MEDIA FALL 2016 www.media-ny.com
AARP
Patient line for claims 800-523-5880
Patient Customer Service 800-523-5800
Provider Line (claims, coverage) 800-227-7789
AETNA
Rep: Hospital/Jermaine Watson
212-457-0375
Southern Tier areas
Provider Service Center 888-632-3862
Rep: Jane Perry 585-671-0797
Rochester & surrounding areas
Phys Line – HMO/QPOS/Medicare 800-624-0756
Phys Line – Trad/Non-HMO 888-632-3862
Non-HMO Precert 800-245-1206
Moms-to-Baby Maternity Prog 800-272-3531
CDPHP
Rep: Casey Ruede 518-641-3887
Provider Services CNY 800-926-7526
Utilization Management 800-274-2332
Mental Health/Chem. Dep.-benefits 888-320-9584
Mental Health/Chem. Dep.-claims 800-926-2576
ELMCO 607-734-5773
Sarah – Arnot Health, Elmira Savings,
Hilliard, and Swift Glass
EMPIRE PLAN OF UNITED HEALTHCARE
Rep: Sue Watson 607-642-3642
Fax: 855-416-5140
Provider Services 877-769-7447
Customer Service 877-769-7447
Authorizations 877-776-7447
Value Options
EXCELLUS
Rep: Heather Ducot (Broome-Tioga) 607-304-9815
Rep. Jeannie Quinn
607-795-8860
Chemung-Schuyler-Steuben-Tompkins
Blue Card 800-404-1445
Cust.Service/Prov.Rel. 800-920-8889
Referrals/Authorization 800-363-4658
FEP Unit (Federal Employees) 800-584-6617
EDI Help Desk Support 877-843-8520
Web Security Help Desk 800-278-1247
Medical Education & Information Association
FIDELIS
Rep. Sheri Abbott 315-434-2204
Broome-Tioga-Chenango-Delaware
Chemung-Schuyler-Steuben-Livingston 607-220-8785
Provider Call Center 888-343-3547
Case Management 888-343-3547
Member Services 888-343-3547
GHI/GHI-HMO companies of EMBLEM HEALTH
Rep. Tammy Isabelle 315-434-2415
– UHS-UMA Physicians
Customer Service (Claims eligibility, PPO) 800-624-2414
Customer Service HMO 866-447-9717
Customer Service HIP 866-447-9717
Case Management PPO 800-223-9870
Case Management HIP/GHI-HMO 866-447-9717
Radiology Pre-Cert HMO & PPO 800-835-7064
Radiology Pre-Cert HIP 800-417-2345
HEATLH NOW NY
Provider Services/Med Mgmt 800-856-0480
Cornell/Ithaca College Prov. Svcs. 888-995-3095
HUMANA INSURANCE
Provider Relations 800-626-2741
Member Services 800-448-6262
MEDICAID (Central New York)
Rep. Scott Beach 315-471-0870
Provider Line 800-343-9000
Eligibility, UT, policies 800-342-3005
MEDICAID (Pennsylvania)
Provider Line 800-537-8862
MEDICARE PART B (National Government Services)
Provider Contact Center 866-837-0241
Interactive Voice Response Line (VR) 877-869-6504
Telephone Reopenings 888-812-8905
Office of Inspector General – Fraud Unit 800-447-8477
Beneficiary Line 800-633-4227
EDI Help Desk (Jur K) 888-379-9132
Provider Enrollment 888-379-3807
MEDICARE PART A (National Government Services)
Provider Inquiry Line 888-855-4356
Interactive Voice Line (IVR) 877-567-7205
Provider Enrollment 855-893-8047
MERITAIN HEALTH
Patient and Provider Line 800-225-6922
MultiPlan / PCHS
Rep. Christy Harwood 615-371-3806
Practitioner Referral Line 800-672-2140
Facility Referral Line 800-557-6794
Customer Service 800-546-3887
MVP HEALTHPLAN
Rep. Valerie Rosato 315-765-5123
Provider Services/Claims 800-684-9286
Authorizations & Member Services 800-229-5851
877-461-4911
Web/Tech. /E Support/Help Desk
888-656-5695
POMCO
Manager-Provider Services- Janice Gratien
Network Development 800-766-2687
Precertification/number front/gold card 800-766-2648
Case Management or MYPOMCO.COM 866-254-0179
Lifetime Benefit Solutions (RMSCO) 877-300-9969
SMARTHEALTH 586-693-4762
TODAY’S OPTIONS (American Progressive)
www.universalamerican.com
Rep. Dorothy Hoyt 518-526-2737
Provider Service PPO 866-422-5009
Provider Service PFFS 866-568-8921
Authorization FAX Line 877-275-1186
UNITED HEALTHCARE
Network Management: Sylvia Hromek 315-433-5769
Provider/Member Services 877-842-3210
Claim/Auths/Customer Service Vary, on card
Health Services Intake 800-638-3323
Behavior Health 888-291-2506
MVP HEALTHCARE
Main Line 800-788-8771
WELLCARE
Rep: Kathleen Fenwick 607-793-3706
Benefit Manager – Broome County - 315-573-9113
Provider Services 800-278-5155
EDI 877-411-7271
Member Customer Services 800-278-5155
MISC. INSURANCE
State Insurance Fund: Binghamton Office 607-741-5500
State Farm: 800-921-9258
Travelers 800-238-6216
United Occupational Medicine 607-762-2333
(Workers Comp.) 800-259-1753
Workers Comp Board (Claimants) 800-802-3604
Broome County Medical Society 607-772-8493
HOSPITALS
Our Lady of Lourdes Hospital 607-798-5111
Admissions 607-798-5201
Central Scheduling 607-798-5723
Billing 607-584-5510
Medical Records 607-798-5970
WILSON HOSPITAL 607-763-6000
Admissions 607-763-6137
Central Scheduling 607-762-2494
Billing 607-762-3035
Medical Records 607-763-5153
Binghamton General Hospital 607-762-2627
Admissions 607-762-2375
Central Scheduling 607-762-2494
Billing 607-762-3035
Medical Records 607-763-5153
Cayuga Medical Center 607-274-4011
Admissions 607-274-4353
Central Scheduling 607-274-4227
Billing 607-274-4400
Medical Records 607-274-4313
Guthrie 570-888-6666
Admissions 570-882-4301
Central Scheduling 570-882-4070
Billing 800-836-9990
Medical Records 607-937-7200
Arnot Ogden 607-737-4100
Admissions 607-737-4145
Central Scheduling 607-735-4646
Billing 607-737-4281
Robert Packer Billing 570-887-4365
Medical Records 607-737-4302
St. Joseph’s 607-733-6541
Admissions 607-737-7803
Central Scheduling 607-729-9885
Billing 607-737-7805