We have several mechanisms available to allow you quick and easy access to the information you need. First, refer to Frequently Asked Questions. If you find you still need to contact us directly, simply email us or call. Emails are responded to within three business days.
Optima Health Community Care features plan specific contact information. Please view the relevant section below.
General Contact Information
24-Hour Interactive Voice Response
Phone: 757-552-7474 or 1-800-229-8822, option 2
Medical Provider Service Representatives
Phone: 757-552-7474 or 1-800-229-8822
8 a.m. to 5 p.m. Monday through Friday
Behavioral Health Provider Service Representatives
Phone: 757-552-7174 or 1-800-648-8420
8 a.m. to 7 p.m. Monday through Friday
Medical Care Management Pre-authorizations
Phone: 757-552-7540 or 1-800-229-5522
Fax: 757-552-7429 or 1-877-800-2839
Behavioral Health Pre-authorizations
Phone: 757-552-7174 or 1-800-648-8420, option 2
Fax: 757-552-71716 or 1-877-800-2839
Phone: 757-552-7085 or 1-877-865-9075
Phone: 757-252-8400 or 1-866-425-5257
Medical/LTSS Claims Mailing Address
P.O. Box 5028
Troy, MI 48007-5028
Behavioral Health Claims Mailing Address
P.O. Box 1440
Troy, MI 48099-1440
Questions about EDI
Existing customers with questions about EDI (the 837 process):
Email the EDI Team at email@example.com.
Questions related to EFT/ERA Enrollment:
Need to apply for network participation?
If you have a new provider joining your practice who needs to be credentialed by Optima Health, please submit the appropriate New Provider Application Packet.
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Need Web Assistance?
Email technical questions to firstname.lastname@example.org
Members should call the Member Services number listed on their member ID card or Contact Us.
Optima Health Community Care Contact Information
Provider Relations & Eligibility Verification
Clinical Care Services
Prior Authorization - Medical and Pharmacy
Fax numbers for specific services are located on the authorization fax forms
Inpatient Fax: 1-844-348-3719
Outpatient Fax: 1-844-895-3231
After Hours Nurse Program
Telephone for Deaf and Disabled
CENTIPEDE Health Network
P.O. Box 291707
Nashville, TN 37229