Commercial Business
Claims
Provider Service Unit – 1-888-349-3706
Electronic Claims Filing
- Availity– 1-800-282-4548
- EDI – 1-800-746-4614
Eligibility and Benefits
- Availity
- Interactive Voice Response (IVR) – 1-888-349-3706
Contracts, Contact Information Update, NPI Questions/Issues
Network Management
- 1-800-567-8540 or 505-837-8800
- Fax 1-866-290-7718 or 505-816-2688
- Network Regions and Network Contact List by Region
Preauthorizations, Case Management, Disease Management
- Health Services – 1-800-325-8334 or 505-291-3585
- Prior Authorizations – 1-800-325-8334, Option 1 or 505-291-3585
- Utilization Management – 1-800-325-8334, Option 3 or 505-291-3585
- Case Management – 1-800-325-8334, Option 2 or 505-291-3585
- Disease Management, Health Educator – 1-866-252-8106 or 505-816-2102
- Nurse Care Advisor – 1-866-874-0912
- Email Disease Management
Government Programs
Provider Training – Provider Access and Servicing Strategy (PASS)
- Provider Training Schedule
- Fax the Webinar Registration Form to 903-934-7130 (attn: PASS Clerk).
- To request training (workshop, webshop, education session, or web session}, please call (903) 923-2770.
- If you have any additional questions, please email PASS Workshop Information.
