Medical administration contacts

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Search individual contact routes for the team and purpose you need. Each result keeps its own phone, fax, email, address, source and restrictions.

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16,111 contact routes · Page 108 of 323

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Dual Advantage (LA D-SNP) provider services

Phone 844-895-8160

Louisiana · dsnp · Source checked 2026-10-25

Contact details, purpose & sources

provider services

Healthy Blue Dual Advantage (LA D-SNP) provider services

Official page read

Phone844-895-8160Published hours

Not published in this record

Product, plan and location

dsnp
Louisiana

Mailing address

Not researched for this route

Healthy Blue Dual Advantage (HMO D-SNP) provider services.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Dual Advantage (LA D-SNP) utilization management

Phone 800-262-2731Fax 877-423-9972

Louisiana · dsnp · Source checked 2026-10-25

Contact details, purpose & sources

prior authorization

Healthy Blue Dual Advantage (LA D-SNP) utilization management

Official page read

Phone800-262-2731Fax

877-423-9972

Published hours

Not published in this record

Product, plan and location

dsnp
Louisiana

Mailing address

Not researched for this route

Prior authorization / utilization management for Healthy Blue Dual Advantage.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Kansas — behavioral health provider services

Phone 833-838-2595Published email

Kansas · medicaid · Source checked 2026-10-22

Contact details, purpose & sources

behavioral health

Healthy Blue Kansas — behavioral health provider services

Official page read

Phone833-838-2595Published email

provider.inquiry.ks@carelon.com

Current behavioral health provider inquiries; source asks for name, NPI and TIN.

Published hours

Monday–Friday, 8 a.m.–5 p.m. CST

Product, plan and location

medicaid
Kansas

Mailing address

Not researched for this route

Phone is also the general Healthy Blue Kansas provider-services number. The email is specifically for behavioral health provider relationship inquiries.

View source ↗ · Source checked 2026-10-22 · healthyblue ks contact ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Kansas — general provider inquiries

Phone 833-838-2595Fax 800-964-3627Published email

Kansas · medicaid · Source checked 2026-10-22

Contact details, purpose & sources

provider services

Healthy Blue Kansas — general provider inquiries

Official page read

Phone833-838-2595Fax

800-964-3627

General provider-services contact fax; not labeled as a behavioral-health authorization fax.

Published email

ksproviderinquiry@healthybluekansas.com

General provider inquiries.

Published hours

Monday–Friday, 8 a.m.–5 p.m. CST

Product, plan and location

medicaid
Kansas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-22

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue LA pharmacy desk (Carelon Rx)

Phone 833-485-6236

Louisiana · medicaid · Source checked 2026-10-20

Contact details, purpose & sources

pharmacy help desk

Healthy Blue LA pharmacy desk (Carelon Rx)

Official page read

Phone833-485-6236Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-20

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana - claims

Phone 844-521-6942Published email

Louisiana · medicaid · Source checked 2026-10-20

Contact details, purpose & sources

claims

Healthy Blue Louisiana - claims

Official page read

Phone844-521-6942Published email

lainterpr@healthybluela.com

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

LDH bulletin: contact for MCO claims issues.

View source ↗ · Source checked 2026-10-20

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana behavioral health inpatient PA fax

No phone listedFax 844-432-6027

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax prior auth

Healthy Blue Louisiana behavioral health inpatient PA fax

Official page read

Phone

No phone listed for this route

Fax

844-432-6027

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Inpatient behavioral health authorization.

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana behavioral health outpatient PA fax

No phone listedFax 844-432-6028

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax prior auth

Healthy Blue Louisiana behavioral health outpatient PA fax

Official page read

Phone

No phone listed for this route

Fax

844-432-6028

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Outpatient behavioral health authorization.

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana case management

Phone 833-342-1254Fax 888-533-7250Published email

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

case management

Healthy Blue Louisiana case management

Official page read

Phone833-342-1254Fax

888-533-7250

Published email

la1casemgmt@healthybluela.com

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Case management (phone listed with extension 106-103-5145); also specialist-finding help by email.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana concurrent inpatient clinical fax

No phone listedFax 888-822-5595

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax other

Healthy Blue Louisiana concurrent inpatient clinical fax

Official page read

Phone

No phone listed for this route

Fax

888-822-5595

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Concurrent inpatient clinical reviews.

View source ↗ · Source checked 2026-10-25

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana contracting

No phone listedPublished email

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

provider enrollment credentialing

Healthy Blue Louisiana contracting

Official page read

Phone

No phone listed for this route

Published email

LANetworkDevelopment@healthybluela.com

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Network contracting inquiries.

