Contact provider services

Provider Helpline

800.942.4765

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

Press:

1 – Claims, benefits, eligibility
2 – Pharmacy
3 – Authorizations, health management status
4 – Behavioral Health
5 – Password help
6 – Connect to 5-digit staff extension  Staff list
7 – Contracting, credentialing

Appeals contacts

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

Fax 616.975.8856

For instructions and forms, check our Appeals page.

Authorizations, authorization status contacts 

800.942.4765, option 3

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.

Auth status

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

Prior auth reference list

Behavioral health contacts 

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.

800.673.8043

Mon.-Fri. 8-5

Auth forms

Claims contacts

For fastest service: Request a Priority Health provider account, then log in to use our Claims Inquiry tool.

Submitting claims

Status a claim

  • Fastest response: Check claim status in the online Claims Inquiry tool
  • Call 800.942.4765, option 1

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

No DCN number?

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

Contracting

800.942.4765

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

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

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

Drug authorizations, formulary exceptions contacts

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