Member Services: 1-800-595-0619

Language Assistance

ATTENTION:  If you do not speak English, language assistance services, free of charge, are available to you. Call 1-800-595-0619 (TTY: 711).

When submitting a claim for a covered service, please submit a written request with the following information:

  • Date of service
  • Provider/office name
  • Diagnosis code
  • CPT/HCPCS/REV code
  • Provider NPI
  • Amount billed
  • Any applicable medical records

For your convenience, claim forms can be found here:

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