1-877-903-0082, Case Management As a provider-sponsored Medicaid health plan, we believe your participation is vital to our mission to improve the health and quality of life of our members. ATTN: Claims
Member Services 1-844-380-8831, Pharmacy Technical Help Desk
P.O. 5100 Commerce Crossings Dr. Louisville, KY 40229. At current, we are complying with Governor’s request for no events, social distancing, etc. Call Toll-Free P.O. Louisville, Kentucky 40229, Member: 1-800-578-0603
(when requested from
P.O. 5100 Commerce Crossings Dr.
Available Monday through Friday, between 8 a.m. and 6 p.m. (ET), Utilization Management
Provider Portal User Guide 8 "Providers click here" button (Provider Self-Registration) "Provider Information" page The fields above will need to be completed with your information to locate your provider office record in the portal. Click here for a list of resources to help!
Email You can contact us using our email form. Provider Claims Services Unit (PCSU)
1-800-845-6592 between 8 a.m. and 6 p.m. (ET), Provider Claims Services Unit (PCSU) 5100 Commerce Crossings Dr. Forgot your user name Forgot your password. Passport Health Plan Note: If you are an oral surgeon, you must apply for participation with both Passport Health Plan and Avesis. Passport Health Plan then Option 2 Passport Health Plan 1-800-845-6592 Family Planning Claims Submission Passport Health Plan P.O. 1-800-578-0775 Passport Health Plan Available Monday through Friday, 1-800-578-0636, Care Management #TogetherKY #TeamKentucky, “Just wanted to let you know how much I appreciate the amazing service/assistance that I receive from Passport!”, “In all my experience of requesting precerts from all of our contacts, Passport is the most pleasant and helpful.”, “Our practice sees over 1,000 Passport members, many special needs kids with chronic and sometimes debilitating illnesses”, “I've been a member of Passport's Child & Adolescent Committee for 10 years, and I see how they welcome doctors' input.”, 5100 Commerce Crossings Drive
1901 Market Street, 29th Floor London, KY 40742, Family Planning Claims Submission Passport Health Plan Attn: Claims Provider: 1-800-578-0775. claims processing)
Attn: Case Management Available Monday through Friday, www.instamed.com 1-877-249-6659, 24 hour Behavioral Health Crisis Hotline 844-231-7946 TTY/TDD: 866-727-9441, Behavioral Health Access Line Dental UM: (866) 653-5544 939 Elkridge Landing Road Suite 200 TTY/TDD: 1-866-727-9441. Electronic Claims Submission 5100 Commerce Crossings Dr. Box 42476 Philadelphia, PA 19114, To join Passport’s provider network Click Here to Get Started PO Box 7114 Attn: Appeals Department 1-800-578-0775, Select Option 2, then Option 1 Phoenix, AZ 85069-3800, Submission of Medical Records
Vision Claim Submission Prior to 9/1/19 Superior Vision Attn: Claims Department 939 Elkridge Landing Road Suite 200 Linthicum, MD 21090 You can call us Mon - Fri | 7am - 7pm ET. Main Office Number (502) 585-7900.
For information about Baltimore, MD 21201, Submission of Medical Records PO Box 7114 1-888-941-7433 (Voice and TTY), Provider Services 61129. 1-800-578-0775, Select Option 2,
Louisville, KY 40229 When submitting medical records during the claims process, please attach the original or corrected claim and mail to: London, KY 40742, Provider Prior Authorization Request Line support@instamed.com, Claims Submission When submitting medical records during the claims process, please attach the original or corrected claim and mail to: Box 7114 Attention: Vision Claims
P.O.
Dental Provider Services: (866) 909-1083 Dental UM: (866) 653-5544 Claims Submissions/Claims Correction: Avesis Third Party Administrators, Inc. Attn: Corrected Dental Claims P.O.
Available Monday through Friday, between 8 a.m. and 6 p.m. (ET), Provider Claims Services Unit (PCSU)
Louisville, KY 40229
InstaMED ERA/EFT Provider Portal . Thank you for your interest in joining Passport Health Plan’s (Passport) network of participating providers.
5100 Commerce Crossings Drive Adding a Provider to a Participating Group? Passport Health Plan electronic payer 1-800-578-0603 Call Toll-Free
Attn: Appeals Department Please submit this request to begin the Passport Health Plan process and contact Avesis directly.
1-877-903-0082. 1-844-231-7946 TTY/TDD: 1-866-727-9441, Behavioral Health Access Line
Attn: Claims Department
Emdeon (formely WebMD) identification number is 61325.