Provider Contacts

Claims

Claims submissions, encounters, claim inquiries, claim status.

PHONE: (866) 725-9334 - Toll free  
FAX: (866) 725-9337  
E-MAIL: Claims@MyPreferredCare.com  
Eligibility and Benefits Verification - Providers Only

Verify benefits and eligibility, general claims information.

PHONE: (800) 587-5114 - Toll free  
FAX: (305) 670-2308  
E-MAIL: Marketing@MyPreferredCare.com  
Enrolling

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

PHONE: (866) 473-0218 - Toll free  
TTY: 711 at Florida Relay  
FAX: (888) 659-0616 - Toll free  
E-MAIL: Enroll@MyPreferredCare.com  
Fraud, Waste, and Abuse
PHONE: (866) 678-8822 - Toll free  
FAX: (305) 671-4085  
E-MAIL: ReportFraud@MyPreferredCare.com  
Grievance and Appeals

Grievance and appeals procedures, forms and status.

PHONE: (888) 291-5721 - Toll free  
FAX: (866) 261-1474 - Toll free  
E-MAIL: Appeals@MyPreferredCare.com  
Member Services

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

PHONE: (866) 231-7201 - Toll free  
FAX: (866) 567-0144 - Toll free  
E-MAIL: MemberServices@MyPreferredCare.com  
Network Management Services

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

PHONE: (877) 670-8432 - Toll free  
FAX: (888) 659-0619 - Toll free  
E-MAIL: NMS@MyPreferredCare.com  
Pharmacy

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

PHONE: (800) 591-6144 - Toll free  
FAX: (800) 203-1664 - Toll free  
E-MAIL: Pharmacy@MyPreferredCare.com  
Utilization Management/Case Management

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

PHONE: (800) 995-0480 - Toll Free  
FAX: (866) 567-0144 - Toll free  
E-MAIL: UM@MyPreferredCare.com  
TTY (all departments)
PHONE: 711 at Florida Relay