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 |
Verify benefits and eligibility, general claims information.
| PHONE: | (305) 421-1220 | |
| FAX: | (305) 670-2308 |
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 |
Report suspected fraud, waste or abuse
| PHONE: | (305) 460-0636 | |
| FAX: | (800) 544-4521 - Toll Free | |
| E-MAIL: | ReportFraud@medicaplans.com |
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 |
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 |
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: |
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 |
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 |
| PHONE: | 711 at Florida Relay |
