Provider Contacts

Authorizations and Notifications

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

PHONE: 1(800)-995-0480 - Toll free
FAX: 866-567-0144

Claims submissions, encounters, claim inquiries, claim status. Use PAYOR ID #65088.

PHONE: (866) 725-9334 - Toll free
FAX: (866) 725-9337
MAIL: Preferred Care Partners
    P.O. BOX 30448
   Salt Lake City, UT 84130-0448
Technical Support for Change Healthcare Claims Submission Network

Obtain assistance with password or technical support issues.

PHONE: 800-845-6592 - Toll free
PHONE: 800-963-6495 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: 866-567-0144
Electronic Remittance (Facilitated by Change Healthcare)

Get information and register for electornic payment services.

PHONE: 800-845-6592 - Toll free
Eligibility and Benefits Verification - Providers Only

Verify benefits and eligibility, general claims information.

PHONE: 866-725-9334 - Toll free

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
Fraud, Waste, and Abuse
PHONE: (866) 678-8822 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: 888-659-0617
MAIL: Preferred Care Partners
   Special Investigation Unit
   P.O.Box 56-5748
   Miami FL 33256-5748
Grievance and Appeals

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

PHONE: Please call the provider number listed on the back of the member's identification card.
MAIL: Preferred Care Partners
   Grievance & 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.

PHONE: (866) 231-7201 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: (866) 567-0144 - Toll free
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
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 - Toll free
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