Eligibility and benefits

Resolve eligibility and benefit questions after checking the payer portal. A benefit quote does not guarantee payment.

eligibility benefits

Member eligibility IVR for providers

Official page read

Phone888-517-2247Published hours

24 hours a day, 7 days a week

Product, plan and location

medicare advantage
California · North Carolina · Nevada · Arizona · Texas · Florida

Mailing address

Not researched for this route

Menu guidance in the source record

Select option 2; say "Member-specific plan"; give individual NPI (out-of-network: say "I don't have one"); then member Alignment ID or MBI and the service year.

Menus can change. No live call verification is claimed.

Automated eligibility verification for in-network and out-of-network providers. Alternatively Provider Relations (existing line) option 5 for PPO benefits/eligibility.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

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Contact you calledWhen you called (your local time)

Minutes until a person answered / you stopped waitingOutcome

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Suggest a contact correction

Suggest a correction

Contact to correctWhat needs correcting?Proposed public informationOfficial page that supports the correctionThis is public organization information only. I have not included patient, member, claim or private contact details. Privacy notice.

Call preparation · editorial guide

Make the call count.

Resolve eligibility and benefit questions after checking the payer portal. A benefit quote does not guarantee payment.

Have ready in your secure workspace

Member and subscriber details from the card
Proposed service dates and procedure codes
Provider location and network information

Questions to resolve

Is coverage active for this date and service?
Do limits, referrals, authorizations or other coverage affect this request?
What source and reference support the benefit quote?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.