Illinois Health Connect Helpline. 855-737-4347 weekdays from 9am to 5pm. Starting Jan. 1, 2022, the current OrthoNet Oxford Call Center toll-free number, 888-381-3152, will be deactivated. All other customer service options are available. Online For online help you can chat with an agent by logging in to PEAK and selecting "Live chat about health benefits" under Online Assistance in the top menu. When a plan member has a question, they can speak with a claims analyst who has been assigned to your account. Using this information and listening to clients, we then structure your plan to meet the needs of your employees and their families, while addressing any risk factors. Our provider portal provides 24/7 access to health plan information so that you can find what you need to take care of your patients. Sign up to receive emails featuring newsletters, seminars and specials. Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023. To use telehealth services, visit KidzDocNow.com. For assistance regarding a claim or to pre-notify for medical services, please call the Health First Customer Service number at 855-999-3892. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. You can also ask for anexternal medical reviewwhere independent healthcare experts review your request to receive services. Normal operations will resume on Monday, July 3, 2023. 888-250-2220. From November 1 to December 15, we're available from 8am to 6pm. How Can We Help You? Get answers to questions regarding your PCP, find a specialist or other healthcare provider, file a complaint, and health plan information. Call our Provider Services Team. . Interpretive services are available, and we can provide any information in English and Spanish.Parkland HEALTHfirst - STAR Medicaid1-888-672-2277Parkland KIDSfirst - CHIP/CHIP Perinate1-888-814-2352TTY Line: 1-800-735-29898 am - 5 pm CST, Monday - Friday (except state holidays), Call to get information or ask questions about program benefits, or to choose a health plan.1-800-964-2777TTY Line: 1-800-735-28898 am - 5 pm CST, Monday - Friday (except state holidays). Phone (toll-free): 1-877-912-1999. Members can talk to a provider from 7am to 11pm, seven days a week. Health First Health Plans is an HMO plan with a Medicare Contract. Phone Number . Members must useAccess2Careto set up medical transportation at least two workdays before your appointment to schedule a trip. Electronic claim submissions: Health First Payer ID: 80141. HealthFirst delivers: Knowing that brokers want to bring the best solutions to their clients that meet their specific needs, HealthFirst is committed to helping brokers find the very best solutions in the market to bring to their clients. Independence Day - Tuesday, July 4, 2023 - State Offices, the ColoradoPAR Program, DentaQuest and Gainwell Technologies will be closed. Need access to the UnitedHealthcare Provider Portal? Go to the nearest emergency room or call 9-1-1. Community First administers this benefit with the Texas Medicaid/CHIP Vendor Drug Program and our Pharmacy Benefit Manager, Navitus Health Solutions.Toll Free: 1-877-908-6023BIN# 610602Claim PCN: MCD STARClaim Group: PHS and CHIP / PHC361 Integrity Drive, Madison, WI 53717https://www.navitus.com/members, DentaQuestSTAR/CHIP: 1-800-516-0165CHIP Perinate: 1-800-508-67758 am - 7 pm CST, Monday - Friday (except state holidays)www.dentaquest.comMCNA Dental1-800-494-62628 am - 7 pm CST, Monday - Friday (except state holidays)www.mcnatx.net/welcome, UnitedHealthcare Dental1-800-822-53538 am - 5 pm CST, Monday - Friday (except state holidays)www.uhcdental.com. HealthFirst partners with brokers to create innovative and custom solutions for employers with self-funded plans or those considering self-funded plans. Find patient care and support information. Call us at 1-888-672-2277 to learn more about these and other benefits. Claims on or before December 31, 2021, for all lines of business and 2022 Small/Large Group Commercial: Health First Health Plans P.O. To find a network provider in your area, click on the Find Provider link on the top of the page. If you are a prescriber sending a specialty or infusion prescription, contact us here. AdventHealth Advantage Plans AdventHealth Advantage Plans: 844-522-5278 or Heath First Health Plans: 844-522-5282. We proactively pursue savings opportunities and provide effective risk reduction strategies that ensure a return on your investment for healthcare services. Contact Provider Customer Service for important details about our clinical programs and guidelines as well as resources to assist you with coding, billing practices, and improving patient care quality. If you have a question or need support, please contact us at one of the options below. Call us for support with your dental benefits. Fill out the form below and an Optum specialist will be in touch soon. Due to the severe weather in and around the Springfield area, our Springfield offices will not be able to see Child Support customers in person today, June 30, 2023. This coordinated approach saves our clients on the costs for submitted claims charges. 1341 W. Mockingbird Lane, Suite 400E Dallas, TX 75247. English/Spanish interpreter services available, TTY7-1-1. Automated information about getting healthy food for pregnant women, new moms, infants, and young children (WIC) or information about early intervention resources forfamilies with babies age birth to three, with diagnosed disabilities or developmental delays. This section includes contact information for the FirstHealth media team, media kits, images and more. through Avsis. Our highly skilled team covers the full range of health needs you may face, with locations in Cape Canaveral, Cocoa Beach, Indialantic, Indian Harbour Beach, Malabar . Nurses can help you with medical advice, such as what to do for a common cold or how to care for a loved one released from the hospital. Someone will connect with you within two business days. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services your health plan, services, benefits and more. We appreciate you contacting Parkland Community Health Plan. Contact us. Contact Public Relations. Log In to the Provider portal to access the following secure and HIPAA compliant information: On the portal, youll have access to real-time information and get the answers you need immediately. Health First's Holmes Regional Medical Center 1350 Hickory Street Melbourne, FL 32901 321.434.7000. