Find the right department

Schedule consultations or fax patient records; Fort Worth 817-882-2400 / fax 817-882-2401. Cancer referrals 214-645-4673.

Bill questions and phone payments; toll-free 866-648-2455. Patient financial advisors at Clements University Hospital admitting desk Mon-Fri 7:30 a.m.-4:00 p.m. Itemized/billing record requests: AcctHelp@UTSouthwestern.edu, fax 469-291-2411.

From the Utah Medicaid provider enrollment packet. The packet's fax number was not added because a newer fax list could not be verified (site returns access denied to automated fetches). Phone help: Medicaid Information line.

Option 3, 3 then program. Page lists no PA fax; see PA request form page 3.

Utah Medicaid page: members approved for FlexTrans in areas it serves must contact Medicaid to receive FlexTrans vouchers (also toll-free 1-800-662-9651). Salt Lake and Davis counties paratransit: 801-287-7433; Davis, Weber and Box Elder: 877-882-7272.

Utah Medicaid's NEMT page: if a member does not live in a bus or paratransit area or needs door-to-door service, they may be eligible for ModivCare services (up to four weeks of rides while door-to-door eligibility is determined). Schedule at least 3 business days ahead; urgent care within 24 hours must be specified and may be verified. Facility Services line is on ModivCare's Utah facility page.

Health Program Representative for dental help, finding a dentist and language assistance; not a new claims or prior-authorization submission line.

CMS ACO ID A3507. 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.

Submit completed financial assistance applications by fax, mail, MyChart or in person; questions go to 434.297.5416 (Patient Billing Office/Financial Counseling).

Medical records contact for UVA Health Culpeper Medical Center patients.

Medical records contact for UVA Health Prince William Medical Center (Manassas) and Haymarket Medical Center patients.

Submit a Release of Medical Information Authorization Form (English or Spanish) by fax, mail or email; records include images. HIM questions about MyChart proxy access: 434.924.5136.

Billing and financial assistance questions, no-interest payment plans, and help understanding bills and insurance payments. Billing concerns: Billing Ombudsman 434.243.4249.

Help with price estimates for upcoming services (also available through the MyChart Patient Estimates tool or online estimate form).

Pay UVA Health billing statement balances by phone (also payable online through MyChart).

UVA Health clinical staff credentialing and privileging for licensed professionals.

All inpatient and emergency transfers to UVA Health; the Transfer Center handles patient transport logistics. Online referral forms for outpatient specialty referrals are on the same page.

CMS ACO ID A5500. 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.

Pre-service price estimates for Harborview and UW Medical Center; callers need the CPT code(s) from the ordering office. Request at least seven days before service for prepay/uninsured discounts. UW Medicine Primary Care estimates use 206-520-5000 instead.

Schedule with UW Medicine financial counselors to apply for UW Medicine financial assistance (charity care) or to screen uninsured patients for Apple Health/Medicaid and Washington Health Benefit Exchange coverage.

Prepay an estimate for Harborview services by phone or in person (325 Ninth Ave., First Floor Center Tower, Room 150).

Radiology image requests for Harborview Medical Center (signed authorization required).

Submit a Request for Correction or Amendment of the Medical Record (care at Harborview, UWMC, Primary Care, Eastside Specialty Center, Husky Health Center). Not for release-of-information requests.

Enterprise Records and Health Information release of information for Harborview Medical Center, UW Medical Center – Montlake, Roosevelt and Northwest, UW Medicine Primary Care and Eastside Specialty Center. Fax is for records REQUESTS only; records being sent to UW Medicine go directly to the requesting provider/department. Continuity-of-care copies are free.

Billing questions and payment plans for UW Medicine bills (Harborview, UW Medical Center – Montlake and Northwest, UW Physicians, UW Medicine Primary Care). Automated pay-by-phone 24/7; agents weekdays. Insurance-coverage questions go to the patient's health plan.

Toll-free alternative to the Patient Accounts and Support Services local number for UW Medicine bill questions and payment plans.

Referring clinicians call to refer a patient to UW Medicine services.

Radiology image requests for UW Medical Center – Northwest. Breast imaging requests use a separate fax (206-668-1790).

Prepay an estimate for UW Medical Center – Montlake or Northwest services by phone.

Radiology image requests for UW Medical Center (signed authorization required).

Practitioner line for physician-to-physician consultation and clinician questions.

Urgent transfer requests to UW Medicine hospitals; out-of-state callers use the toll-free number. Coordinators complete intake and can relay air transport to Airlift Northwest. Patients/families checking transfer status should contact the sending facility.

Washington callers' Transfer Center number; fax the patient face sheet/demographics (also 206-744-6167) or email transfercenter@uw.edu so an MRN can be created for the accepting physician.

Also Optum claims issues per VA fact sheet.

For urgent-care and immediate-need prescription claims and flu-shot billing at in-network pharmacies in Regions 1-3.

Instructions shown for urgent care claims; electronic claims use payer ID VACCN or the Optum medical/behavioral provider portal. Submit within 180 days; do not collect a copay (VA bills copays separately).

TriWest behavioral health contact information in the CCN provider handbook. The general CCN Contact Center is the listed main line.

Reconsideration can also be submitted online. Refunds of overpayments owed to TriWest go to a different address (TriWest VA CCN Finance, Attn: Refunds, PO Box 108852, Florence SC 29502-8852).

Email the completed Online Claims Inquiry Form for basic claims status, referral lookup, check void/reissue, check copy and PRA copy requests; page promises a response within four business days.

Electronic payer ID CDCA1. Dental provider disputes go to Delta Dental of California, Appeals/Grievances, PO Box 537015, Sacramento, CA 95853-7015.

For urgent-care and immediate-need prescription claims at in-network pharmacies in Regions 4-5.

Only for the VISN 22 high-risk documentation process (ED visits/admissions, mental health and acute suicidal event records, cardiology, cancer surgery/treatment, dialysis, screening results). Other facilities use HSRM or the facility fax from the VA facility contact list.