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana EDI Solutions helpdesk

Phone 800-470-9630

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

edi clearinghouse support

Healthy Blue Louisiana EDI Solutions helpdesk

Official page read

Phone800-470-9630Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

EDI Solutions helpdesk.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana medical injectables PA fax

No phone listedFax 844-487-9291

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax prior auth

Healthy Blue Louisiana medical injectables PA fax

Official page read

Phone

No phone listed for this route

Fax

844-487-9291

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Pharmacy medical injectables PA fax.

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana outpatient DME PA fax

No phone listedFax 844-528-3684

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax prior auth

Healthy Blue Louisiana outpatient DME PA fax

Official page read

Phone

No phone listed for this route

Fax

844-528-3684

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Outpatient durable medical equipment PA.

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana pharmacy PA fax

No phone listedFax 855-592-0978

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

pharmacy prior auth

Healthy Blue Louisiana pharmacy PA fax

Official page read

Phone

No phone listed for this route

Fax

855-592-0978

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Pharmacy prior authorization fax (pharmacy phone via provider services 844-521-6942).

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana physical health outpatient PA fax

No phone listedFax 888-822-5658

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax prior auth

Healthy Blue Louisiana physical health outpatient PA fax

Official page read

Phone

No phone listed for this route

Fax

888-822-5658

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Outpatient physical health PA (Availity Essentials preferred).

View source ↗ · Source checked 2026-10-25

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana precertification requests and inpatient notifications fax

No phone listedFax 877-269-5705

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

fax prior auth

Healthy Blue Louisiana precertification requests and inpatient notifications fax

Official page read

Phone

No phone listed for this route

Fax

877-269-5705

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Precertification requests and inpatient notifications.

View source ↗ · Source checked 2026-10-25

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Louisiana provider relations

Phone 504-836-8888Published email

Louisiana · medicaid · Source checked 2026-10-25

Contact details, purpose & sources

provider services

Healthy Blue Louisiana provider relations

Official page read

Phone504-836-8888Published email

lainterpr@healthybluela.com

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

Provider relations (local); most issues should go through Availity Essentials or the provider relationship management email form.

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Missouri (number from MO HealthNet contact page, label unclear)

Phone 833-388-1407

Missouri · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Healthy Blue Missouri (number from MO HealthNet contact page, label unclear)

Official page read

Phone833-388-1407Published hours

Not published in this record

Product, plan and location

medicaid
Missouri

Mailing address

Not researched for this route

MO HealthNet (emomed) contact page lists Healthy Blue (833) 388-1407 under Managed Care Plans; not labeled provider vs member.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue Missouri provider services

Phone 833-405-9086

Missouri · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Healthy Blue Missouri provider services

Official page read

Phone833-405-9086Published hours

Not published in this record

Product, plan and location

medicaid
Missouri

Mailing address

Not researched for this route

Have servicing provider NPI ready.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue South Carolina pharmacy

Phone 833-207-3118

South Carolina · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

pharmacy help desk

Healthy Blue South Carolina pharmacy

Official page read

Phone833-207-3118Published hours

Not published in this record

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue South Carolina prior authorization

Phone 866-757-8286

South Carolina · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

prior authorization

Healthy Blue South Carolina prior authorization

Official page read

Phone866-757-8286Published hours

Not published in this record

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

Healthy Blue PA number differs between page versions.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue South Carolina provider enrollment

Phone 803-264-7232

South Carolina · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider enrollment credentialing

Healthy Blue South Carolina provider enrollment

Official page read

Phone803-264-7232Published hours

Not published in this record

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

From SCDHHS MCO contact page via search snippet; page versions differ.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Healthy Blue South Carolina provider services

Phone 866-757-8286

South Carolina · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Healthy Blue South Carolina provider services

Official page read

Phone866-757-8286Published hours

M-F 8:30am-5pm

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

Existing directory lists the same number as Healthy Blue SC prior authorization.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) behavioral health — Carelon (Medicaid outpatient)

Phone 844-375-7215Fax 800-370-1116

Florida · medicaid · Source checked 2026-10-24

Contact details, purpose & sources

behavioral health

Simply Healthcare Plans (FL) behavioral health — Carelon (Medicaid outpatient)

Official page read

Phone844-375-7215Fax

800-370-1116

Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Carelon Behavioral Health for Simply. Medicaid outpatient line; FHK 855-861-2142; Medicare 877-698-7787. Fax shown is the Medicare/Medicaid outpatient preauthorization fax.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) behavioral health — Carelon higher levels of care preauthorization

