|
| 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 |
|
|