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Contracted Plans 12-06-2007

By developing a multi-specialty network of credentialed providers located throughout the state of Arizona, more than 750,000 beneficiaries of the following ASPA contracted payors use IPA members for their health care services:

 Ameriplan USA

5700 Democracy Drive

Planto, TX. 75034

Joel Andrews,

Provider Relations

Phone 480-228-2249

USAallthewayJA@msn.com

 

Banner Health Plans

(Not accepting new ASPA providers-closed panels)

Karen McAlister,

                  Provider Relations

karen.mcallister@bannerhealth.com

        445 W. 5th Place

        Mesa, AZ. 85201

        Phone 480-827-7077

 

Beech Strreet/CappCare

    www.beechstreet.com

       Customer Service

25500 Commercenter Drive

Lake Forest, CA. 92630

Phone 800-877-1444

Provider Referrals

Phone 800-877-1444

Research & Resolution

Phone 800-877-1444

Fax 949-672-1116

(Please send HCFA or UB and EOB)

Physician Data Management

Network.Operations@viant.com

Phone 800-877-1444

Fax 949-672-1133

Facility Data Management

Network.Operations@viant.com

Phone 800-877-1444

Fax 949-672-1133

CPT Reimbursement Questions

Fee.Schedule@viant.com

Phone 800-877-1444

Fax 949-672-1130

                  ONLINE SERVICE

Claim Status Inquiry

www.BeechStreet.com

   Select “providers” Section and choose “claim status inquiry”

Benefit Office Information & Claim Submission Address

www.BeechStreet.com

    Select “providers” section and choose “benefits & eligibility”

Payor Listing

www.BeechStreet.com

    Select “providers” section and choose “payor listing”

Other Online Features for Providers

www.BeechStreet.com

     Select “providers” section and choose form the options on the left

  

 

Bridgeway

www.bridgewayhs.com

1501 W. Fountainhead Parkway

Suite 201

Tempe, AZ. 85282

Phone 866-475-3129

Claims address

     Bridgeway Claims

     P.O. Box 3040

     Farmington, MO. 63640-3814

Anne Jamison

                  Provider Relations

ajamison@centene.com

Monica Cervantes

                  Provider Relations

mcervantes@centene.com

Cathy Farnham

                  Provider Relations

cfarnham@centene.com

Phone 866-475-3129

Fax 866-638-6124

 

CorVel Corporation

www.corvel.com

3550 N. Central Ave.

Suite 915

Phoenix, AZ 85012

Phone 602-287-8722

            800-230-888

1st point of contact:

Deborah J. Skoglund

                  NDB Specialists

Phone 602-287-8722 ext 205

Fax 602-222-6649

Attn: PPO Department

debora_skoglund@corvel.com

Leslie Olmsted

                  PPO/IME Developer

Phone 287-8722 ext: 206

Fax 602-222-6649

Attn: PPO Department

leslie_olmsted@corvel.com

  

EverCare of Arizona

EverCare Select

EverCare Medicare

3141 N. Third Ave.

Suite 100

Phoenix, AZ. 85013

Phone 602-331-5100

            800-377-2055

www.evercareonline.com

www.unitedhealthcareonline.com

Claims Status & Member Eligibility

For Medicare phone 800-393-0993

For Select 800-293-3740

Estevan Rodriguez

                  Provider Relations

(Yuma, Maricopa-Phoenix/Central Valley “east of SR-51” and Scottsdale)

Phone 602-745-7985

etevan_I_rodriguez@uhc.com

Cathy Farnham

                  Provider Relations

(Pima, Coconino, Maricopa-East Valley -Tempe, Chandler, Mesa, Ahwatukee, Gilbert and Queen Creek)

Phone 602-745-7904

cfarnham@uhc.com

Tiffany Surleta

                  Provider Relations

(Navajo, Apache, Maricopa – Phoenix “west of 43rd Ave” all west valley cities, Wickenburg)

Phone 602-745-7911

Tiffany_I_surleta@uhc.com

Amy Osborn

                  Provider Relations

(Mohave, LaPaz, Maricopa-Central Phoenix “43 Ave – SR 51”)

Phone 602-745-7974

amy_j_osborn@uhc.com

Kari Coxson

Network Operations                   Manager          

Phone 602-745-7980

Kari_e_coxson@uhc.com

 

Fortified Provider Network, Inc.

