free
FAX: (888) 659-0619 - Toll free
E-MAIL:

pcp-NetworkManagementServices@uhcsouthflorida.com

Pharmacy

Pharmacy benefits eligibility, claims adjudication inquiries, and prior authorization request inquiries.

PHONE:

(305) 421-1220

(866) 273-9444 -Toll Free

FAX: (305) 476-0021
E-MAIL: dept-pharmacy@medicaplans.com
Utilization Management/Case Management

Pre-certification, outpatient referrals, inpatient admission, discharge planning, case management, and after-hours emergency calls.

PHONE:

(305) 421-1220

(866) 273-9444 - Toll Free

FAX: (305) 448-4439
E-MAIL: Dept-medicalmanagement@medicaplans.com
TTY (all departments)
PHONE: 711 at Florida Relay