Contact Information for Providers
Help us better direct you
Via Phone:
Member Inquiries:
Monday through Friday
8 a.m. to 7 p.m.
Extended hours
from Oct. 1 through March 31,
Saturday 8 a.m. to noon.
Detroit area: (313) 872-8100
Toll free: (800) 422-4641
Provider Inquiries:
(800) 801-1766 (available 24/7)
Producer Support:
(844) 342-5427
Compliance Hotline
(877) 746-2501
Via Telecommunications Device for the Deaf (TDD):
711
Via Mail:
Health Alliance Plan
2850 W. Grand Blvd.
Detroit, MI 48202
In Person:
Detroit Lobby Customer Service
Monday through Friday, from 8:30 a.m. to 4:30 p.m.
2850 W. Grand Blvd. Detroit, MI 48202
(W. Grand Blvd. and Lodge)
Southfield Lobby Customer Service
Monday through Friday, from 8:30 a.m. to 4:30 p.m.
21700 Northwestern Hwy
Southfield, MI 48075
(Northwestern Hwy. and J.L Hudson Drive between 8 and 9 Mile Roads)
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Authorizations
For
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Phone and/or Email
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Online |
Admissions: Inpatient, Elective, Obstetrical,
Transfers
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HAP Admission/Transfer Team
(313) 664-8833 Option #3
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When you log in at hap.org: Authorizations |
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Outpatient authorizations and pre-scheduled elective inpatient admission:
Outpatient authorizations and pre-scheduled elective inpatient admission:
- Any outpatient medical or surgical service including physician office visits
- DME
- Any type of homecare
- Hospice
- Elective outpatient surgery
- Pre-scheduled inpatient admission (ex: hip replacement)
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HAP Referral Management:
Monday through Friday, 8 a.m. to 4:30 p.m.
(313) 664-8950 Option #1
After business hours - voicemail
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When you log in at hap.org: Authorizations |
Behavioral Health
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HAP Coordinated Behavioral Health Management:
(800) 444-5755
Monday through Friday, 8:00 a.m. to 5:00 p.m.
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When you log in at hap.org: Authorizations |
Drug Requests
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When you log in at hap.org;
Procedure Reference Lists;
Services that Require Prior
Authorization List |
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Cardiac Imaging:
Angiogram
Cardiac Computed Tomography
Cardiac Implantable Devices
Diagnostic Heart Catheterization
Stress Echocardiography
Transthoracic Echocardiography
High-Tech Radiology Procedures:
CT, CTA, MRI, MRA
Nuclear Cardiac Studies
Nuclear Medicine Studies
PET Scans
Musculoskeletal Procedures:
Arthroscopy
Pain Management Services
Spinal Surgery
Radiation Therapy:
Brachytherapy
EBRT, IGRT, IMRT
Proton Therapy
Stereotactic Radiosurgery
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eviCore healthcare
(888) 564-5487
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www.evicore.com |
Sleep Studies
In-home and facility-based sleep studies
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eviCore healthcare:
(855) 736-6284 |
www.evicore.com |
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Eligibility, Benefits & Claims
For
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Phone and/or Email
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Online |
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Member benefit and coverage information
HAP Preferred, please refer to the back of the member's ID card for TPA contact information
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Provider Automated Services (PAS) 24/7
(800) 801-1766
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When you log in at hap.org:
Member Eligibility Application (MEA)
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All HAP and Alliance Health and Life Insurance Company Claims
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HAP Provider Inquiry Department
(866) 766-4661
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When you log in at hap.org:
Claims Application (View claims and remittance advices or submit appeals)
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Submitting claims data electronically HAP's payer ID is 38224
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HAP's EDI Business Coordinator
ecommerce@hap.org
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ASR Eligibility, claims and benefits
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ASR Health Benefits Provider Services
(866) 724-3013
Interactive Voice Response (IVR):
(866) 724-3014
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asrhealthbenefits.com
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Cigna Eligibility verification Claims issues Precertification |
(800) 88Cigna (882-4462)
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CignaforHCP.com
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Demographics, Credentialing & Billing Info
For
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Phone and/or Email
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Initial credentialing
Recredentialing
Practitioner demographic changes such as:
- practitioner name
- physical address
- phone #
- fax #
- email
Practitioner area of practice/ specialty changes
Practitioner leave of absence updates
Practitioner NPI changes
Changes to the “Accepting New Patients”flag
Removal of practitioner from the HAP directory
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credentialing@hap.org
Note: be sure your email includes the following:
- Individual provider NPI number
- Provider Name
- Group Name (dba)
- Contact person's email address and phone number
- For any address addition, change or deletion - please include the following:
- Indicate add, delete or change to an existing address
- Full address
- Phone
- Fax
Indicate if primary or secondary address
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Changes to W-9 info such as:
W-9 Name
W-9 Billing address
Tax ID #
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Business Configuration Team
IS_BCT_vendor@hap.org
Fax: (248) 443-7761
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Pharmacy
For
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Phone and/or Email
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Online |
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Policies/procedures
Formularies
Medication Request Forms
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(888) 383-2535
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When you log in:
Prescriptions Tab
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Provider Services, Provider Contracting & Technical Assistance
Provider Services
| For |
Phone and/or Email |
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Individual and group training sessions on:
- Access standards
- Online applications
- Product descriptions
- Member eligibility
- Authorizations
And more!
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Phone: (866) 766-4708
Fax: (313) 664-5840
prelweb1@hap.org
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Provider Contracting
Password Reset, Provider Portal Access & Technical Assistance
For
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Phone and/or Email
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Access to the provider portal
Username and password resets
Access to applications on the provider portal
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HAP Provider Services Department
(866) 766-4708
prelweb1@hap.org
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