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Member Contact Information

Member Services

Phone: 1-844-206-3719 (TTY 711), option 1

Mon-Fri, 8:00am-8:00pm ET.

Calls to this number are toll free.

Fax: 1-800-791-1463

Email: customerservice@procareadvantageplan.com

Mailing Address:

ProCare Advantage

PO Box 5849

Glen Allen, VA 23058-5849

Enrollment Services

Phone: 1-844-206-3719 (TTY 711), option 2

Mailing Address:

ProCare Advantage

PO Box 5849

Glen Allen, VA 23058-5849

Compliance Hotline

Phone: 1-844-317-9059 (TTY 711). toll free

Fax: 1-800-335-0270

Email: compliance@procareadvantageplan.com

Compliance Officer

Name: Mildred Anderson

Phone: 1-214-954-4114

Email: manderson@cantexcc.com

Mailing Address:

ProCare Advantage

Attn: Mildred Anderson

2537 Golden Bear Drive

Carrollton, TX 75006

Appeals and Grievances

Phone: 1-844-206-3719 (TTY 711), option 6

Fax: 1-800-862-2730

Mailing Address:

ProCare Advantage

Attn: Appeals and Grievances Dept.

PO Box 5849

Glen Allen, VA 23058-5849

Utilization Management

Phone: 1-844-206-3719 (TTY 711), option 3

Fax: 1-800-791-1463

Call to submit or check on an authorization request, or ask about authorization denials

Medicare

Web address: www.medicare.gov

Phone: 1-800-MEDICARE (1-800-633-4277)

Privacy or HIPAA

Phone: 1-844-206-3719 (TTY 711)

Email: privacynotice@procareadvantageplan.com

Mailing Address:

ProCare Advantage

Attn: Privacy and Compliance Dept.

PO Box 5849

Glen Allen, VA 23058-5849

Provider Contact Information

Claims Helpdesk

Phone: 1-844-206-3719 (TTY 711), option 4

Mail Medical Claims to:

PO Box 908

Addison, TX 75001-0908

Utilization Management

Phone: 1-844-206-3719 (TTY 711), option 3

Fax: 1-800-791-1463

Call to start an authorization, check the status of an authorization, provide clinical information over the phone, or get referrals for all specialists

Navitus Pharmacy Helpdesk

Web Address: www.navitus.com

Phone: 1-866-270-3877 (TTY 711)

EZ-Net Support/Provider Services

Phone: 1-844-206-3719 (TTY 711), option 4

Email: eznetsupport@allyalign.com

Network Support

Phone: 1-844-206-3719 (TTY 711), option 4

Email: networksupport@procareadvantageplan.com

EDI Customer Support

Web Address: http://exchangeedi.com/quick-links/

Phone: 1-888-635-009, Option 2