Health plans and insurers

VillageCareMAX

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

5 contact routesNo directory research calls placed

provider services

Provider Services — claims, authorizations and network status

Official page read
Phone855-769-2500Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

Provider page updated August 6, 2026. Network Management also handles contract and credentialing-status inquiries. New York health-plan administration. Confirm the member’s VillageCareMAX product and eligibility; the discontinued Medicare Health Advantage FLEX product is not presented as current.

View source ↗ · Source checked 2026-10-22

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

member services

Member services and general correspondence

Official page read
Phone800-469-6292Fax

212-337-5711

Published hours

8 a.m.–8 p.m., seven days a week; answering service after hours and holidays

Product, plan and location

Confirm the exact product or service
New York

Mailing address
VillageCareMAX, 120 Broadway, Suite 2840, New York, New York 10271

General member correspondence; not provider claims.

Contact page updated May 1, 2026. New York health-plan administration. Confirm the member’s VillageCareMAX product and eligibility; the discontinued Medicare Health Advantage FLEX product is not presented as current.

View source ↗ · Source checked 2026-10-22

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

claims

Original and corrected physical-health claims

Official page read
Phone855-769-2500Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address
VillageCareMAX Claims, PO Box 3238, Scranton, PA 18505

Original and corrected paper physical-health claims.

2026 Q2 bulletin, updated July 10, 2026. Electronic physical-health claims use Availity payer ID 26545. Contract-specific filing limits apply. New York health-plan administration. Confirm the member’s VillageCareMAX product and eligibility; the discontinued Medicare Health Advantage FLEX product is not presented as current.

View source ↗ · Source checked 2026-10-22

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

appeals grievances

Provider claims disputes and appeals

Official page read
Phone

No phone listed for this route

Fax

855-864-7385

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address
VillageCareMAX Claims, PO Box 3238, Scranton, PA 18505

Provider claims disputes and appeals.

This is the claims dispute/appeal fax, not the general Member Services fax. Nonparticipating providers must follow the plan’s waiver-of-liability requirements. New York health-plan administration. Confirm the member’s VillageCareMAX product and eligibility; the discontinued Medicare Health Advantage FLEX product is not presented as current.

provider enrollment credentialing

Delegated credentialing roster and provider-relations support

Official page read
Phone

No phone listed for this route

Published email

ProviderRelations@villagecare.org

Request/confirm the Provider Relations Account Manager for delegated credentialing updates; EFT enrollment support is also explicitly listed.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

Delegated organizations submit the plan’s roster template to their account manager monthly. Directly credentialed providers use the separate demographic-change form; this mailbox is not inferred to be original credentialing intake. New York health-plan administration. Confirm the member’s VillageCareMAX product and eligibility; the discontinued Medicare Health Advantage FLEX product is not presented as current.

View source ↗ · Source checked 2026-10-22

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