Find the right department

Provider relations and contracting for the OHSU Health plan partner of Health Share.

Oregon Medicaid enrollment and contracting for Providence Health Assurance as a Health Share plan partner; enrollment email is administered by PH Tech.

Dental plan partner contact.

CMS ACO ID A5959. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

CMS ACO ID A3283. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Fax for clinical information supporting expedited or standard appeals and for member complaint forms. Mailing address for appeals and grievances: Healthfirst Appeals and Grievances Department, P.O. Box 5166, New York, NY 10274-5166.

Have the practice tax ID ready. The source also directs providers to their Network Account Manager.

Medications under the medical benefit: submit through Availity (Outpatient > Outpatient Pharmacy), by phone through Provider Services, or by fax. The manual says NOT to use this fax for pharmacy-benefit authorizations handled by CVS Caremark.

Part D pharmacy-benefit prior authorization / coverage determinations for Healthfirst Medicare members, handled by CVS Caremark. Online via CoverMyMeds (Caremark).

Member line (eligibility verification, PCP selection, ID cards). Not a provider line; providers use 1-888-801-1660.

Member line for Healthfirst Medicare Advantage plans. Signature PPO 1-833-350-2910 and Signature HMO 1-855-771-1081 have separate member lines.

Member line for Healthfirst Qualified Health Plans and Essential Plan.

Healthfirst electronic claims use Payer ID 80141 through Availity or Optum clearinghouses. The same P.O. box is listed for paper claims and for written claim review/reconsideration requests to the Healthfirst Correspondence Unit (portal submission preferred). Claim questions: Provider Services 1-888-801-1660.

Pharmacy-benefit prior authorization / formulary exceptions for Healthfirst CHPlus members via CVS Caremark. Medicaid pharmacy is carved out to NYRx and is not handled here.

Pharmacy-benefit prior authorization for Healthfirst Leaf and Leaf Premier (Qualified Health Plan) members via CVS Caremark.

Formal written dispute within 60 calendar days of the Reconsideration Determination Letter; include written statement, copy of the determination and the portal tracking number if applicable.

Healthfirst NY Provider Manual (updated 10/1/2026). Preferred route is the online authorization tool in Availity Essentials. The manual lists two different Medical Management/UM fax numbers (1-646-313-5603 in the department table and 1-646-313-4603 in the prior-authorization section), so no fax is given here; confirm the fax with Utilization Management before faxing PHI.

General contact page. Do not treat this corporate address as a destination for patient records or appeals.

HealthHelp authorizations for BayCare Health Plans (Florida) effective March 1, 2026: diagnostic imaging (CT, MRI, PET, cardiac nuclear medicine) and cardiology. Online requests through the BayCare provider portal; BayCare provider services: 866-509-5396.

HealthHelp authorization program for BlueCross BlueShield of South Carolina commercial/marketplace members: sleep, cardiology, surgical services and musculoskeletal (effective 2/24/2023; FAQ posted May 2024). Fax listed is the expedited request fax.

HealthHelp prior authorization for CareOregon effective May 1, 2026: cardiac services, diagnostic imaging, MSK/interventional pain/physical medicine, sleep medicine and genetic testing. Portal access is through CareOregon's OneHealthPort SSO.

HealthHelp prior authorization for Capital District Physicians' Health Plan (New York): high-tech radiology including cardiology (CT, CTA, MRI, MRA, PET, cardiac nuclear medicine), genetic testing and musculoskeletal per the January 2026 FAQ. Fax is the expedited fax; the CDPHP provider portal is recommended.

HealthHelp prior authorization for Essence Healthcare (Missouri) Medicare members' medical oncology. Web: healthhelp.com/Essence. Peer-to-peer requests use the fax printed on the peer-to-peer form.

HealthHelp authorizations for Excellus BlueCross BlueShield (upstate New York): high-tech radiology including cardiology, genetic testing, musculoskeletal, advanced cardiology and radiation therapy (October 2026 FAQ). Web submission recommended.

HealthHelp radiology prior authorization for Geisinger Health Plan (Pennsylvania): CT, CTA, MRI, MRA and PET. Fax is the expedited fax. Geisinger's current provider page says to continue submitting high-end radiology requests through HealthHelp (other cardiovascular/MSK services moved to Cohere).

HealthHelp authorization program for Highmark Health Options Delaware Medicaid (outpatient sleep, radiation oncology, cardiology, diagnostic imaging and related programs; medical oncology beginning 08/01/2025). Fax listed is the expedited request fax. Press option 2 for status.

