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Mailing address for medical/surgical authorization requests; fax 616.942.0024 is already listed on this record.

Fax for non-emergency behavioral health inpatient authorization requests; a clinician contacts you during business hours. Emergency behavioral health treatment does not require prior authorization. The page lists 800.673.8043 (Mon.-Fri. 8-5) in this behavioral health section.

General contracting questions are submitted through prism General Requests; mailing address as published.

Fax for drug authorization and formulary exception requests; phone 800.466.6642 is listed for the same desk.

Payer ID 38217. Phone is the ECHO vendor line for 835 (remittance) setup only.

Electronic payer ID 38217 (Availity, Waystar and other connected clearinghouses per the EDI setup page). Check claim status in prism.

Submit new enrollments and change requests through prism (Enrollments & Requests); mailing address as published.

Main provider line for Priority Health commercial, Medicare and Medicaid plans. Prism portal is preferred for claim and authorization status.

Urgent after-hours authorizations only. Leave a phone number and message; a nurse care manager returns the call within 30 minutes. Routine authorizations: Provider Helpline option 3.

Current public medical-records page lists this Greenville HIM telephone, fax, mailbox and Suite 220 mailing destination. Contact the facility or submit the completed authorization form; mailed requests require a photo-ID copy. Legal process has a separate workflow. The current page was read in a public browser; direct fetches and the linked form returned challenge content, so the current form itself was not reviewed.

CMS ACO ID A5533. 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 A4947. 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 A3783. 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 A4986. 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 A3236. 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 A4943. 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 A2057. 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.

Separate CurAccess partner-pharmacy option. No charitable-PAP status, insurance coverage or price is inferred.

General pharmacy service route. The manufacturer publishes a separate CurAccess CONTRAVE number, 888-585-9758. No charitable-PAP status, prescription-email intake or individual eligibility is inferred.

Progressive's eBill information for medical providers (PDF dated 2020): AccidentEDI is Progressive's eBill agent (support 800-297-6909); default payer ID 24260 (also J1748). Progressive's 9-digit claim number is required in loop 2010BA/2010CA. Progressive's own contact for eBill is the MedEDI mailbox. Questions about a specific invoice or payment go to the Claims Representative. Auto medical payments/PIP: a claim number and the claim adjuster or policyholder identification are usually required; coverage is determined by the claim and policy (not by a member ID), and state PIP fee schedules and rules govern billing.

Progressive's New Jersey Decision Point Review Plan says decision point review and precertification requests must be faxed to this number, using the uniform Attending Provider Treatment Plan form. New Jersey only. Auto medical payments/PIP: a claim number and the claim adjuster or policyholder identification are usually required; coverage is determined by the claim and policy (not by a member ID), and state PIP fee schedules and rules govern billing.

Progressive's supplier page asks medical providers to email new or changed company information (name, address, TIN, contacts, banking) to this address. Not for invoice or payment questions, which go to the Claims Representative. Auto medical payments/PIP: a claim number and the claim adjuster or policyholder identification are usually required; coverage is determined by the claim and policy (not by a member ID), and state PIP fee schedules and rules govern billing.

CMS ACO ID A2000. 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 ACO primary administrative contact. This source does not designate a claims, health-plan member-services, billing or urgent clinical line. No office hours or dedicated fax were published in the reviewed section. State tag US is not a service-area assertion. Current official PDF names ProHealth Physicians ACO, LLC and primary contact Pamela George. Named staff email omitted. The Minnesota area code is retained exactly as published; the Connecticut office address does not justify changing it.

CMS ACO ID A4979. 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 A3016. 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.

Prominence Administrative Services line listed on the Prominence Health Plan contact page (TPA/administrative services); not the commercial member customer service line.

Provider contracting department fax.

Provider credentialing department fax (email link on page is a web form).

'Contact Us' number shown in the Prominence provider site (phproviders.com) header for Medicare Advantage provider inquiries.

Provider Relations for Prominence Medicare Advantage providers (page labels 775-352-6900 'Toll Free'; local 775-770-9311). General provider contact line on the same site header: 833-863-0323.

Aerial Care is used to verify eligibility, check claim and referral status, view capitation reports and submit non-urgent referrals. Email this address for Aerial Care questions and password resets (or call (800) 708-3230, prompt 1 then 7).

Case Management (CM) Referral Form posted on Prospect's provider resources page (updated 7/18/2025). Fax the form with a cover sheet; the phone is for questions about the referral.

Prospect accepts electronic claims/encounters through Office Ally; ERAs/835 files are posted to the Office Ally account. Prospect's provider ID at Office Ally is PROSP. The phone is Office Ally's enrollment line as printed by Prospect.

Astrana's secure web form for Prospect-related claim inquiries, routine/STAT authorization follow-up and eligibility requests (replaces phone calls for eligibility; urgent eligibility 1-hour TAT, routine 24-hour). Hours Monday–Friday 8am–5pm PST. New routine authorizations go through Aerial Care; new claims through Office Ally. Claim status: provider-portal.astranahealth.com/prospect-claim-status.

Astrana's current Prospect support page: written provider disputes within 365 days of the payment/denial, using the PDR form plus supporting documents, fax Attn: PDR. The mailing address is withheld because sources conflict: the Astrana support page gives P.O. Box 11466, Santa Ana, CA 92711 (Attn: PDR), while Prospect's PDR form (rev. 01/19/23) says 600 City Parkway West, Suite 1000, Orange, CA 92868. Confirm before mailing.

Prospect Health (now part of Astrana Health) contact page: providers with questions about eligibility, referrals or claims status. The same page lists this number for hospital admissions prior-authorization requests and for member customer service. An older Feb 2025 provider bulletin routes providers through (800) 708-3230 instead; see the separate IVR line.

Form for PCP offices to report eligibility or capitation discrepancies. Fax the completed form to Provider Relations or email it. Header lists the main line (714) 796-5900 and toll-free (800) 708-3230.

Menu published in Prospect's Bulletin 2.2 Annual Reminders (dated February 8, 2025). The current contact page lists (855) 522-2134 for provider inquiries; confirm which line your office should use. Do not fax or email STAT/urgent referral requests except when the phone lines are down.

Member-facing line for Prospect's Medicare-eligible members; not a provider authorization line. TTY: dial 711 (California Relay).

Per the Feb 2025 annual-reminders bulletin, use this fax for STAT/urgent requests only during the 12:00–1:00 p.m. PST closure of the STAT/Urgent line; reviewed within 2–3 business hours. Routine referrals should go through Aerial Care and can take up to 5 business days.

Bill-pay phone published on SoCal hospital contact pages; the general billing customer service number is listed separately for Providence.

Use number on statement if different. Financial assistance 855-229-6466.

Health information management / medical records release through Providence Central ROI (Datavant-supported) for hospitals that route to cROI, including Providence Oregon hospitals and Washington's St. Peter, Centralia, St. Mary, Mount Carmel and Kadlec pages. Oregon turnaround up to 30 calendar days; Washington up to 15 business days. Itemized bills go to the Regional Business Office, not ROI. An older Oregon/Montana request form (rev. 03/20) lists 503-215-7423 / fax 503-215-0405; those were withheld in favor of the current web pages.

Laboratory Services department at Covenant Medical Center, 3615 19th St, Lubbock.