Insurance Carrier Contacts: Before you submit a Hassle Report Form to GLMS, please follow the steps below

Medicare KY – CGS / Claim status, patient eligibility, check status, offset information, and more: IVR - 1-866-290-4036
Redeterminations - http://www.cgsmedicare.com/pdf/PartB_RedeterminationForm.pdf
Reopenings - http://www.cgsmedicare.com/forms/reopening_form.pdf
Medicare IN – WPS
/ http://www.wpsmedicare.com/j8macpartb/claims/ Customer Service: (866) 234-7331
Aetna /
Contact Customer Service at 888-632-3862.
Anthem
/ All inquiries related to claims must be directed to Anthem’s self service tools or Provider/Customer Service.
Use the Provider/Customer Service phone number on the back of the member’s ID card. If unable to provide the support you need, request to speak with a supervisor and call will be escalated. If supervisor unavailable, you will receive return call within 48 hours.
If issue remains outstanding after speaking with a supervisor, you may notify Provider Engagement and Contracting who will escalate inquiry to Provider/Customer Service Inquiry Resolution Team – you will be contacted by them within 24 hours.
Track reference numbers for calls made to Provider Services and names of supervisors.
Contract, website, training/education or programs and products questions – contact Provider Engagement and Contracting
West.team-Kyproviderengagement&
Bluegrass Family Health
/ Contact Customer Service at 800-787-2680
Cigna / Contact the Provider Support Unit (PSU) at 800-832-3211
CHA
/ Contact Provider Services at 800-457-5683
Humana
/
Begin by accessing Customer Service through 1-800-4-Humana. If no satisfaction to date through Customer Service you may fax your issue and the corresponding Reference # to Provider Services at 866-235-0076 or email to .
Escalated code edit inquiry team who will be able to address code edit(s) specific to adjudicated claim(s). Escalated is defined as specific claim(s) that have already been reviewed by Customer Service and/or PCU. These specific adjudicated claim(s) can be emailed directly to
For overpayment issues, contact Financial Recovery at 800-438-7885
For Radiology issues, contact HealthHelp (Mary Hill) at 502-777-6105
Aimee Beverley Director, Network Relations(502) 476-3743
United HealthCare
/ 1. Complete Claim Reconsideration Form and submit for review on www.unitedheathcareonline.com
2. If no resolution or response in 30 days, contact the UHC Physician Advocate, Molly Clemons at 502-241-9915

Updated 5/1/2015