Phone 800-221-5487

Florida · Source checked 2026-10-24

Contact details, purpose & sources

behavioral health

Simply Healthcare Plans (FL) behavioral health — Carelon higher levels of care preauthorization

Official page read

Phone800-221-5487Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Florida

Mailing address

Not researched for this route

Inpatient, IOP, PHP, SIPP and RTC preauthorization by phone only; faxes are not accepted for these levels of care.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) EDI — Availity (payer ID SMPLY)

Phone 800-282-4548

Florida · medicaid · chip · medicare advantage · Source checked 2026-10-24

Contact details, purpose & sources

edi clearinghouse support

Simply Healthcare Plans (FL) EDI — Availity (payer ID SMPLY)

Official page read

Phone800-282-4548Published hours

Monday to Friday, 8 a.m. to 7:30 p.m. ET

Product, plan and location

medicaid · chip · medicare advantage
Florida

Mailing address

Not researched for this route

Availity is the EDI gateway for Simply (837, 835, 276/277, 270/271). Payer ID SMPLY.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) long-term care provider line

Phone 877-440-3738

Florida · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Simply Healthcare Plans (FL) long-term care provider line

Official page read

Phone877-440-3738Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicaid medical authorization appeals

No phone listedMailing address

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

appeals grievances

Simply Healthcare Plans (FL) Medicaid medical authorization appeals

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Simply Healthcare Plans, Inc. Medical Appeals P.O. Box 62429 Virginia Beach, VA 23466-2429

Provider appeals of medical authorization denials (within 120 days); Availity is preferred

Provider grievances not related to claims go to Attn: Member Appeals at the same box, fax 866-216-3482.

View source ↗ · Source checked 2026-10-24

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicaid medical injectable pharmacy PA fax

Phone 844-405-4296Fax 844-509-9862

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

pharmacy prior auth

Simply Healthcare Plans (FL) Medicaid medical injectable pharmacy PA fax

Official page read

Phone844-405-4296Fax

844-509-9862

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Not researched for this route

Pharmacy PA can be started by phone, CoverMyMeds or fax. The manual lists two different retail pharmacy PA fax numbers (877-577-9045 in text, 877-507-9045 in the phone table); the retail fax is withheld pending confirmation.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicaid payment disputes

Phone 844-405-4296Mailing address

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

appeals grievances

Simply Healthcare Plans (FL) Medicaid payment disputes

Official page read

Phone844-405-4296Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Simply Healthcare Plans, Inc. Payment Disputes P.O. Box 61599 Virginia Beach, VA 23466-1599

Written claim payment disputes (within 90 days of the final determination of the primary payer)

Menu guidance in the source record

Select the Claims prompt

Menus can change. No live call verification is claimed.

Disputes can also be filed digitally in Availity Essentials.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicaid pregnancy notification

No phone listedFax 877-577-0117Published email

Florida · medicaid · Source checked 2026-10-24

Contact details, purpose & sources

fax other

Simply Healthcare Plans (FL) Medicaid pregnancy notification

Official page read

Phone

No phone listed for this route

Fax

877-577-0117

Published email

dl-shp-cm_dm_referrals@simplyhealthcareplans.com

Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Notification of Pregnancy form; encrypt email submissions containing PHI. Also available in Availity.

View source ↗ · Source checked 2026-10-24

Report an update

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicaid specialty pharmacy — BioPlus

Phone 833-549-2115Fax 800-269-5493

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

pharmacy help desk

Simply Healthcare Plans (FL) Medicaid specialty pharmacy — BioPlus

Official page read

Phone833-549-2115Fax

800-269-5493

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Not researched for this route

Specialty prescriptions may be sent to BioPlus Specialty Pharmacy; include a copy of the member's Medicaid ID card with faxes.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicare Advantage appeals — Part C and Part D fax

No phone listedFax 888-458-1406Mailing address

Florida · medicare advantage · dsnp · Source checked 2026-10-24

Contact details, purpose & sources

appeals grievances

Simply Healthcare Plans (FL) Medicare Advantage appeals — Part C and Part D fax

Official page read

Phone

No phone listed for this route

Fax

888-458-1406

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Florida

Mailing address

Medicare Complaints, Appeals & Grievances (MCAG) Attention: Medical Necessity Provider Appeals Mailstop: OH0205-A537 4361 Irwin Simpson Road Mason, Ohio 45040

Medicare participating-provider medical-necessity appeals and member liability appeals

Fax shown is the Part C appeals fax; Part D appeals fax is 888-458-1407. Medicare payment disputes: Medicare Payment Dispute Unit, P.O. Box 61599, Virginia Beach, VA 23466-1599.

