To obtain information on the status of your claims, please access the Provider Portal or call Enrollee Services at
888-404-3549, which is available Monday through Friday 8 a.m. to 5:30 p.m.
Find out the guidelines for timely claims submissions
Electronic Claims Submission and Electronic Funds Transfer (EFT) / Electronic Remittance Advise (ERA)
Learn where to send refunds for errors in claims payments.
Learn how to submit a payment dispute.
Understand the laws pertaining to the prevention and detection of fraud, waste, and abuse, in accordance with the requirements of the federal Deficit Reduction Act of 2005.
Prior authorization is required for elective and direct placement into observation (i.e. from home, physician office, etc.)
Click on the link above for the ICD-10-CM version of the Emergency Room Auto-Pay List.
Information current as of: