List of insurance and IVR phone numbers

This is basically from Florida state.

Telephone Number

1 Medicare 1877-847-4992

2 RR Medicare 1877-288-7600

3 Medicaid 1800-289-7799 and 1800-239-7560

4 AARP 1800-523-5800

5 Aetna 1800-624-0756

6 UMR 1800-826-9781

7 Great West and Cigna baycare 1800-663-8081

8 Amerigroup 1800-454-3730

9 Molina Health 186-472-4585

10 Summit and Coventry 1800-847-3995

11 Sunshine State 166-796-0530

12 Golden Rule 1800-657-8205

13 BCBS 1800-727-2227

What we can do in IVR - What are information need to use IVR . Interactive voice response (IVR) system capabilities

The IVR system provides automated information on claims, benefits and more, 24 hours a day, seven days a week.

Call the number on the back of the member’s Humana identification card to reach the IVR system.

Information available through IVR system

You can obtain a variety of information by using the IVR system.

The system can:

Confirm member coverage and the date the coverage began.

Notify you if referrals are required by the member’s plan.

Give you the status of a referral request.

Provide the member’s deductible, copayment and coinsurance information.

Provide the member’s out-of-pocket and lifetime maximum information.

Retrieve claim status for specific members.

Retrieve claim status for all your claims on one or more days.

Initiate inpatient admission and non-HMO (health maintenance organization) outpatient preauthorization requests.

Provide preauthorization request status*, directing your call to a Humana customer care representative, if needed.

In addition, you can use the system to request that the following information be sent to you by fax:

Member eligibility information.

Claims status: 40 claims per page, organized in a remit format.

Referral documentation.

Preauthorization documentation.

*Available in most areas

The IVR system gives you the option of requesting help from a Humana customer care representative. Assistance is available Monday through Friday on the following topics:

Medical eligibility, benefits and claims status: 8 a.m. to 8 p.m. EST.

Dental eligibility, benefits and claims status: 8 a.m. to 8 p.m. EST.

Preauthorizations: 8 a.m. to 6 p.m. EST.

Financial recovery: 8 a.m. to 5 p.m. EST.

Information you will need to use IVR

Before calling the IVR system, make sure you have the following information handy:

Nine-digit tax ID number.

Nine-digit member ID number (listed on member's ID card).

Member's date of birth (mm/dd/yy).

Date of service in mm/dd/yyyy format (for specific options, such as claims or precertifications).

Your fax number (if a fax-back option is requested). Specific information to initiate a preauthorization, including the following: CPT-4 (five-digit) codes for procedures and surgeries; ICD-9 (three-, four- or five-digit) codes for diagnoses; CPT or HCPCS codes for outpatient procedures. 

Dont call Medicare toll free service line for claim status

Customer service representatives cannot provide claim status via the toll-free service line

Medicare guidelines, specifically, the Internet-only manual (IOM) Publication, 100-09 Chapter 6 Section 50.1 requires that providers call the interactive voice response system (IVR) to obtain claim status.  Service associates responding to calls via our toll-free service line are not allowed to provide claim status.  To do so would be in violation of Medicare service guidelines.

First Coast Service Options’ (First Coast’s) customer service representatives (CSRs) continue to receive a large volume of calls from providers asking for claim status.  In the majority of cases the calls are coming from entities representing Medicare providers.  Because many providers have chosen to outsource their claims monitoring activities, they may not be aware that the entities representing them are calling the toll-free CSR service line for status of claims instead of using the IVR.

When claim status calls are made to the toll-free CSR service line, it slows our response time for other calls coming into our call center because service associates are attempting to explain to customers that status cannot be released via the general inquiry service line.  It is the responsibility of Medicare providers to notify the entities representing them that claim status inquiries must be made via the IVR or our new Internet portal the SPOT. See http://medicare.fcso.com/Landing/256747.asp.