For questions about the following, please contact Health Services and our experienced, professional and licensed nurses will help you.

  • Concurrent review
  • Coverage of items related to DME
  • Identify Providers within the network
  • Member panel enquiries
  • Necessary referrals outside the network
  • Request for specific or unusual treatments
  • To get an Authorization
  • To see if an authorization or precertification is needed
  • Vision or dental needs
Health Services (Medical) Department
Phone: (615) 782-7851 (choose menu option 2 and follow prompts)

Hours of Operation: Monday - Friday 8:00AM to 5:00 PM Central Standard Time

 
For Credentialing Issues or Questions, please call:
Credentialing Department
Phone: (615) 782-7811
 
For Early and Periodic, Screening, Diagnosis, and Treatment (EPSDT), please call:
EPSDT Coordinator
Phone: (615) 782-7809
 
For Grievances and Appeals or Provider Disputes, please call:
Grievance and Appeals Coordinator
Phone:(615) 782-7851 (choose menu option 3)
 
For Provider Relations Issues, please call:
Provider Services Department
Phone: (615) 782-7851 or 1-877-225-2242
E-mail: Provider Services
 
For Reporting Fraud and Abuse, please call:
VHP Fraud and Abuse Hotline
Phone: (615) 782-7899
 
For Reporting Quality Issues, please call:
Quality Coordinator
Phone: (615) 782-7809
 
Claims Mailing Address:
VHP CommunityCare
PO Box 269011
Plano, TX 75026
 
Electronic Claims (EDI) Submission:
Envoy
Payer ID - 23173
 
General Correspondence:
VHP Community Care
7100 Commerce Way, Suite 285
Brentwood, TN 37027
Phone: (615) 782-7800
VHP Community Care
7100 Commerce Way , Suite 285
Brentwood, TN 37027
(615) 782-7800

 

Please see our Privacy Policy and Disclaimer

VHP CommunityCare is a wholly-owned subsidiary of Windsor Health Group and licensed by the State of Tennessee to operate in Davidson County as a TennCare Managed Care Organization. VHP CommunityCare currently contracts with Vanderbilt University Medical Center, Meharry Medical College, Metro General Hospital, and their various providers serving an average of 35,000 TennCare members.