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In This Section

  • Provider Resources
    • Claims/ Check Eligibility/ View Authorizations
    • Clinical Practice Guidelines
    • Forms
    • Fraud, Waste and Abuse/Compliance
    • Getting Paid
    • Medical Necessity Criteria
    • Ordering/Referring/Prescribing (ORP)
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Provider Resources

Discover resources for providers:

  • Claims/Check Eligibility/View Authorizations
    • File a Claim
  • Clinical Practice Guidelines
  • Forms
  • Fraud, Waste and Abuse/Compliance
  • Getting Paid
  • Medical Necessity Criteria
  • Ordering/Referring/Prescribing (ORP)
  • Provider Directories
  • Provider Portal 
  • Provider Website
  • Trainings

Member Services Contact Information:

Bucks:  (877) 769-9784

Cambria: (800) 424-0485

Lehigh: (866) 238-2311

Montgomery: (877) 769-9782

Northampton: (866) 238-2312

Somerset/Bedford: (800) 424-5860

Provider Services Contact Information:

Bucks/Montgomery:  (877) 769-9779

Cambria: (800) 424-3711

Lehigh/Northampton: (866) 780-3368

Somerset/Bedford: (800) 424-3711

 

Information For Members & Providers:

TTY (All counties): PA Relay 7-1-1

Fraud & Abuse: (800) 755-0850

For Emergency Situations, Always Call 911

Suicide & Crisis Lifeline: Call 988

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