Contact Us

 

Hours of Operation:

  • Member Services: 8am –  8pm LOCAL TIME, 7 days a week from October 1st – March 31st, 5 days a week from April 1st – September 30th
      • Note: Member Services is closed on the following Holidays: Memorial Day, Independence Day, Thanksgiving, and Christmas
  • Provider Services: 8am – 5pm LOCAL TIME
  • Utilization Management: 8am – 8pm LOCAL TIME, 7 days a week

For Deaf or Hard of Hearing customers, please dial 711. For language services, please request while on the line with an agent.

When calling Provider Services, first select option #2.

General Provider Inquiries

Provider Portal

Claims Helpdesk

  • Phone: 1-844-206-3719 (TTY 711)
  • Mailing Address: ProCare Advantage
    PO Box 815
    Glen Burnie, MD 21060-0815

Utilization Management

  • Phone: 1-844-206-3719  (TTY 711)
  • Fax: 1-833-610-2399
  • – Authorization Inquiry
  • Call to start an authorization, check the status of an authorization, provide clinical information over the phone, or get referrals for specialists.

Navitus Pharmacy Helpdesk

Network Support

SSI Claimsnet Customer Support

Compliance

When calling Member Services, first select option #1.

Member Inquiries + Enrollment Services

Member Portal

Compliance

  • Email:compliance@procareadvantageplan.com
  • Mailing Address: ProCare Advantage Compliance Dept.
  • 2537 Golden Bear Drive Carrollton, TX 75006
  • Compliance Hotline:1-844-317-9059 (toll free)
  • Fax:  1-833-572-2387
  • Compliance Officer: Nakis Urfi
  • Email: Nakis.Urfi@cantexcc.com
  • Phone: 214-954-4114

Appeals and Grievances

  • Phone: 1-844-206-3719 (TTY 711)
  • Fax:  1-833-610-2380
  • Call to submit or check on an authorization request, or ask about authorization denials.

Medicare

  • URL:  www.medicare.gov
  • Phone:                          1-800-MEDICARE (1-800-633-4277)

Privacy or HIPAA

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