HealthHelp authorization program for Highmark Health Options West Virginia members (outpatient sleep, radiation oncology, cardiology, diagnostic imaging and related programs). Fax listed is the expedited request fax (shared with other Highmark Wholecare/Health Options programs).

HealthHelp authorizations for Highmark, Inc. molecular/genetic testing. Online requests go through the Highmark provider portal (Availity Essentials).

HealthHelp authorization program for Highmark Wholecare Medicaid and Medicare members: outpatient sleep, radiation oncology and cardiology (since 3/21/2022) plus diagnostic imaging, physical medicine and MSK/interventional pain management (since 5/1/2024). Fax listed is the expedited request fax. Status checks use the same phone.

HealthHelp consultative authorization program for MO HealthNet participants: radiology, radiation therapy and cardiology. MO HealthNet landing page: healthhelp.com/mohealthnet. CyberAccess help desk (Conduent) for portal access: 888-581-9797.

HealthHelp Program Support for provider web portal accounts and adding a health plan to existing access. Listed in multiple HealthHelp plan FAQs. Not for clinical authorization requests.

HealthHelp authorizations for Univera Healthcare (western New York): high-tech radiology including cardiology, genetic testing, musculoskeletal, advanced cardiology and radiation therapy (October 2026 FAQ). Same fax as the Excellus program.

HealthHelp authorizations for University of Michigan Health Plan Medicare members: diagnostic imaging, radiation therapy, sleep studies and medical oncology. Web: healthhelp.com/uofmhealthmedicare. The FAQ's printed expedited fax was not included because it duplicates HealthHelp's program-support digits.

HealthHelp authorizations for Walmart plan members administered by Blue Advantage Administrators of Arkansas: CT, MRI, PET, cardiac nuclear medicine and related advanced imaging.

HealthHelp authorizations for Walmart plan members administered by UMR: CT, MRI, PET, cardiac nuclear medicine and transthoracic echocardiography. Press 2 for status.

For existing customers and their authorized users (account holders) only. Contact page says to email this address for support; help articles are at help.gethealthie.com. No phone published. This is a software/vendor support line; it cannot answer payer coverage, eligibility or claim-status questions.

CMS ACO ID A4778. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

HealthLab Client Services, 25 N. Winfield Road, Winfield, IL 60190. Page also publishes TTY 711.

The current HealthMark FAQ explicitly restricts these special instructions to California residents and publishes this address for DMV placard and EDD form processing. This is HealthMark’s form-completion workflow, not a California DMV/EDD government filing or benefit decision channel. Follow the form-specific instructions and confirm the treating provider’s HealthMark relationship. No effective contact date or hours published.

Current main-site patient FAQ publishes this address for submitting FMLA/disability forms and requesting corrections. Use only for HealthMark-managed form workflows and confirm the provider relationship. This is distinct from medical-record release, insurer claim adjudication and general corporate sales. Ordinary email security and delivery were not tested; no patient information was sent.

Current HealthMark sign-in page links https://medrelease.healthmark-group.com/ for existing clients to upload ROI requests, access ROI reporting and send secure messages. This is an authenticated provider/client workflow, separate from patient Request Manager; no account access or submission was attempted.

Southern West Virginia Health System directly identifies HealthMark as its records-release partner and publishes this support phone and email. For that provider’s requests, status and submission are handled through https://requestmanager.healthmark-group.com/. Scope is the publishing provider’s instructions; this does not establish a universal submission fax or every facility served by HealthMark. Page masthead timestamp is April 24, 2026; it does not establish when the contact was introduced. No phone hours published on this source. Published email is not proof of secure medical-record delivery.

CMS ACO ID A5328. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Toll-free alt 800-883-2177.

Toll-free alt 866-630-0188. Must already be contracted.

Alternate number: 952-883-7501.

Alternate number: 888-467-0774. The listed program includes procedures, habilitation, rehabilitation, skilled nursing, home care, hospice, personal-care assistance and durable medical equipment. Behavioral health has a separate authorization route.

Behavioral health Personalized Assistance Line; toll free 888-638-8787. BH prior authorization is a separate line. TTY 711.

Commercial claims questions; toll free 866-429-1474. Claim status and remittance are also in the provider portal. TTY 711.

Claims questions for senior (Medicare) and public (MHCP) products; toll free 888-663-6464. TTY 711.