Harborside Financial Center Plaza 10 – Suite 803 Jersey City, NJ 07311 www.carepointadvantage.org DEPARTMENT TELEPHONE NUMBER Provider Services 1.877.853.8019 1.201.416.3700 Member Eligibility 1.888.657.1207 Claims 1.888.657.1207 1.855.297.4247 Authorizations – Listing of Prior Auth. Required Services on the Web (www.carepointadvantage.org) 1.888.995.1690 1.732.412.4317 Care Management 1.888.995.1689 1.732.412.4317 CVS CareMark (Pharmacy) 1.855.479.3657 CVS CareMark (Part D Prescription Drugs) 1.855.344.0930 1.855.479.3657 Grievances & Appeals 1.888.995.1692 TTY: 711 1.855.297.4247 DentaQuest – Dental 1.855.398.8409 DentaQuest – Vision 1.888.696.9551 Mailing Address for Claims: CarePoint Health Plans P.O. Box 3236 Scranton, PA 18505 FAX NUMBER Electronic Claims Submission: Interconnect via Emdeon Payor ID#: 77023 Timely Filing – 180 days from DOS for in-network Claims Payment Dispute Reconsideration – must be submitted in writing within 90 days from date of Explanation of Payment Appeals – Submitted in writing within 90 days of date listed on reconsideration outcome letter Mailing Address for Grievances & Appeals or Medical Management: CarePoint Health Plans Harborside Financial Center Plaza 10 – Suite 803 Jersey City, NJ 07311
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