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Third-party administrator and provider network, not classified as an insurer. NY/NJ tags identify the regional administrative context; coverage, network and payer responsibility depend on the client plan and member ID card.

Application submissions require a W-9 and the network’s credentialing review. Third-party administrator and provider network, not classified as an insurer. NY/NJ tags identify the regional administrative context; coverage, network and payer responsibility depend on the client plan and member ID card.

Create has a separate update mailbox; it is not substituted here. Third-party administrator and provider network, not classified as an insurer. NY/NJ tags identify the regional administrative context; coverage, network and payer responsibility depend on the client plan and member ID card.

For MagnaCare members; the source publishes a separate Create-member line. Third-party administrator and provider network, not classified as an insurer. NY/NJ tags identify the regional administrative context; coverage, network and payer responsibility depend on the client plan and member ID card.

Department administrative phone from the state Local Health Department Directors list updated October 12, 2026; the column is labeled LHD Phone #. Mailing address is from the separately linked Directors Mailing Labels document, which has no visible publication date. Staff names are omitted. This mailing label does not establish a public clinic location or a medical-records destination.

Official Iowa HHS directory administrative contact for the named county. Some entries are county-contracted hospital or home-health providers; this route does not establish hospital-wide coverage or clinical eligibility. No publication date is stated.

Published in the Ohio Emergency Management Agency local health department dataset, sourced from ODH OneSource and last updated October 5, 2026. The dataset lists this as an active local health department. The update date describes the dataset, not a telephone verification. No county service area is inferred from the office address or location-county field. County association reviewed against the separately linked service-area source. The department expressly states the Youngstown exception. Program-specific services should be confirmed separately.

Publicly designated health officer contact from the NJ Department of Health directory, page 7. The separate emergency after-hours number is excluded. Individual agency websites were not independently reviewed.

Admitting department (main directory). Pre-Admission Testing: (718) 283-7300.

Pay or ask billing questions by phone/email. The contact directory also lists Billing/Patient Accounts at (718) 283-6740 (billing records). Payments by mail: P.O. Box 412909, Boston, MA 02241-2909.

Financial assistance applications and counseling for uninsured/underinsured patients. Outpatient mental health services: psychiatry cashier/registration (718) 283-8177.

The main contact directory lists Medical Records as (718) 283-7020; the medical-records page lists 718-283-7254. Maimonides Midwood Community Hospital records: (718) 692-5377. Radiology images: 718-283-7113.

RN-staffed line for doctors' offices and hospitals to connect to Maimonides specialists and arrange transfers.

Submit financial assistance applications (Schedule C plus IRS Form 1040) by secure fax or mail, via MyChart, or at hospital Financial Counseling Offices; questions to billing customer service 484.337.1970.

Requests to amend PHI/medical record (form by fax or mail). The page prints the ZIP as 1907; full ZIP 19073 appears elsewhere on Main Line Health pages for the same address.

Authorization for Disclosure of Health Information forms by mail, email or fax; records released only to recipients authorized in writing.

General appointments and information line printed on Main Line Health pages.

Mail or fax the Disclose Protected Health Information form to Attn: Customer Service Patient Billing Department (secure office; no drop-off).

Billing representatives for Main Line Health hospitals, Main Line HealthCare physician billing and hospital lab services; also pay-by-phone, AblePay/AccessOne payment plans and financial assistance questions.

Billing for Radiology Associates of the Main Line and Main Line Imaging (MRI & PET/CT) — separate from hospital billing.

Acute and non-emergent transfers to Main Line Health hospitals; provide caller, facility and patient diagnosis/required services. Callback with acceptance and room assignment.

CMS ACO ID A5439. 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 A5421. 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 A5438. 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 A5334. 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 A5399. 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 A5400. 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 A5401. 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 A5402. 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 A5403. 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 A5404. 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.

Option 7 per contact page (an older bulletin says option 2).

Provider Services email for MIHMS and MaineCare Partner Portal questions (phone 1-866-690-5585 already listed). Enrollment questions and maintenance cases: MaineCareEnroll@gainwelltechnologies.com or 1-866-690-5585 option 7. Do not email PHI without secure means.

Dial 711 for TTY. IVR menu; pharmacy callers say 1; 0 reaches a live rep.

Listed under member contacts on the OMS contact page for prescription drug benefits, medication prior authorizations, Medicare Part D questions and other-insurance (TPL) issues affecting pharmacy services. TTY 711.

MaineCare provider bulletin (Aug 5, 2024) directs providers needing help submitting pharmacy prior authorization to the Optum Pharmacy Helpdesk at this number or 1-888-445-0497; PA forms and the PDL are at mainecarepdl.org (fax number is printed on each form). Fee-for-service pharmacy.

Signed authorization by mail or fax; providers fax written continuity-of-care requests (STAT for urgent). Call to have the form faxed/mailed. Subpoenas and non-patient requests go by mail.

MaineHealth bills and price estimates (toll-free); HIPAA limits discussion to patient/guarantor.

CMS ACO ID A1290. 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.

Published leadership contact for the Director, Administration, currently Rhonda Dolley. Administrative office routing only; no named staff email imported.

Official ACO contact page publishes main phone, fax and general role mailbox. Published email-response expectations differ between page sections; no guaranteed response time or office hours are recorded. No claims, application or medical-records fax purpose is stated.

Published leadership contact for Director, Network Management & Value-Based Contracting, currently Marci O’Toole. This is ACO network/contracting administration; the page does not promise participation approval or insurance credentialing.

Published leadership contact for Director, Partner Success, currently Ashley Soule. Role-specific ACO partner administration; no named staff email imported.

Official Oklahoma county-map entry for Major County. General published office telephone; personal staff contact channels omitted. No source publication date displayed.

OHA county directory administrative referral. No revision date identified in the source.

Hospital patient billing for Manatee Memorial Hospital (a UHS hospital).

Hospital case management department from the phone directory.

Page states no fee is charged for records copied at the request of, or sent to, a healthcare provider.

Medical staff services office for practitioners (privileges / medical staff questions).

Listed as Scheduling and Registration and as Outpatient and Diagnostic Services Scheduling. Lakewood Ranch Medical Center lists the same scheduling/registration number.