PHP, Florida

Robert Heglar
AHF Provider

Contact Us

Claims Department
For all claims matters, including claim submission, status inquiries and disputes.

Claims Submission:
Electronic Submission: Change Healthcare 95411
Starting January 1, 2021 PHP is no longer accepting paper claims.  All claims from providers must be submitted to our clearing house Change Healthcare. For corrected claim submission(s) please review our Corrected Claim Guidelines.

Call or Email:
For claims inquiries please call the claims department at (888) 662-0626 or email Claims [email protected].  If emailing an inquiry please do not include Patient Protected Health Information (PHI), but the best call back number or email to reach you.

Claims Dispute:
Claims payment disputes, appeals, and supporting documentation such as copies of medical records, authorization forms, or other documents can be submitted.

Claims
PHP
P.O. Box 472377
Aurora, CO  80047

Fax:
(888) 235-9274

Member Services
To check enrollee eligibility.

Call:
(888) 456-4715.   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:
(866) 990-9322, Monday through Friday, 8:30 a.m. to 5:30 p.m.

Fax:
(888) 972-5340

Contracting and Provider Relations
For all provider contracting matters, grievances, request for plan information or education, etc.

Call:
(888) 456-4718, Monday through Friday, 8:30 a.m. – 5:30 p.m.   Closed weekends and holidays.

Fax:
(954) 522-3260

Write:
Contracting and Provider Relations
PHP
700 SE 3rd Ave., 4th Floor
Fort Lauderdale, FL  33316

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.