| For Questions About: |
Contact Us At: |
Mailing Address: |
| • Buying an AdvantageBlue PFFS plan |
Contact your benefits administrator.
|
|
|
• Application Status
• Medical Benefits
• Medical Claims
• Expedited Medical Grievances
• New ID Cards
• Information in other languages
• 24-hour Nurse Line
|
Member Service
1-866-675-8636
1-800-988-0668 (TTY/TDD)
8 a.m. - 8 p.m. EST, 7 days a week |
Member Service
c/o Operations Administration
P.O. Box 535185
Pittsburgh, PA 15253-5185 |
|
• Medical Appeals or Grievances
|
Member Appeals & Grievances
1-866-675-8636
1-800-988-0668 (TTY/TDD)
8 a.m. - 8 p.m. EST, 7 days a week
|
Member Appeals & Grievances
c/o Operations Administration
P.O. Box 535188
Pittsburgh, PA 15253-5188
|
• Expedited Advance Notice of Coverage
• Expedited Appeals |
Medical Management
1-866-918-5310
1-888-422-1226 (TTY/TDD)
M-F: 8:30 a.m. - 7 p.m. EST
Sat. and Sun.: 8:30 a.m. - 4:30 p.m. EST
|
Medical Management
c/o Operations Administration
P.O. Box 535183
Pittsburgh, PA 15253-5183 |
• Case Management
• Disease Management
• A Health Coach |
Blues on CallSM
1-888-BLUE-428 (258-3428)
1-877-486-2048 (TTY/TDD)
24 hours a day, 7 days a week |
|
• Prescription Benefits
• Prescription Claims
• Formulary Exceptions
• Finding a Participating Pharmacy
• Prior Authorizations
• Quantity Limits |
Pharmacy Claims Customer Service
1-888-720-0090
1-800-693-0765 (TTY/TDD)
24 hours a day, 7 days a week
|
Medi-CareFirst BlueCross BlueShield
c/o Argus Health Systems
Dept #304
P.O. Box 419019
Kansas City, MO 64141 |
• Prescription Plan Appeals and Grievances
• Prescription Plan Expedited Appeals |
Pharmacy Claims Customer Service
1-888-720-0090
1-800-693-0765 (TTY/TDD)
24 hours a day, 7 days a week |
Medi-CareFirst BlueCross BlueShield
Central Appeals Unit
P.O. Box 17636
Baltimore, MD 21297 |
| • Prior Authorization (physicians only) |
Argus Health Systems
1-800-314-2872
1-800-315-4025 (Fax) |
|
