Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit

Healthfirst Customer Service Telephone Number – Health First Phone Number for Members
Healthfirst Leaf and Leaf Premier Plans 888-250-2220
Healthfirst Essential Plans 888-250-2220
Medicaid Managed Care and Child Health Plus 866-463-6743
Personal Wellness Plan 855-659-5971
Medicare Advantage Plans, Medicare Special Needs Plans, Healthfirst HMO B Small Group, and Healthfirst Healthy NY Small Group 888-260-1010
Healthfirst AbsoluteCare FIDA Plan Participant Services 855-675-7630
Senior Health Partners 800-633-9717
Total Plan and Pro Plan Members 855-789-3668
Other/Not Sure 866-463-6743
Healthfirst EPO 855-789-3668
Member Enrollment Health Leaf Plans: 888-974-9901

Healthy NY small group: 888-260-1010

Healthfirst Customer Service Telephone Number – Health First Phone Number for Care Management
Care Management
(For Members diagnosed with high risk conditions or in need of care coordination)
800-404-8778
Healthfirst Customer Service Telephone Number – Health First Provider Phone Number
Provider Services Health First Provider Phone Number :
888-801-1660
Healthfirst Customer Service Telephone Number – Health First Phone Number for Broker
Broker Services 855-456-3668
Healthfirst Customer Service Telephone Number – Health First Phone Number for a Small Business Owner
A Small Business Owner 855-949-3668
Healthfirst Customer Service Telephone Number – Health First Phone Number for Plan Renewal
Healthfirst Plan Renewal 855-566-2620 (Medicaid Managed Care and Child Health Plus)

855-718-1822 (Essential Plan and Leaf Plans)

Healthfirst Customer Service Telephone Number – Health First Phone Number for Utilization Management
Utilization Management
(Pre-authorization)
888-394-4327
Healthfirst Customer Service Telephone Number – Health First Phone Number for any Compliance
Compliance concerns, Fraud/abuse 877-879-9137
Healthfirst Address List
Healthfirst address for Claims Submission PO Box 958438, Lake Mary, FL, 32795 – 8438
Healthfirst address for First Level Appeal Requests Healthfirst Correspondence Department
PO Box 958438
Lake Mary, FL 32975 – 8438
Healthfirst address for Second Level Appeal Requests Healthfirst Provider Claims Appeals
PO Box 958431
Lake Mary, FL 32975 – 8431
Healthfirst address for Provider Services PO Box 5168
New York, NY 10274 – 5168
Healthfirst address for Members Services PO Box 5165
New York, NY 10274 – 5165
Healthfirst address for Utilization Management services PO Box 5166
New York, NY 10274 – 5166
Healthfirst Timely Filing Limit
Healthfirst Timely Filing Limit
Claims Submission
180 Days from the DOS
Healthfirst Timely Filing Limit to submit First Level of Appeal
Reviews and Reconsideration Claims must be submitted within 90 Days from the paid date on the Explanation of Payment
Corrected Claims Claims must be submitted within 180 Days of the Date of Service and must be marked as “Corrected Claims”
Healthfirst Timely Filing Limit to submit Second Level of Appeal
Provider Claims Appeals Claims must be submitted within 60 Days from the date on the reconsideration letter.

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