Contact Information for Providers

Claims status/ appeals; fee schedules; EFT form, remittance advice

• 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 at hap.org and select Claims

EDI setup

• Contact your clearing house and give them HAP's payor ID: 38224 

W-9 changes

• Email: providernetwork@hap.org
• Be sure to sign and date the W-9 form or it will be returned.

Eligibility, benefits copay and deductible information

• 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

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

Contracting or Credentialing status

Emailprovidernetwork@hap.org and include:

• “Credentialing status” or “Contracting status” in the subject line as appropriate
• Type 1 NPI, Type 2 NPI, and TIN
• Provider name, address, phone and email

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

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.