DialClerk Directory

Health plans and insurers

Elderplan (MJHS) and HomeFirst

Phone, published email, fax, addresses and the next step for your office.

7 contact routesNo directory research calls placed

provider services

Provider Services — Elderplan and HomeFirst

Official page read
Phone800-353-3765Published email

EPProviderservices@mjhs.org

Published hours

9am–5pm, Monday–Friday

Product, plan and location

medicare advantage · dsnp · medicaid
New York

Mailing address

Not researched for this route

Menu guidance in the source record

Option 2 for providers

Menus can change. No live call verification is claimed.

Elderplan (MJHS) provider services for benefits, eligibility, claims status and pre-authorization questions. The same number (without option 2) is Elderplan member services. HomeFirst MLTC member services is 1-877-771-1119.

View source ↗ · Source checked 2026-10-24 · Elderplan Provider Manual 2026 lists Provider Services number and email ↗

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

prior authorization

Prior authorization — Medical Management (via Provider Services)

Official page read
Phone800-353-3765Published hours

9am–5pm, Monday–Friday

Product, plan and location

medicare advantage · dsnp
New York

Mailing address

Not researched for this route

Per the 2026 provider manual, prior authorization requests are called in to the Medical Management Department via Provider Services. An authorization request form (Sept 2025) is posted under Provider Materials. High-tech radiology is through Premier (see separate line).

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.

claims

Paper claims and claims correspondence — Elderplan

Official page read
Phone800-353-3765Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
New York

Mailing address
Elderplan Claims Department P.O. Box 73111 Newnan, GA 30271-3111

Paper claims and claim correspondence.

Electronic claims: Elderplan Payer ID 31625 via iEDI (Optum) or TransShuttle (Axiom). Claims needing operative reports, EOBs or attachments must be submitted on paper. Claim status: Provider Services or the Provider Web Portal.

View source ↗ · Source checked 2026-10-24

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

pharmacy prior auth

Part D coverage determinations — CVS Caremark (Elderplan)

Official page read
Phone866-490-2102Fax

855-633-7673

Published hours

24 hours a day, 7 days a week

Product, plan and location

medicare part d · medicare advantage
New York

Mailing address
CVS CAREMARK Coverage Determinations P. O. Box 52000, MC109 Phoenix, AZ 85072-2000

Written Part D coverage determinations.

Elderplan pharmacy benefit manager for Part D prior authorization / coverage determinations. TTY 711.

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.

prior authorization

High-tech radiology authorizations — Premier (formerly Care to Care)

Official page read
Phone866-390-7526Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
New York

Mailing address

Not researched for this route

Elderplan high-tech radiology vendor; Premier claims inquiries are 1-800-610-6114.

View source ↗ · Source checked 2026-10-24

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

behavioral health

Behavioral health — Carelon (Elderplan Plus Long-Term Care / MAP only)

Official page read
Phone833-918-0808Published hours

Not published in this record

Product, plan and location

dsnp · medicaid
New York

Mailing address

Not researched for this route

Carelon (formerly Beacon) handles behavioral health only for the Elderplan Plus Long-Term Care (Medicaid Advantage Plus) plan.

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.

dental

Dental inquiries — DentaQuest (Elderplan)

Official page read
Phone888-308-2508Published hours

Not published in this record

Product, plan and location

dental · medicare advantage
New York

Mailing address

Not researched for this route

DentaQuest is Elderplan's dental vendor.

View source ↗ · Source checked 2026-10-24

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

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