8096 N. 85th Way

Suite 103

Scottsdale, AZ. 85258

Amy Reagan

                  Manager, Operations

Phone 480-607-0222 Ext. 123

amyr@fortifiedprovider.com

Rebecca Chesley

                  Claims Issues

Phone 480-607-0222 Ext. 102

  

Great West Healthcare

www.mygreatwest.com

(rural areas is PPO and OPEN ACCESS in all other areas with in Pima & Maricopa County)

6909 E. Greenway Parkway

Suite 180

Scottsdale, AZ. 85254

Liz Parks

                  2nd Contract Manager

Phone 480-624-5158

Direct Phone 408-624-5158

Fax 480-348-2380

       303-801-5798

elizabeth.parks@gwl.com

Caron McGhee

                  Provider Relations

Direct Line 480-624-5155

Fax 480-348-2380

Caron.McGhee@gwl.com

Claim Issues

Phone 888-663-8081

 

HealthCare Connect

www.healthcareconnect.org

320 E. McDowell Road

Suite 320

Phoenix, AZ. 85004

Eric Dugar

Community Relations Liaison

Phone 602-288-7562

Fax 602-288-7565

ericd@healthcareconnect.org

Enrollment & Eligibility Dept.

Phone 602-288-7564 (opt. 2)

Submit all encounter & referral data to:

                  HealthCare Connect

                  320 E. McDowell Road

                  Suite 320

                  Phoenix, AZ. 85004

 

Health Choice

www.healthchoiceaz.com

(no Mental Health, Anesthesia, Pt’s, NP’s, PA’s)

1600 W. Broadway

Suite 260

Tempe, AZ. 85282

Phone 480-968-6866

            800-322-8670

Fax 480-784-2933

Steve Bigman

Network Services Rep.

Phone Direct 480-350-2203

Fax 480-303-4433

sbigman@iasishealthcare.com

Freda Benavides

                  Network Services Rep.

Phone Direct 480-350-2221

Fax 480-303-4433

fbenavides@iasishealthcare.com

Derrick Harris

                  Network Services Rep         

Phone Direct 480-350-2218

Fax 480-303-4433

dlharris@iasishealthcare.com

 

Heatlh Net

www.healthnet.com

(Maricopa County Only)

(Not accepting new ASPA providers – closed panels)

1230 W. Washington Street

Suite 401

Tempe, AZ. 85281

Gina Erickson

                  Provider Relations

Phone 602-794-1509

Fax 800-858-3958

gina.m.ericson@healthnet.com

Customer Service/Claims

Phone 800-289-2819

 

Human Choice Care

333 Main Street Regency Bldg.

5th Floor

Green Bay, WI. 54301

Main Fax 800-626-1686

Phone 800-626-2741

Shari Debroux

Network Operations Supervisor

Phone 800-626-2741

sdebroux@humana.com

Bonnie Osterman

Provider Relations – West Valley

Phone 480-515-6464

Fax 480-515-6464

bosterman@humana.com

Eve Balbo

Provider Relations – Phoenix/Scottsdale

Phone 480-515-6461

ebalbo@humana.com

Nancy Hooper

Provider Relations – East Valley

Phone 480-515-6463

nhooper@humana.com

Claims Customer Service

Phone 800-558-4444

 

Intergrated Health Plan, Inc.

www.ihplan.com

4020 Park Street

Suite 103

St. Petersburg, FL. 33709

Phone 888-640-8707

Laurie Casler

                  Director, Provider Relations

Phone 888-640-8707 ext. 309

Fax 737-345-7680

Lcasler1@ihplan.com

  

Maricopa Health Plan

www.mhpaz.com

2502 E. University Drive

Suite 125

Phoenix, AZ. 85034

Jennifer Claver

                  Provider Relations

Phone 602-344-8387

jclaver@uph.org

Claims Submission

P.O. Box 37169

Phoenix, AZ. 85069

Grievance & Appeals Submission

2701 E. Elvira

Tucson, AZ. 85756

Phone 800-582-8686

Clinical Services

Phone 602-344-8777

            866-466-8777

Prior Authorization

Phone 866-210-0512

Pharmacy

Phone 602-344-8777

            866-466-8777

Hospital Notification

Phone 602-344-8777

            866-466-8777

Dept. Fax 602-344-8372

Utilization Management

Phone 602-344-8777

            866-466-8777

Claims Customer Service

Phone 800-582-8686 Opt. 6

Kim Bolton

                  Claims Manager

Phone 520-874-5200

Member Services

Phone 800-582-8686 opt 2

                  For Member Services

                  Eligibility

Silvia Parra

                  Member Services Manager

Phone 520-874-5200

Sonia Ross

                  Appeals Manager

Phone 520-874-5518

 

