Contact Information for Providers

Claims Status/Appeals

Log in at hap.org, select Claims

Remittance Advice

Log in at hap.org, select Remittance Advice

Fee Schedules

Log in at hap.org, select Quick Links

EFT Form

Log in at hap.org, select Claims, Related Links 

For any of the above resources, you can also call HAP Provider Inquiry at (866) 766-4661

• Self-service options are available 24/7

Representatives are available Monday - Friday, 8:30 a.m. to noon and 1 to 5 p.m.

Eligibility, benefits, cost share 

• Call HAP Provider Inquiry at (866) 766-4661
  • Self-service options are available 24/7
  • Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m.
• Log in and select Member Eligibility

COB

• Log in at hap.org, select More, Coordination of Benefits
• Call Provider Inquiry at the number above
   

Prior authorization requirements

• Log in; select Procedure Reference List under Quick Links

Submitting authorization requests and checking status

• Log in; select Authorizations

Help with online authorization application, CareAffiliate

• Email providernetwork@hap.org and put “CareAffiliate help” in the subject line and be sure to include:
• Provider Name
• NPI 1 and NPI 2 (if appropriate)
• Tax ID

Claims issues related to prior authorizations

• Call Provider Inquiry at (866) 766-4661

Single case agreement status

• Email providernetwork@hap.org and put “single case agreement” in the subject line and be sure to include:
• Provider Name
• NPI 1 and NPI 2 (if appropriate) Tax ID

Issues or concerns with prior authorization requests

Behavioral health inpatient & outpatient services
(800) 444-5755 (Monday - Friday, 8 a.m. to 5 p.m.)

Inpatient admissions & observations
(313) 664-8833, #3 (Monday - Friday, 8 a.m. to 5 p.m.)

Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab
(313) 664-8800 (Monday - Friday, 8 a.m. to 5 p.m.)

Outpatient & preservice elective inpatient services
(313) 664-8950 (Monday - Friday, 8 a.m. to 4:30 p.m.)

Pharmacy (medication) requests
(313) 664-8940 (Monday - Friday, 8 a.m. to 4:30 p.m.)

EviCore: cardiac imaging, radiology services & sleep studies
(888) 564-5487 or eviCore.com

TurningPoint: Cardiac management & musculoskeletal
(313) 736-5230  or (Monday - Friday, 8 a.m. to 5 p.m.)

For access to online applications log in here, click "Provider" then "Register".

If you are still having issues, email providernetwork@hap.org with Portal Access in the email subject line and include all of the following:

• Type 1 NPI
• Type 2 NPI
• TIN
• Provider name
• Full contact information (address, phone and email)

To change existing provider information, there are 2 options:

1. If you are part of a physician organization/physician hospital organization, do not send information directly to HAP. Your PO/PHO organization must submit all changes.
2. If you are not part of a PO/PHO, complete the Provider Change Form.

Note: Please be sure your office address, phone, fax, etc. are up to date in the National Plan & Provider Enumeration System or NPPES. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters.

Training & education requests

Email providernetwork@hap.org and include:

• Training in the subject line
• Type 1 and Type 2 NPI
• Tax ID

Inquiries regarding:

• Network participation (am I participating with HAP)
• Product participation (am I participating with HAP Commercial HMO, for example)
• Credentialing/Enrollment status
  • Call HAP Provider Inquiry at (866) 766-4661
  • Refer to our online provider directories
    • For HAP Plans
      • Visit hap.org; select Find a doctor, search for your name, refer to List of Plans Accepted section
    • For HAP CareSource Plans
      • Visit hapcaresource.com, select Plans, Find a Doctor/Provider, Plans, filter on Michigan, search for your name, refer to CareSource Plan section

Didn’t find what you’re looking for? Contact your Provider Services Administrators by network:

• Log in; select Quick Links, then Important Contact Information

Verify eligibility and benefits

• Call HAP’s Provider Line at (888) 427-6464. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m.
• Log in and select Member Eligibility. This option is available 24 hours a day, 7 days a week. Don’t have a login or password to HAP’s secure provider portal? No problem. Once you receive your first payment from HAP, you can register for an account. Here are the steps:
  • Click here to go to our log in page, then click "Provider" then "Register"
  • Follow the prompts 

Precertification

• Call (800) 641-5566

Claims submission

• Electronic claims: use payor ID 38224
• Mail claims to: Alliance Health and Life Insurance Company P.O. Box 02459 Detroit, MI 48202-2459

Benefits, Claims, Eligibility, Remittance Advice, Prior Authorization

Call:

• Marketplace: (833) 230-2101
• Medicaid: (833) 230-2102
• MI Health Link: (833) 230-2159 

Log in at:

hap.org; select HAP CareSource

EDI Setup

Contact your clearing house and give them HAP CareSource the payer ID's:

• Medicaid Payer ID: MIMCDCS1
• MI Health Link Payer ID: MIMCRCS1
• Marketplace Payer ID: MICS1

Accessing the secure HAP CareSource Provider Portal
We offer a single sign-on from the HAP portal:

• Log in at hap.org with your HAP username and password.
• Select the HAP CareSource link.