Health plans and insurers

Paramount Health Care

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

23 contact routesNo directory research calls placed

provider services

Provider Inquiry (claim/PA status, eligibility, benefits)

Official page read

Phone888-891-2564Fax

419-887-2014

Published hours

M-F 8:30am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

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.

provider services

Provider Relations

Official page read

Phone800-891-2542Fax

567-585-9403

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

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.

prior authorization

Utilization Management / prior authorization

Official page read

Phone800-891-2520Fax

567-661-0842

Published hours

M-F 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Manual lists dept faxes: 567-661-0841 mental health/CD, 0842 general/PA, 0843 home health, 0844 imaging, 0845 inpatient acute, 0846 med/surg/DME/genetics, 0847 out-of-plan, 0848 SNF/rehab/LTAC.

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.

fax prior auth

UM fax - inpatient acute care notifications

Official page read

Phone

No phone listed for this route

Fax

567-661-0845

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

fax prior auth

UM fax - imaging

Official page read

Phone

No phone listed for this route

Fax

567-661-0844

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

fax appeals

Provider appeals fax

Official page read

Phone

No phone listed for this route

Fax

567-585-9500

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

pharmacy prior auth

Pharmacy prior authorization (commercial)

Official page read

Phone800-891-2520Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Menu guidance in the source record

option 2

Menus can change. No live call verification is claimed.

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.

pharmacy prior auth

Medicare Part D PA/exceptions (CVS Caremark)

Official page read

Phone855-344-0930Fax

855-633-7673

Published hours

Not published in this record

Product, plan and location

medicare advantage
Ohio

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 (member line)

Official page read

Phone800-462-3589Fax

419-887-2047

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

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

Medicare member line

Official page read

Phone833-554-2335Published hours

Not published in this record

Product, plan and location

medicare advantage
Ohio

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 and claim adjustment/coding review requests

Official page read

Phone

No phone listed for this route

Fax

405-254-2124

Claim appeals with Claim Adjustment/Coding Review Request form

Published email

Paramount.Docflow@medmutual.com

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Paramount P.O. Box 497 Toledo, OH 43697-0497

Paper claims and claim appeals

Paper CMS-1500 (02-12)/UB-04 red-ink forms only (no photocopies/faxed claims) to P.O. Box 497. Claim appeals/adjustment requests with the Claim Adjustment/Coding Review Request form by mail, fax or email; adjustment requests within 180 days of the original notice. Electronic claims via clearinghouse or MyParamount TransShuttle.

View source ↗ · Source checked 2026-10-25

Report an update

email other

Provider Inquiry email

Official page read

Phone

No phone listed for this route

Published email

Paramount.ProviderInquiry@MedMutual.com

Published hours

Mon-Fri 8:30am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Benefits/eligibility, claim status, claim processing issues, referral/authorization verification (phone 888-891-2564).

View source ↗ · Source checked 2026-10-25

Report an update

email other

Provider Relations email (TransShuttle access, contracts, education)

Official page read

Phone

No phone listed for this route

Published email

ProviderRelations.Paramount@MedMutual.com

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Office staff education, contract issues, new product participation, MyParamount TransShuttle portal access requests.

View source ↗ · Source checked 2026-10-25

Report an update

edi clearinghouse support

Electronic claims submission help desk

Official page read

Phone

No phone listed for this route

Published email

PHCECShelpdesk@medmutual.com

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Electronic claim submission setup and Trading Partner Agreement questions.

View source ↗ · Source checked 2026-10-25

Report an update

email other

Quality Improvement email

Official page read

Phone

No phone listed for this route

Published email

PHCQuality@medmutual.com

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Quality improvement information/questions.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

UM fax - mental health and chemical dependency

Official page read

Phone

No phone listed for this route

Fax

567-661-0841

Published hours

UM Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Behavioral health (mental health, chemical dependency) authorization fax.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

UM fax - home health care

Official page read

Phone

No phone listed for this route

Fax

567-661-0843

Published hours

UM Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Home health care authorization fax.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

UM fax - medical, surgical, DME, genetics and predeterminations

Official page read

Phone

No phone listed for this route

Fax

567-661-0846

Published hours

UM Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Medical/surgical, DME, genetic testing and pre-determination requests.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

UM fax - out-of-plan requests

Official page read

Phone

No phone listed for this route

Fax

567-661-0847

Published hours

UM Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Out-of-plan (out-of-network) authorization requests; also the main UM fax listed with 800-891-2520.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

UM fax - SNF, rehabilitation and LTAC

Official page read

Phone

No phone listed for this route

Fax

567-661-0848

Published hours

UM Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Skilled nursing, rehabilitation and LTAC authorization fax.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

UM fax - hospital admission clinical notification (toll-free)

Official page read

Phone

No phone listed for this route

Fax

844-282-4901

Published hours

UM Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

Inpatient/observation admission fact sheet plus clinical review; clinical notification due by end of next business day. Fax is the preferred method.

View source ↗ · Source checked 2026-10-25

Report an update

pharmacy prior auth

Pharmacy drug prior authorizations (CVS Caremark)

Official page read

Phone855-749-0851Published hours

Mon-Fri 8am-5pm

Product, plan and location

commercial · medicare advantage · exchange
Ohio

Mailing address

Not researched for this route

CVS Caremark line for obtaining drug prior authorizations (fax 855-633-7673 already listed for Part D).

View source ↗ · Source checked 2026-10-25

Report an update

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

pharmacy prior auth

Medicare Part B drug prior authorization / step therapy (Prime Therapeutics)

Official page read

Phone800-327-3974Published hours

24/7 for urgent requests

Product, plan and location

medicare advantage
Ohio

Mailing address

Not researched for this route

Prime Therapeutics (gatewaypa.com) for Part B drug requests; urgent/expedited by phone.

View source ↗ · Source checked 2026-10-25

Report an update

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

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Paramount Health Care

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