- Verify a member’s eligibility and benefits.
- Submit and track claims.
- Submit and track predeterminations.
- Review patient utilization history.
You can also use our automated phone system for network providers. Call 1-212-501-4444 (in NYC) or 1-800-624-2414 (outside NYC). Enter the patient’s member ID number when prompted. Also have handy your tax ID number filed with us, as well as the patient’s date of birth.
To submit written information about claims (such as requests for payment clarification, payment adjustment, check returns or consultant re-review), mail to:
PO Box 1701
New York, NY 10023