Contact InformationFor providers
Important telephone numbers
| Philadelphia area | Outside Philadelphia | |
|---|---|---|
| Carelon Medical Benefits Management [formerly AIM Specialty Health® (AIM)] | ||
| Precertification requests for CT/CTA, MRI/MRA, PET, nuclear cardiology, facility setting sleep studies, continuous positive airway pressure titration, sleep equipment (APAP, BPAP, CPAP) and related supplies, Cardiology Utilization Management Program, and Musculoskeletal Utilization Management Program | 1-866-745-1791 | |
| Anti-fraud and Corporate Compliance | ||
| Hotline | 1-866-282-2707 | |
| Baby BluePrints® | ||
| Perinatal case management | 215-241-2198 | 1-800-598-BABY (1-800-598-2229) |
| CareCore National, LLC d/b/a eviCore healthcare (eviCore) | ||
| Precertification requests for nonemergent outpatient radiation therapy services Precertification and/or prepayment reviews for genetic/genomic tests, certain molecular analyses, and cytogenetic tests | 1-866-686-2649 | |
| Clinical Services – Utilization Management | ||
| Requests for authorization services should be entered through PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal. | 1-800-ASK-BLUE (1-800-275-2583) |
|
| Credentialing | ||
| Credentialing violation hotline | 215-988-1413 | |
| Credentialing Participation Request Form | Practitioner Participation Form | |
| Credentialing and re-credentialing application status inquiries | Email: credinquiries@ibx.com | |
| Credentialing application corrections | Email: CredOps@ibx.com Fax: 215-238-2549 |
|
| Customer Service | ||
| Keystone Health Plan East HMO/POS Mon. – Fri., 8 a.m. – 6 p.m. |
1-800-ASK-BLUE (1-800-275-2583) |
|
| Personal Choice® PPO Mon. – Fri., 8 a.m. – 6 p.m. |
1-800-ASK-BLUE (1-800-275-2583) |
|
| Federal Employee Program (FEP) Mon. – Fri., 8 a.m. – 5 p.m. |
215-241-4400 | |
| Keystone 65 HMO/POS 8 a.m. – 8 p.m., 7 days a week (on weekends and holidays from April 1 through September 30, your call may be sent to voicemail) |
215-241-2365 | 1-800-645-3965 |
| Personal Choice 65SM PPO 8 a.m. – 8 p.m., 7 days a week (on weekends and holidays from April 1 through September 30, your call may be sent to voicemail) |
215-561-4877 | 1-888-718-3333 |
| MedigapSecurity, MedigapFreedom, and Security 65® 8 a.m. – 8 p.m., 7 days a week (on weekends and holidays from April 1 through September 30, your call may be sent to voicemail) |
1-888-926-1212 | |
| TTY/TDD Language assistance services are offered through the AT&T Language Line for Members who have difficulty communicating because of an inability to speak or understand English. |
711 | |
| Pharmacy Benefits | ||
| Prescription drug prior authorization Mon. – Fri., 9 a.m. – 5 p.m. |
1-888-678-7012 Fax: 1-888-671-5285 |
|
| Direct Ship Drug Program | www.ibx.com/directship Fax: 215-761-9580 |
|
| Blood Glucose Meter Hotline | 1-888-678-7012 | |
| Medicare Part D | ||
| Prescription drug prior authorization 24 hours a day, 7 days a week | 1-888-678-7015 Fax: 1-888-671-5285 |
|
| Direct Ship Drug Program | www.ibx.com/directship Fax: 215-761-9580 |
|
| Blood Glucose Meter Hotline | 1-888-678-7012 | |
| Health Coaching | ||
| Case and Condition management 24 hours a day, 7 days a week |
1-800-313-8628 | |
| Independence Administrators | ||
| Provider Services (direct all inquiries or issues directly to Independence Administrators) | 1-888-356-7899 | |
| Independence Blue Cross and Highmark Blue Shield Caring Foundation | ||
| Hotline | 1-800-464-5437 | |
| Keystone First | ||
| Hours: Mon. – Fri., 8 a.m. – 5 p.m. Nurse on call 24 hours a day |
1-800-521-6007 | |
| Mental Health/Substance Abuse | ||
| Magellan Healthcare, Inc. Customer Service and Precertification 24 hours a day, 7 days a week |
1-800-688-1911 | |
| For Keystone Health Plan East Members with Caring Foundation benefits 24 hours a day, 7 days a week |
1-800-294-0800 | |
| Independence Administrators 24 hours a day, 7 days a week |
1-800-634-5334 | |
| PEAR Portal | ||
| PEAR support | 1-833-444-PEAR (1-833-444-7327) |
|
| Provider Resources | ||
| Provider Automated System | 1-800-ASK-BLUE (option 2) (1-800-275-2583, option 2) www.ibx.com/providerautomatedsystem |
|
| Provider Services Mon. – Fri., 8 a.m. – 5 p.m. |
1-800-ASK-BLUE (1-800-275-2583) |
|
| Smart Data Solutions EDI support | ||
| Mon. – Fri., 8 a.m. – 5 p.m. | 855-297-4436 Email stream.support@sdata.us |
|
| Tandigm Health | ||
| Hotline | 1-844-TANDIGM, option 5 Fax: 215-238-2271 |
|
PNS contact tool
Contact your designated Independence Provider Network Services (PNS) team contact.
Mailing address
1901 Market Street
Philadelphia, PA 19103-1480