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. We'll even check to see if you are eligible for the same plan or a different one. Find help for products and services used by health care providers and organizations. The Reduced Fare Bike Share Program presented by Healthfirst provides New York City Housing Authority (NYCHA) residents and Supplemental Nutrition Assistance Program (SNAP) recipients access to $5 monthly memberships with no annual commitment required. As providers, we supply you with the most current of forms to use in the office, or to check to make sure your copy is the newest available. Copyright 2023 Parkland Community Health Plan, Inc., All Rights Reserved. Check out our Resource Center for product information and other valuable resources. Plans, Provider Portal: 2021/22 - Sm/Lg Group Plans. General information about healthcare coverage, questions about Medicaid or Federal Marketplace eligibility, Medicaid eligibility screening, or to find in-person help with health coverage options. Box 830698 Birmingham, AL 35283-0698 Claimsnet Payer ID: 95019 Claims on or after January 1, 2022, Medicare Advantage . You can also contact us here. Your Partner for a Lifetime in Wellness and Health. If youre receiving this during operating hours and would like to talk to someone now, please call us at HEALTHfirst (Medicaid STAR) 1-888-672-2277 or KIDSfirst (CHIP/CHIP Perinate) 1-888-814-2352. Health First Medical Group has a strong record of providing compassionate, quality care to Brevard County residents of all ages. PCA-21-04234-PO-News_11222021. Viera, FL 32940 321.434.9000. HealthFirst will work with you and your broker to design a benefits plan that is customized and comprehensive. Ormond Beach, FL 32174 Questions about claims can also be submitted securely through the online member portal. If you have an emergency, please call 9-1-1. We realize the critical role that brokers have in helping self-insured employers find affordable health coverage for their employees and their dependents. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. New to the Portal? Provider offices billing . You can count on our helpful, bilingual staff to listen to your concerns and assist you to get the quality healthcare you and your child deserve. PCHP offersvision carethrough Avsis. Assistance finding a dentist in the Medicaid provider network, or to find out if a certain dental service is covered. Another part of our claims administration is direct customer service. Optum Specialty Pharmacy customer service, Get support, answers and expert care for mental health and substance use disorders. Paper claim submissions: Healthfirst Claims address: P.O. OrthoNet Provider Services Departments: Telephone : Aetna Focused Claims Review: 888-391-3040 : Aetna Therapy: 800-771-3205 : Amerigroup Community Care Florida Claims Review: 844-604-6767 : Amerigroup Community Care Georgia Claims Review: 844-604-6767 : EmblemHealth: 844-730-8503 : GEHA Post Acute: 877-304-4419 : HealthFirst Therapy: 844-641 . Our member services team operates Monday-Friday from 8am-5pm. For assistance with Individual and Family plans, speak to a licensed sales representative by calling 855-737-4347 weekdays from 9am to 5pm. Oxford providers should instead call the standard Oxford Provider Call Center at 800-666-1353. Please note the Provider Portal site is best viewed using Google Chrome or Microsoft Edge. Healthfirst Essential Plans. Request a state fair hearing and external medical review by either: Prescription drugs are a covered benefit of the Medicaid and CHIP Programs. For Emergency Services, dial 9-1-1 or go to the nearest emergency room. The COVID-19 Public Health Emergency has ended all Medicaid members must submit a renewal application to continue receiving benefits. Member Support If you have any questions, please call the Member Services phone number on your Member ID card. 821 ESE Loop 323, Ste 200 Learn more here. For Medicare assistance, you may call Customer Service toll-free at 1-877-535-8278. 100 Church St Fl 18 New York, NY 10007 Civic Center, Financial District, TriBeCa Get support, answers and expert care for mental health and substance use disorders. Box 958438, Lake Mary, FL 32795-8438. Make sure you select Click here to register and enroll. It doesnt change your right to a state fairhearing. For support, give us a call or visit us here . To find or change your eye doctor, call their Member Services at1-866-678-7113or go to theirwebsite. We invite and welcome your inquiries. Astate fair hearingis when the Texas Health and Human Services Commission (HHSC) directly reviews our decisions with your medicalcare. Claims must be submitted within 180 days from the date of service. It's our goal to provide the media with helpful information and a timely response to inquiries. You can also download the free mobile app for Android or iOS devices (search for KidzDocNow in the Google Play or Apple App store). It only takes a few minutes to take control of managing your health. PCHP now offers telehealth services at no cost for all HEALTHfirst and KIDSfirst members age 0-21. Healthfirst is glad to help you find the answers you need. (TTY/TDD relay: 1-800-955-8771) weekdays from 8am to 8pm . Website: https:://www.illinoishealthconnect.com. 1-877-881-7618 Members can easily access personal health benefit information 24/7 on the members online portal. You will need a registration code which can be obtained by calling the HealthFirst Provider Automated Eligibility & Benefits line - 903.226.8183. TTY Line: 1-800-735-2989Interpretive services are available. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Contact Provider Customer Service for important details about our clinical programs and guidelines as well as resources to assist you with coding, billing practices, and improving patient care quality. Learn More Support when you need it Contact Us We work with you in coordinating processes that lead to prompt, accurate and fair payment. CAREERS AT HEALTH FIRST Lead the way. Hospital patient billing questions 321.434.5400. Contact Us As a member of Parkland Community Health Plan, you can call Member Services if you have questions about your health plan. From October 1-March 31, we're available seven days a week from 8am to 8pm. The Open Enrollment Period for Individual and Family plans is November 1st through January 15th. Parkland HEALTHfirst - STAR Medicaid 1-888-672-2277. Connect with us Questions? We focus on providing a customer-driven approach that simplifies healthcare benefits administration for companies and their employees. As a member of Parkland Community Health Plan, you can call Member Services if you have questions about your health plan. Personal Wellness Plan. HealthFirst is a provider of complete and customizable solutions for self-funded employers. For general inquires, call our subrogation department.
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