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

Authorizations and Notifications

Submit notifications, prior authorizations, referrals, admissions and discharge planning.

PHONE: 866-273-9444 - Toll free
AFTER HOURS: 305-421-1220
HOURS: M-F 5 p.m. to 11 p.m.
S-S, Holidays 8 a.m.-5 p.m.


Claims submissions, encounters, claim inquiries, claim status.Payer ID# 78857

PHONE: 800 348-5548 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. ET
FAX: 866-725-9337
MAIL: Medica
P.O. BOX 30448
Salt Lake City, UT 84130-0448

Technical Support for Change Healthcare Claims Submission Network

PHONE: 800-845-6592 - Toll free

Audit and Recovery

Ask questions related to overpayments.

PHONE: 877-842-3210


PHONE: 800-963-6495 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: 844-897-6352

Electronic Remittance (Facilitated by Change Healthcare)

Get information and register for electronic payment services.

PHONE: 800-845-6592 - Toll free


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

Eligibility and Benefits Verification - Providers Only

Verify benefits and eligibility, general claims information.

PHONE: 800-348-5548
FAX: 305-421-1220

Fraud, Waste, and Abuse

Report suspected fraud, waste or abuse

PHONE: 800-455-4521
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: 888-659-0617 - Toll Free
MAIL: Medica Healthcare
Special Investigations Unit
P.O. BOX 56-6596
Miami, FL 33256-6596

Grievance and Appeals

For questions about filing a grievance or appeal on behalf of a member, status inquiries, or request for forms.

PHONE: (800) 407-9069 - Toll free
FAX: (888) 517-7113
MAIL: Medica Healthcare
Grievance and Appeals Department
P.O. BOX 30997
Salt Lake City, UT 84130

Member Services

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


800-407-9069 - Toll Free

HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: 800-517-6924

Network Management Services

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

PHONE: (877) 670-8432 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: (888) 659-0619 - Toll free

Pharmacy (OptumRx)

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

PHONE: 800-711-4555 - Toll Free
FAX: 800-527-0531

Risk Management

Report incidents involving all privacy issues (potential breeches of PHI or PII) immediately to our risk manager.

PHONE: 952-406-4806

TTY (all departments)

PHONE: 711 at Florida Relay