DialClerk Directory

Health plans and insurers

Neighborhood Health Plan of Rhode Island

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

9 contact routesNo directory research calls placed

member services

Neighborhood Dual CONNECT — member prior-authorization questions

Official page read
Phone844-812-6896Published hours

8 a.m.–8 p.m. daily, October 1–March 31; Monday–Friday, April 1–September 30

Product, plan and location

medicare advantage · dsnp
Rhode Island

Mailing address

Not researched for this route

Member and authorized-representative prior-authorization questions/intake for Dual CONNECT. Voicemail is available on weekends and federal holidays during the applicable off-hours period. The representative-appointment fax on the page is not a general PA fax.

View source ↗ · Source checked 2026-10-22 · Source updated 2026-10-01

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

provider services

Provider Services

Official page read
Phone800-963-1001Published hours

M-F 8am-6pm

Product, plan and location

medicaid · medicare advantage · exchange · commercial
Rhode Island

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

fax prior auth

Paper prior authorization request fax

Official page read
Phone

No phone listed for this route

Fax

401-459-6023

Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage · exchange · commercial
Rhode Island

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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prior authorization

Evolent - oncology, radiation oncology, genomic testing PA for Neighborhood

Official page read
Phone888-999-7713Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage
Rhode Island

Mailing address

Not researched for this route

Menu guidance in the source record

Option 1 medical oncology/genomic; Option 2 radiation oncology

Menus can change. No live call verification is claimed.

View source ↗ · Source checked 2026-10-21

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

prior authorization

Integra Partners - home-delivered DME authorization for Neighborhood

Official page read
Phone888-729-8818Fax

248-844-3824

Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage · commercial
Rhode Island

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

member services

Member services - ACCESS/RIte Care, RHP, Expansion (member line)

Official page read
Phone800-459-6019Published hours

Not published in this record

Product, plan and location

medicaid
Rhode Island

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

member services

Member services - commercial individual/family and small employer (member line)

Official page read
Phone855-321-9244Published hours

Not published in this record

Product, plan and location

exchange · commercial
Rhode Island

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

claims

Paper claims mailing address (all lines of business)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · exchange · commercial · dsnp
Rhode Island

Mailing address
Neighborhood Health Plan of Rhode Island Attention: Claims Department P.O. Box 28259 Providence, RI 02908-3700

Paper claims with attachments.

Claims without attachments and all COB/secondary claims must be filed electronically using payer ID 05047 for all lines of business. Paper is for claims needing attachments (e.g., single case agreements) and must be on original red forms. Questions: Provider Services 1-800-963-1001.

View source ↗ · Source checked 2026-10-25

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fax prior auth

Evolent oncology/hematology drug requests fax

Official page read
Phone

No phone listed for this route

Fax

213-596-3783

Oncology/hematology PA requests.

Published email

efax-carepro-oncology@newcenturyhealth.com

Oncology eFax email address.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Rhode Island

Mailing address

Not researched for this route

Evolent Health handles oncology/hematology drug prior authorization for Neighborhood; portal preferred, phone 888-999-7713. Radiation oncology uses a separate fax listed on the page.

View source ↗ · Source checked 2026-10-25

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