Contact Us
Claims Department
For all claims matters, including claim submission, status inquiries and disputes.
Call:
(888) 662-0626, Monday through Friday, 8:30 a.m. – 5:30 p.m. PST. Closed weekends and holidays.
Claims and Claims Dispute Submission:
Claims
PHP
P.O. Box 472377
Aurora, CO 80047
Fax:
(888) 235-9274
Member Services
To check enrollee eligibility.
Call:
(800) 263-0067, option 2. From October 1 through February 14, Member Services is available 8:00 a.m. to 8:00 p.m., seven days a week. From February 15 through September 30, Member Services is closed on Saturdays and Sundays. Member Services is also closed on holidays. You may leave a message and we will return your call the next business day.
Utilization and Case Management
To submit an authorization request or check status on an authorization, request assistance with a referral, report a hospitalization, or contact an enrollee’s case manager.
Call: (800) 474-1434, Monday through Friday, 8:30 a.m. to 5:30 p.m.
Utilization Management Fax:
(888) 238-7463
Case Management Fax:
(888) 235-8327
Contracting and Provider Relations
For all provider contracting matters, grievances, request for plan information or education, etc.
Call:
(888) 726-5411, Monday through Friday, 8:30 a.m. – 5:30 p.m. PST. Closed weekends and holidays.
Fax:
(888) 235-7695
Write:
Contracting and Provider Relations
PHP
1001 N. Martel Ave.
Los Angeles, CA 90046
Credentialing
For all credentialing inquires including application submission.
Call:
(888) 726-5411, Monday through Friday, 8:30 a.m. to 5:30 p.m. PST. Closed weekends and holidays.
Fax:
(888) 235-8256
Write:
Credentialing
PHP
1001 N. Martel Ave.
Los Angeles, CA 90046
Compliance Hotline
You may report potential concerns about fraud, waste and abuse or other compliance matters anonymously.
Call:
(800) 243-7448. TTY 711.