MultiPlan/PHCS

www.multiplan.com

115 Fifth Ave.

New York, NY. 10003

Customer Service

Phone 800-546-3887

Claims Issues contact Provider Relations

Phone 800-546-3887

Between 8:30am – 7:00pm EST, Monday through Frinday

or via email

service@multipan.com

  

PacifiCare

HMO

Provider Assistance

                  (Providers only)

Phone 800-283-7525

Customer Service

                  (Members)

Phone 800-347-8600

HMO Claims Submission:

                  PacifiCare of Arizona, Inc.

                  Attn: Claims Dept.

                  P.O. Box 52078

                  Phoenix, AZ. 85072-2078

PPO

Provider Assistance

                  (Providers only)

Phone 866-863-9776

Customer Service

                  (Members)

Phone 866-316-9776

PPO Claims Submission:

                  PacifiCare PPO

                  Attn: Claims Dept.

                  P.O. Box 6099

                  Cypress, CA. 90630

 

Pinal/Gila Long Term Care

P.O. Box 2140

Florence, AZ. 85232

Kiven Formo

Provider Service Coordinator

Phone 520-866-6728

Fax 520-866-6708

Kiven.Formo@c.pinal.az.us

 

Prime Health Services, Inc.

www.prime-health.net

7110 Crossroads Blvd.

Suite 100

Brentwood, TN. 37027

Phone (Main) 866-348-3887

Phone (Local) 615-329-4098

Fax 615-329-4751

Brenda Benda

                  Customer Service Manager

customerservice@prime-health.net

 

SCAN

www.scanhealthplan.com

1313 E. Osborn Road

Suite 150

Phoenix, AZ. 85014

Phone (Main) 602-778-3300

                           866-563-7321

Gene Dameron

                  VP, Network Management Services

Phone 602-778-3315

gdameron@scanhealthplan.com

Gary Goforth

                  Network Management Rep.

Phone 602-778-3355

Fax 602-778-3351

ggoforth@scanhealthplan.com

Member Services

Phone 888-540-7226

Case Management

Phone 602-778-3300

            866-563-7321

Claims Inquiry

Phone 877-235-7226

Network Management Services

Phone 602-778-3300

            866-406-0937

Medical Management

Phone 602-778-3326

Prior Authorization

Phone 866-046-0955

Grievance and Appeals

Phone 866-046-0994

Transportation

Phone 866-848-9428

American Medial Alert Corporation

Phone 310-877-7145

SCAN ON-Call

Phone 877-582-7226

            877 LTC-SCAN

Pharmacy Questions-

ESI/SCAN Customer Reps

(SCAN Pharmacy Group #AN9A)

Phone 866-553-4125

 

Sierra Health & Life

www.sierrahealthandlife.com

Member Services

                  Eligibility

                  Benefits

                  Claims Status

                  Prior Authorization Status

Phone 877-559-4512

Utilization Management

Prior Authorization Submissions

Phone 800-288-2264

Fax 800-282-8845

Online Eligibility

                  Claim Status

Prior Authorization Submissions

                  Status

www.sierrahealthandlife.com

Lorena Acosta

Contractual Issues, Network Contracts Coordinator

Phone 702-242-7068

Fax 702-242-9124

juriclo@sierrahealth.com

Amanda Day

                  Contractual Issues,

Network Contract Coordinator

Phone 702-240-8793

Fax 720-242-91254

aday@sierrahealth.com

Herbert

halquisada@sierrahealth.com

 

Schaller Anderson Network

www.schallerandersonhealth.com

4645 E. Cotton Center Blvd.

Bldg. 1, Suite 200

Phoenix, AZ. 85040

Phone 602-659-1783

Fax 602-414-7160

Gina Goodman

                  Senior Contract Specialist

Phone 602-659-1118

Fax 602-414-7131

Gina.goodman@schalleranderson.com

Tony Flanagan

                  Provider Services Healthcare

Phone 602-659-1708

Tony.flanagan@schalleranderson.com

Pamela Laguna

                  Provider Relations

Phone 602-659-1785

Fax 602-414-7162

Pamela.laguna@schalleranderson.com

Member Services

                  Claims

                  Eligibility

                  Prior Authorization

                  General Information

Phone 888-99-1459