Claims Inquiry PCP Panel Inquiry

Pima Health System

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Important Message

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As of October 1, 2011, Pima Health System (PHS) will not be contracted with the Arizona Health Care Cost Containment System (AHCCCS). This applies to both the Acute and Arizona Long Term Care System (ALTCS) plans.

Below is information for both Pima Health System members and providers:

Member Information

ACUTE PLAN:

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AHCCCS assigned PHS members to a new health plan in August. Please contact your plan directly:

• Mercy Care or call 1-602-263-3000
• University Family Care or call 1-800-582-8686
• Phoenix Health Plan or call 1-602-824-3700
• Arizona Physicians IPA or call 1-800-348-4058
• Health Choice AZ or call 1-480-968-6866

If you do not know your plan, please call AHCCCS, 1-800-654-8713.

ALTCS PLAN:

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AHCCCS assigned PHS members to either Mercy Care or Evercare Select.

• Mercy Care or call 1-602-263-3000
• EverCare Select or call 1-602-331-5100

You have the option to change ALTCS health plans. You need to call AHCCCS at the phone number below no later than October 31, 2011 in order to choose a new plan. If you choose to change, you will be enrolled with the other plan beginning January 1, 2012. If you don’t want to change, you do not need to do anything.

If you want to change plans, call AHCCCS customer service (Monday – Friday, 8:00 a.m. – 5:00 p.m.) at:

• 602-417-7100 from area codes 602, 623 and 480
• 1-800-334-5283 from area codes 520 and 928

Provider Information

CONTACT INFORMATION:

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• Bridgeway Claims Liaison: (for claims with dates of services after 1/31/11)
  Phone: 866-518-6843
  Fax: 866-472-4568
• PHS Claims Liaisons: (for claims with dates of service before 2/1/11)
  Phone: 520-243-8040
  Fax: 520-243-8452
• Provider Relations: 866-475-3129
• Medical Management/Prior Auth : 866-295-9729

CLAIMS PROCESSING INFORMATION:

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• Send Bridgeway PHS member claims for dates of service 02/01/11 – 09/30/11 to:
  Bridgeway Health Solutions
  P.O. Box 3040
  Farmington, MO 63640
• Send PHS member claims for dates of service prior to 02/01/11 to:
  Pima Health System
  Attn: Claims Dept.
  3950 S. County Club Rd., Ste. 350
  Tucson, AZ 85714
• Send Dental Claims for PHS members with dates of service 02/01/11 – 09/30/11 to:
  Avesis
  P.O. Box 7777
  Phoenix, AZ 85011-777
  Provider/Member customer service 1-800-327-4462
• Send Optical/Vision Claims for PHS members with dates of service 02/01/11 – 09/30/11 to:
  Opticare Vision
  P.O. Box 7548
  Rocky Mount, NC 27804
  Provider customer service 1-800-334-3937
• Send claims for Pima County correctional healthcare or juvenile forensic exam services with dates of service 10/1/11 and thereafter to:
  Pima County Department of Institutional Health
  Attn: Claims
  3950 S. Country Club Road, Suite 300
  Tucson, AZ 85714

For questions regarding correctional or juvenile forensic claims with dates of service beginning 10/1/11, please call the Pima County Department of Institutional Health at (520) 243-7830.

For questions regarding claims with dates of service through 9/30/11, please call Bridgeway.