provider services
Provider customer service — Medicare Advantage
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Also used for claims questions and EDI enrollment questions.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
claims
Paper claims — Medicare Advantage
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Electronic claims via Availity Essentials, payer ID 52192.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
eligibility benefits
Copayment information and eligibility verification
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Eligibility can also be checked on Availity Essentials.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Prior authorization — medical
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Preferred submission is the Availity Essentials prior authorization portal (HealthSpring Medicare Advantage payer space). Transplant requests also go to this fax. eviCore handles high-tech radiology, oncology, radiation therapy and musculoskeletal service lines.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Prior authorization — Part B drugs and biologics
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Drugs/biologics Part B prior authorization department.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
Inpatient / observation admission notification
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Facilities submit admission clinicals within 24 hours of notification. Texas CareAllies admissions use different numbers.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
pharmacy prior auth
Part D prior authorization
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Part D prior authorization requests; CoverMyMeds also accepted.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
appeals grievances
Part C appeals questions and standard medical appeals
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Standard appeal fax withheld: the manual lists 855-350-8671 but the HealthSpring contact-us web page displays a different fax (1-800-931-0149) for appeals.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax appeals
Participating provider post-service appeals and claim disputes
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Use the postservice appeal and claim dispute form from the HealthSpring website.
fax appeals
Expedited medical appeals
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets.
appeals grievances
Part D appeals
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
behavioral health
Behavioral health and substance use disorder authorizations
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. All markets.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Florida HMO emergency referral by phone
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Florida number in the manual's referral-by-phone table, for emergency referrals; routine referrals are submitted through Availity or by mailed form. Central and South Florida HMO plans require referrals.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
case management
Care management referrals
Menu guidance in the source recordOption 2
Menus can change. No live call verification is claimed.
HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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