Appeals
Claims questions
800 942-4765, option 2
Mon.-Thurs. 7:30-5; Fri. 9-5 |
Online tool for logged-in providers: Claims Inquiry
Ancillary providers:
Facility providers:
Practitioner providers:
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Authorizations
Authorization status
800 942-4765, option 4
Mon.-Thurs. 7:30-5; Fri. 9-5 |
Urgent after-hours authorizations: Call 800 269-1260. Leave a phone number and message. A nurse case manager will return your call within 30 minutes.
Online tool for logged in providers: Auth Inquiry
Fax: 616 942-0024
Priority Health Authorizations
MS 1255
1231 East Beltline NE
Grand Rapids, MI 49525 |
Behavioral health
800 673-8043
Mon.-Thurs. 8-5:30, Fri. 8-5 |
Fax 616 975-0249
Case managers are available for intensive case review Mon.-Fri. until 4:45 p.m.
Non-participating providers, call to schedule case management reviews. |
Contracting
Credentialing
Locum tenens
800 942-4765
Mon.-Fri. 8:30-5
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Fax 616 975-8851 (West/Northern Michigan)
Fax 248 324-2984 (East Michigan)
Priority Health Contracting
MS 2310
1231 East Beltline NE
Grand Rapids, MI 49525 |
Drug authorizations
Formulary exceptions
800 466-6642
Mon.-Thurs. 7:30-7; Fri. 8-7; Sat. 8:30-Noon
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Pharmacy Help Desk
Fax 616 942-8206
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Electronic data,
file exchange info & setup
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Online
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Patient discharge requests
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Form and instructions
Fax 616 975-8828
Priority Health PCP Patient Discharge
MS 1105
1231 East Beltline NE
Grand Rapids, MI 49525 |
Specialist search,
in-network
800 998-1037
Mon.-Fri. 8:30-5 |
Specialty Resource Locator Line
- Find in-network resources and facilities that meet your patients' needs
- After hours, leave a secure voice mail message. We will call you back the next business day.
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