|
Phone Number |
Hours of Operation |
| Clinical Pharmacy Services |
| Prescription Drug Preauthorization |
1-888-678-7012
1-888-671-5285 (toll-free fax) |
Mon. – Fri., 9 a.m. – 5 p.m. |
| Pharmacy Appeals |
1-888-494-8213 (Option 1) |
|
| Blood Glucose Meter Hot Line |
1-888-494-8213 (Option 2) |
|
| Corporate and Financial Investigations |
| Anti-Fraud and Corporate Compliance Hotline |
1-866-282-2707 |
|
| Credentialing |
| Credentialing Hotline |
215-988-6534 |
|
| Credentialing Violation Hotline |
215-988-1413 |
|
ConnectionsSM Programs Provider Support Line
(Disease Management and Decision Support)
|
| Physician Hotline |
1-866-866-4694 |
|
| Members Access Number |
1-800-ASK-BLUE |
|
|
Philadelphia Area |
Outside Philadelphia |
Hours of Operation |
| Customer Service/Member Services |
| HMO — Keystone Health Plan East |
215-241-2273 |
1-800-227-3114 |
Mon. – Fri., 8 a.m. – 6 p.m. |
| PPO — Personal Choice® |
215-557-7577 |
1-800-626-8144 |
Mon. – Fri., 8 a.m. – 6 p.m. |
| Keystone 65 |
215-241-2365 |
1-800-645-3965 |
7 days a week, 8 a.m. – 8 p.m. |
| Personal Choice 65SM |
215-561-4877 |
1-888-718-3333 |
7 days a week, 8 a.m. – 8 p.m. |
| Health Resource Center |
| Healthy LifestylesSM |
215-241-3367 |
1-800-275-2583 |
Mon. – Fri., 8 a.m. – 6 p.m. |
| Precertification |
215-241-2100 |
1-800-227-3116 |
Mon. – Fri., 8 a.m. – 5 p.m. |
| Mental Health/Substance Abuse |
| Magellan Behavioral Health |
1-800-688-1911 |
24 hours a day/7 days a week |
|
Care Management and Coordination
|
Case Management HMO/PPO
(Medicare and Commercial)
|
215-567-3570 |
1-800-313-8628 |
Mon. – Fri., 8 a.m. – 5 p.m. |
Baby BluePrints®
(Perinatal Case Management) Nurse |
215-241-2198 |
1-800-598-BABY |
On call 24 hours a day |
| Provider Services |
| HMO Policies/Procedures/Eligibility/Claims |
215-567-3590 |
1-800-227-3119 |
Mon. – Fri., 8 a.m. – 5 p.m. |
| PPO Policies/Procedures/Claims |
215-567-3694 |
1-800-332-2566 |
Mon. – Fri., 8 a.m. – 5 p.m. |
| The Provider Supply Line |
| The Provider Supply Line |
1-800-858-4728 |
|
| NaviNet® |
| Portal Registration and Questions |
215-640-7410 |
|
| NaviMedix® |
| NaviMedix® |
1-888-482-8057 |
|
Contact Information