Contact Us

Use this form to ask about enrollment, claims and more. Need to check patient eligibility and benefits, submit and check status on prior authorizations or grievances and appeals? Use Availity. Need to set up electronic funds transfer (EFT) and electronic remittance advice (ERA)? Visit the Change Health payer enrollment services website. You can also call Provider Relations and/or email contracting for new contract requests or credentialing questions.

 
Inquiry information 
 

 

Requester information (at provider’s office)
 
 

 
   

Provider information
   
*First Name
 
*LAST NAME
 

   
   

 
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