View source ↗ · Source checked 2026-10-24

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicare Advantage elective outpatient/inpatient PA fax

No phone listedFax 866-811-0143

Florida · medicare advantage · dsnp · Source checked 2026-10-24

Contact details, purpose & sources

fax prior auth

Simply Healthcare Plans (FL) Medicare Advantage elective outpatient/inpatient PA fax

Official page read

Phone

No phone listed for this route

Fax

866-811-0143

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Florida

Mailing address

Not researched for this route

Listed in the Medicare Advantage provider manual (April 2026) for outpatient/inpatient elective prior authorization. Initial emergent admission requests: 866-959-1537; concurrent review / SNF / LTACH / acute rehab: 866-811-0197; in-home DME/home health/infusion go to IHCS fax 844-215-4265.

View source ↗ · Source checked 2026-10-24

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicare Advantage paper claims

Phone 844-405-4297Mailing address

Florida · medicare advantage · dsnp · Source checked 2026-10-24

Contact details, purpose & sources

claims

Simply Healthcare Plans (FL) Medicare Advantage paper claims

Official page read

Phone844-405-4297Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Florida

Mailing address

Simply Healthcare Plans, Inc. P.O. Box 61010 Virginia Beach, VA 23466-1010

Medicare Advantage paper claims

Electronic claims payer ID SMPLY. Provider Services DSU 844-405-4297.

View source ↗ · Source checked 2026-10-24

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicare Advantage standard precertification fax

Phone 844-405-4297Fax 800-959-1597

Florida · medicare advantage · dsnp · Source checked 2026-10-24

Contact details, purpose & sources

fax prior auth

Simply Healthcare Plans (FL) Medicare Advantage standard precertification fax

Official page read

Phone844-405-4297Fax

800-959-1597

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Florida

Mailing address

Not researched for this route

Standard Medicare Advantage precertification. The MA manual lists additional service-specific faxes (elective outpatient/inpatient 866-811-0143, emergent admission 866-959-1537, SNF/LTACH concurrent 866-811-0197).

View source ↗ · Source checked 2026-10-24 · MA manual notification/prior authorization fax list ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) Medicare behavioral health — Carelon

Phone 877-698-7787

Florida · medicare advantage · dsnp · Source checked 2026-10-24

Contact details, purpose & sources

behavioral health

Simply Healthcare Plans (FL) Medicare behavioral health — Carelon

Official page read

Phone877-698-7787Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Florida

Mailing address

Not researched for this route

Carelon Behavioral Health number for Simply Medicare.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) overpayment disputes

No phone listedFax 866-920-1874Mailing address

Florida · Source checked 2026-10-24

Contact details, purpose & sources

fax claims

Simply Healthcare Plans (FL) overpayment disputes

Official page read

Phone

No phone listed for this route

Fax

866-920-1874

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Florida

Mailing address

Simply Healthcare Plans, Inc. Cost Containment Unit — Disputes P.O. Box 62427 Virginia Beach, VA 23466-2437

Disputes of identified overpayments

Overpayment refunds (checks) go to Simply Healthcare Plans, Inc., P.O. Box 933657, Atlanta, GA 31193-3657 with project number and letter ID.

View source ↗ · Source checked 2026-10-24

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) paper claims and EDI payer IDs — Medicaid / CHA

Phone 844-405-4296Mailing address

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

claims

Simply Healthcare Plans (FL) paper claims and EDI payer IDs — Medicaid / CHA

Official page read

Phone844-405-4296Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Simply Healthcare Plans, Inc. Florida Claims P.O. Box 61010 Virginia Beach, VA 23466-1010

Paper medical claims

EDI payer IDs per the SMMC MMA/FHK manual: Simply = SMPLY; HIV/AIDS plan (Clear Health Alliance) = CLEAR. Timely filing six months from date of service/discharge.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) provider grievances (non-claims)

No phone listedFax 866-216-3482Mailing address

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

fax appeals

Simply Healthcare Plans (FL) provider grievances (non-claims)

Official page read

Phone

No phone listed for this route

Fax

866-216-3482

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Simply Healthcare Plans, Inc. Attn: Member Appeals PO Box 62429 Virginia Beach, VA 23466-2429

Provider grievances not related to claims payment (within 45 days)

View source ↗ · Source checked 2026-10-24

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) provider services - Medicaid

Phone 844-405-4296Fax 800-964-3627

Florida · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Simply Healthcare Plans (FL) provider services - Medicaid

Official page read

Phone844-405-4296Fax

800-964-3627

Published hours

Not published in this record

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Menu guidance in the source record

1 enrollment status; 2 claims status; 3 prior authorizations; 4 other

Menus can change. No live call verification is claimed.

