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Pima Health Systems Notice

As of October 1, 2011, Pima Health System (PHS) will not be contracted with the Arizona Health Care Cost Containment System (AHCCCS).  This applies to both the Acute and Arizona Long Term Care System (ALTCS) plans.

Below is information for both Pima Health System members and providers.


Member Information

ACUTE PLAN:

AHCCCS assigned PHS members to a new health plan in August.  Please contact your plan directly:

Mercy Care

http://www.mercycareplan.com    or call 1-602-263-3000

University Family Care 

http://www.universityfamilycare.net  or call 1-800-582-8686

Phoenix Health Plan    

http://www.phoenixhealthplan.com  or call 1-602-824-3700

Arizona Physicians IPA 

http://www.myapipa.com  or call 1-800-348-4058

Health Choice AZ

http://www.healthchoiceaz.com  or call 1-480-968-6866

If you do not know your plan, please call AHCCCS, 1-800-654-8713.

ALTCS PLAN:

AHCCCS assigned PHS members to either Mercy Care or Evercare Select. 

To contact Mercy Care:  http://www.mercycareplan.com  or call 1-602-263-3000

To contact EverCare Select: http://www.evercareselect.com or call 1-602-331-5100

You have the option to change ALTCS health plans. You need to call AHCCCS at the phone number below no later than October 31, 2011 in order to choose a new plan. If you choose to change, you will be enrolled with the other plan beginning January 1, 2012. If you don’t want to change, you do not need to do anything.

If you want to change plans, call AHCCCS customer service (Monday – Friday, 8:00 a.m. – 5:00 p.m.) at:

602-417-7100 from area codes 602, 623, and 480

1-800-334-5283 from area codes 520 and 928


Provider Information

Contact Information:

Bridgeway Claims Liaison: (for claims with dates of services after 1/31/11)

Phone: 866-518-6843

Fax: 866-472-4568

PHS Claims Liaisons: (for claims with dates of service before 2/1/11)

Phone: 520-243-8040

Fax: 520-243-8452

Provider Relations

Phone: 866-475-3129

 

Medical Management/Prior Auth

Phone: 866-295-9729

 

Claims Processing Information:

Send Bridgeway PHS member claims for dates of service 02/01/11 – 09/30/11 to:

Bridgeway Health Solutions
P.O. Box 3040  
Farmington, MO  63640

Send PHS member claims for dates of service prior to 02/01/11 to:

Pima Health System
Attn: Claims Dept.
3950 S. County Club Rd., Ste. 350
Tucson, AZ  85714

Send Dental Claims for PHS members with dates of service 02/01/11 – 09/30/11 to:

Avesis
P.O. Box 7777
Phoenix, AZ  85011-777
Provider/Member customer service 1-800-327-4462

Send Optical/Vision Claims for PHS members with dates of service 02/01/11 – 09/30/11 to:

Opticare Vision
P.O. Box 7548
Rocky Mount, NC  27804
Provider customer service 1-800-334-3937  

Send claims for Pima County correctional healthcare or juvenile forensic exam services with dates of service 10/1/11 and thereafter to:

Pima County Department of Institutional Health
Attn:  Claims
3950 S. Country Club Road, Suite 300
Tucson, AZ  85714

 

For questions regarding correctional or juvenile forensic claims with dates of service beginning 10/1/11, please call the Pima County Department of Institutional Health at (520) 243-7830.  For questions regarding claims with dates of service through 9/30/11, please call Bridgeway.





Copyright ©2011, Pima County Arizona, all rights reserved. - Revised: Friday, September 9, 2011 6:22 PM

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