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Medical injectables PA fax for Wellpoint New Jersey Medicaid. Not for retail pharmacy drugs.

Wellpoint Pharmacy Prior Authorization Center (CarelonRx is the PBM). Fax is retail PA; medical injectables PA fax 844-509-9865. Includes step therapy exception requests.

Medical injectable/infusible drugs PA fax for Wellpoint Texas Medicaid.

Wellpoint Texas Medicaid/CHIP pharmacy PA (Wellpoint page names CarelonRx as PBM). Medical injectable/infusible PA fax 844-512-8995. CVS Caremark Texas addendum for Wellpoint lists the same PA phone/fax.

Medical Injectables Prior Authorization Form fax (include HCPCS billing codes) for Wellpoint Washington Apple Health.

CarelonRx Pharmacy Help Desk for dispensing pharmacies needing help with an emergency supply fill (PAMC process) for Wellpoint Washington members. Not for prescriber PA.

Wellpoint Washington pharmacy page (CarelonRx provides PBM services on behalf of Wellpoint Washington). Fax is retail PA; medical injectables fax 844-493-9209. ePA via CoverMyMeds.

CarelonRx Pharmacy accepts e-prescriptions (search 'CarelonRx Pharmacy'); prescribers can alternatively call this number.

For dispensing pharmacists with claim-processing issues, commercial plans.

For dispensing pharmacists with claim-processing issues, Medicare plans. Medicaid: number on the back of the member ID card.

CarelonRx number for questions about drug policies, obtaining clinical criteria, or speaking to someone about a prior authorization/exception request. Medicaid plans may use different numbers on the member ID card.

Behavioral health provider roster/demographic updates for CareOregon.

Member line for CareOregon Advantage (Medicare Advantage). Hours vary by season.

Customer service for CareOregon Dental.

Customer service for Columbia Pacific CCO (Clatsop, Columbia, Tillamook counties).

Use EDI Payer ID 93975 for all CareOregon entities (CareOregon Medicaid, CareOregon Advantage, CareOregon Dental). Claims route through VisibilEDI; questions go to provider customer service email or 800-224-4840.

Prescribers confirm the assigned specialty pharmacy or check status of a member's specialty referral under CareOregon's Free Market Health program.

Only when the HealthHelp WebConsult portal submission fails: fax prior authorization requests for diagnostic imaging, cardiac services, MSK/interventional pain/physical medicine, sleep medicine and genetic testing using the HealthHelp form. Other services go through the CareOregon Connect portal.

Customer service for Jackson Care Connect, a CareOregon-affiliated OHP coordinated care organization in Jackson County.

Per Health Share of Oregon's plan-partner page: CareOregon provider contracting email for new contract requests.

Per Health Share of Oregon's plan-partner page: CareOregon paper claims mailing address and claims inquiry mailbox (send PHI only securely). Phone for claims questions is the CareOregon provider line, option 3.

24/7 technical assistance for pharmacy staff resolving Medicare (CareOregon Advantage) claim questions.

24/7 technical assistance for pharmacy staff resolving CareOregon OHP claim questions. Pharmacy PA is handled through OptumRx (professionals.optumrx.com).

Local Portland number for CareOregon Provider Customer Service (press option 3 for provider).

Provider Customer Service for CareOregon plans, including claim questions and VisibilEDI/EDI questions; press option 3 for provider. Same numbers are CareOregon's member customer service line, so choose the provider option.

Send clinic, facility or provider demographic changes to this mailbox. Behavioral health providers use the separate BH provider data updates mailbox.

Fax for CareOregon provider relations specialists (see team assignment list on the page). Two fax numbers are published; this is the local one. Not a prior-authorization fax.

Toll-free alternate fax for CareOregon provider relations specialists. Not a prior-authorization fax.

Page: live within the service areas of Buncombe, Henderson, McDowell and Transylvania counties (excludes ZIP codes 28774 and 28749); 55+ and nursing-home level of care.

Availity (third-party portal used by CarePlus) for questions about Availity forms/submission. CarePlus medical payer ID 95092; CarePlus dental claims use Humana Dental payer ID 73288. Availity cannot decide CarePlus coverage.

CarePlus dental benefits are serviced through Humana Dental: electronic dental claims via Availity with payer ID 73288; paper only when EDI fails. Phone is the Humana provider customer service line printed on the CarePlus dental resources page.

Member-facing line shown on CarePlus provider pages (TTY 711). Use provider services for provider questions.

2026 CarePlus health services prior authorization request form fax for counties other than Miami-Dade, Broward and Palm Beach.

2026 CarePlus health services prior authorization request form fax for requests in Broward and Palm Beach counties. Availity Essentials is the preferred submission route. Use the county-specific fax printed on the current form.

2026 CarePlus health services prior authorization request form fax for Miami-Dade County requests. Availity Essentials is preferred.

Electronic 837 claims via Availity Essentials using CarePlus payer ID 95092 (Availity-specific). Paper claims only if all EDI methods fail and after contacting your provider services executive. Contracted filing limit 180 days; non-contracted 12 months. Written requests to review denied claims go to the same P.O. Box.

Physicians/providers request to join the CarePlus network by faxing the Letter of Interest form. Not for claims or authorizations.

CarePlus Medicare Part D coverage determination request form (prescriber may submit). Fax and mailing address are printed on the form. Phone requests are directed to the CarePlus member services number on the same form.

Written disputes of an initial claim determination (include provider name, NPI/TIN, member name/ID, date of service, etc. per page). Phone review requests use provider services 866-220-5448.

Send address, phone/fax, website or panel-status changes for the CarePlus provider directory to your provider services executive by fax, or call Provider Operations/Provider Services.

CarePlus (a Humana company) Florida Medicare Advantage. Published as the Health Services Department / provider services line for prior authorization questions, Availity help and claim-denial review requests; the PA form lists it as the utilization management provider line for urgent/same-day services. Eligibility and authorization submission are expected through Availity Essentials. Not a member line.

Behavioral health prior authorization requests for IMD (institution for mental disease) stays; separate BH channel from medical PA.

Behavioral health (non-IMD) prior authorization requests.

Marketplace medical prior authorization fax and email (Indiana and Kentucky Marketplace).

CareSource Indiana Marketplace (exchange) provider services and phone PA.

Care management phone and care management referral fax for Indiana Medicaid; referrals can also be submitted in the provider portal.

Provider claim disputes for Indiana Medicaid (HHW/HIP).

Indiana Medicaid medical and dental paper claims. EDI payer ID INCS1. Claim inquiries via provider services 1-844-607-2831. Pharmacy claims go to Express Scripts, Attn: Commercial Claims, P.O. Box 14711, Lexington, KY 40512-4711.

CareSource Indiana Hoosier Healthwise / Healthy Indiana Plan medical PA (use the IHCP universal PA form). Portal preferred; phone PA via provider services 1-844-607-2831 menu.

Pharmacy benefit (Express Scripts) PA fax; PA phone 844-607-2831. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.