View source ↗ · Source checked 2026-10-21

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) provider services - Medicare Advantage

Phone 844-405-4297

Florida · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Simply Healthcare Plans (FL) provider services - Medicare Advantage

Official page read

Phone844-405-4297Published hours

Not published in this record

Product, plan and location

medicare advantage
Florida

Mailing address

Not researched for this route

Menu guidance in the source record

1 enrollment; 2 claims; 3 PA; 4 other

Menus can change. No live call verification is claimed.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) provider termination appeals

No phone listedFax 800-964-3627Mailing address

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

fax appeals

Simply Healthcare Plans (FL) provider termination appeals

Official page read

Phone

No phone listed for this route

Fax

800-964-3627

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Simply Healthcare Plans, Inc. Attn: Provider Appeals 11430 NW 20th Street, Suite 300 Miami, FL 33172

Written appeals of network termination (within 30 days of notice)

View source ↗ · Source checked 2026-10-24

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Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Simply Healthcare Plans (FL) standard precertification — Medicaid, Clear Health Alliance, Florida Healthy Kids

Phone 844-405-4296Fax 800-964-3627

Florida · medicaid · chip · Source checked 2026-10-24

Contact details, purpose & sources

prior authorization

Simply Healthcare Plans (FL) standard precertification — Medicaid, Clear Health Alliance, Florida Healthy Kids

Official page read

Phone844-405-4296Fax

800-964-3627

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address

Not researched for this route

Standard (non-expedited) precertification for Simply Medicaid, Clear Health Alliance and Florida Healthy Kids. Expedited requests must go through Availity Essentials, not fax or phone.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Wellpoint (formerly Amerigroup) Tennessee provider services

Phone 800-454-3730

Tennessee · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

provider services

Wellpoint (formerly Amerigroup) Tennessee provider services

Official page read

Phone800-454-3730Published hours

Not published in this record

Product, plan and location

medicaid
Tennessee

Mailing address

Not researched for this route

Conflict 2026-10-21: Amerigroup GA lists this as GA provider services; Wellpoint AZ lists it as non-Medicare tech support. Confirm on the call.

View source ↗ · Source checked 2026-10-21

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Wellpoint Arizona technical support - non-Medicare providers

Phone 800-454-3730

Arizona · medicaid · Source checked 2026-10-21

Contact details, purpose & sources

portal

Wellpoint Arizona technical support - non-Medicare providers

Official page read

Phone800-454-3730Published hours

Not published in this record

Product, plan and location

medicaid
Arizona

Mailing address

Not researched for this route

Conflict 2026-10-21: Amerigroup GA lists this as GA provider services; Wellpoint AZ lists it as non-Medicare tech support. Confirm on the call.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Wellpoint care managers / Condition Care (NJ, TX, TN pages)

Phone 888-830-4300

New Jersey · Texas · medicaid · medicare advantage · Source checked 2026-10-21

Contact details, purpose & sources

case management

Wellpoint care managers / Condition Care (NJ, TX, TN pages)

Official page read

Phone888-830-4300Published hours

M-F 8:30am-5:30pm local

Product, plan and location

medicaid · medicare advantage
New Jersey · Texas

Mailing address

Not researched for this route

Existing Wellpoint org already lists this for TN.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Wellpoint Iowa — Carelon Behavioral Health national provider service line

Phone 800-397-1630

Iowa · medicaid · chip · Source checked 2026-10-25

Contact details, purpose & sources

behavioral health

Wellpoint Iowa — Carelon Behavioral Health national provider service line

Official page read

Phone800-397-1630Published hours

Monday through Friday, 7 a.m. to 7 p.m. CT

Product, plan and location

medicaid · chip
Iowa

Mailing address

Not researched for this route

From the Wellpoint Iowa quick contact guide (Iowa Health Link, Hawki, Iowa Health and Wellness).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

Elevance Health / Anthem

Health plans and insurers · Explicitly scoped route — read the source and program restrictions

Wellpoint Iowa dental provider services (MCNA Dental)

Phone 855-247-6262

Iowa · dental · Source checked 2026-10-25

Contact details, purpose & sources

dental

Wellpoint Iowa dental provider services (MCNA Dental)

Official page read

Phone855-247-6262Published hours

Not published in this record

Product, plan and location

dental
Iowa

Mailing address

Not researched for this route

From the Wellpoint Iowa quick contact guide (Iowa Health Link, Hawki, Iowa Health and Wellness).

View source ↗ · Source checked 2026-10-25

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.