Contact provider services

Provider Helpline

800.942.4765

Mon.-Thurs. 7:30-5; Fri. 9-5

Press:

1 – Dental providers
2 – Claims, benefits, Medicare, member eligibility
3 – Pharmacy
4 – Authorization or health management status
5 – Behavioral Health
6 – Website and password help
7 – Connect to 5-digit staff extension

Appeals

Log in and use your account Mailbox to send information securely.

Out-of-network providers: Fax 616.975.8856

For instructions and forms, check our Appeals page.

Authorizations, authorization status

800.942.4765, option 4

Mon.-Thurs. 7:30-5; Fri. 9-5

Urgent after-hours authorizations only

Call 800.269.1260. Leave a phone number and message. A nurse care manager will return your call within 30 minutes.

Log in and use our online Auth Inquiry tool

Fax 616.942.0024

Priority Health Authorizations
MS 1255
1231 East Beltline NE
Grand Rapids, MI 49525

Behavioral health

800.673.8043

Mon.-Fri. 8-5

Emergency treatment for behavioral health conditions does not require prior authorization.

Non-emergency inpatient authorization requests, fax to: 616.975.0249

A clinician will contact you during regular business hours.

Claims

Online tool: Claims Inquiry

Submitting claims

Status a claim

Request reconsideration

Request a claim review - learn the process

No DCN number?

For general billing questions, email provider.services@priorityhealth.com

Contracting, locum tenens

800.942.4765

Mon.-Fri. 8:30-5

Fax 616.975.8851 (West/Northern Michigan)

Fax 248.324.2984 (East Michigan)

Priority Health Contracting
MS 2320
1231 East Beltline NE
Grand Rapids, MI 49525

Credentialing, enrollment

800.942.4765

Mon.-Fri. 8:30-5

Email: PH-PELC@priorityhealth.com

Fax 616.975.8857

Priority Health Provider Enrollment & Life Cycle
MS 2320
1231 East Beltline NE
Grand Rapids, MI 49525

Credentialing

Drug authorizations, formulary exceptions

800.466.6642

Mon.-Thurs. 7:30-7; Fri. 8-7; Sat. 8:30-Noon

Pharmacy Help Desk

Fax 616.942.8206

Electronic data, file exchange info & setup