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Vendor listed for adverse determination disputes and billing dispute external review.

Dental claims and eligibility/benefits by phone; contract and fee-schedule inquiries by email (Florida Combined Life).

CareCentrix coordinates DME, home health, home infusion and O&P for Florida Blue per the vendor quick reference guide.

Provider manual lists New Century Health for chemotherapy authorizations on Medicare Advantage HMO/PPO products (select drugs per the NCH UM drug list).

Medicare Advantage care programs / case management contact. Commercial care-management referrals use carememberoutreach@bcbsfl.com.

Page showed this as Medicare line; may be member-oriented.

CoverMyMeds support line listed for retail and self-administered specialty pharmacy and Part D electronic PA.

Pre-service requests for provider-administered drugs in the PADP. Routine requests also via gatewaypa.com; urgent/expedited requests by phone only per the manual.

Florida Blue Utilization Management preservice review line; the guide says to use Availity to enter authorizations, referrals and inquiries. The fax shown is the General/VPCR/VPSS fax; Medicare Advantage, prescription, transplant, FEP and State Account requests have separate faxes. The same phone number is listed for peer-to-peer review of Florida Blue denied authorizations.

Claim reprocessing requests are not appeals.

Have Availity Transaction ID or NPI ready.

Post-service adverse-determination appeals must be in writing within one year of the remittance advice. The manual prints a different ZIP (32203-3237) for UM appeals to the same P.O. Box; confirm before mailing UM appeals.

State of Florida employee group plan inquiries.

Statewide discharge census fax listed under concurrent review.

Complex case management / transplant request phone and transplant fax listed in the Utilization Management section.

Electronic claims through Availity; paper claims to the Eagan box. Claim status via provider portal or 1-833-FCC-PLAN. Requested medical records go to Attn: Claims - Medical Records, PO Box 261090, Miami, FL 33126 with the routing sheet. Manual file uploaded 2025; confirm current edition.

Fax the completed AHCA pharmacy PA request form to CVS Caremark. The FCC providers page lists CVS Caremark phone (877) 888-8347 with the same fax.

Claim reconsideration/dispute with completed Provider Dispute Form, explanation, remittance and documentation. AHCA dispute resolution is available afterward.

Florida Medicaid SMMC plan (MMA and long-term care per plan website). Submit UM/PA via provider portal, fax, phone or email. Phone is the general 1-833-FCC-PLAN line.

Vision benefit vendor listed on the FCC providers page (authorization/coordination). Confirm claims routing with iCare.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. Postal details are reproduced from the dated state directory; confirm delivery instructions directly.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. Postal details are reproduced from the dated state directory; confirm delivery instructions directly.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. Postal details are reproduced from the dated state directory; confirm delivery instructions directly.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. Postal details are reproduced from the dated state directory; confirm delivery instructions directly.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. Postal details are reproduced from the dated state directory; confirm delivery instructions directly.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. Postal details are reproduced from the dated state directory; confirm delivery instructions directly.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination.

For healthcare providers reporting diseases and conditions. These are epidemiology reporting channels, not general appointments, billing, insurance member services or a specimen destination. The state labels this a confidential fax; confirm the current number and reporting requirements before transmitting.