Leon Health, Inc.

Leon Health (Miami-Dade Medicare Advantage HMO/D-SNP). Non-participating providers call for eligibility, authorization, claim, check/RA status; participating providers use the provider portal. Also printed on the claim appeals page.

Provider Relations department contact block on the Leon provider contact page.

Credentialing department.

Fax completed Part C prior authorization request form with supporting clinicals. Behavioral health cases use a separate fax (305-644-7734). The phone printed on the form is the Leon member/plan line.

Behavioral health prior authorization cases per the Leon PA form.

Leon Part D coverage determination request form; phone requests go to the Leon member line 1-844-969-5366. The provider contact page lists a separate pharmacy department fax 305-644-2527 and pharmacy@leonhealth.com.

Electronic 837P/I via Availity, payer name Leon Health Plan, payer ID A3565 (270/271 and 276/277 also live). Paper CMS-1500/UB-04 only; no email or fax claims. Phone/email are the Claims Department contacts on the submission page.

Non-participating providers appeal in writing with a signed Waiver of Liability within the stated timeframe. Contracted-provider payment disputes use the Claims Dispute address; the two Leon pages list different contracted-dispute faxes (305-718-2870 vs 305-718-2872), so that fax is withheld.

Contracted providers submit payment disputes within the contract timeframe to the Claims Appeals Department. Fax withheld: claim-appeals page shows 305-718-2870 while the provider contact page shows 305-718-2872 for contracted provider payment disputes.

Member line (local 305-541-5366, TTY 711). Not for provider claims.