We have a Provider Directory that shows you who participates in our network. You can access them for free based on your location and participating status. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. Begin Enrollment. Horizon BCBSNJ Providers Contact & Phone Numbers - Horizon Blue Cross Blue Shield of New Jersey Home Contact Us Contact Us Provider Contacts Physician Services Institutional Services Correspondence Claims Horizon Healthcare Dental Services Pharmacy Services Pharmacy Clinical Review. your Horizon NJ Health membership. To access these services call the appropriate number above. Members enrolled in Braven Health plans have in-network access to providers in our Horizon Managed Care Network and Horizon Hospital Network throughout our local service area (New Jersey and participating counties in Delaware, New York and Pennsylvania). Plus, when you purchase frames through Visionworks&174;, youll receive a 50. eService Desk. Or call 1-855-878-5368. com Nursing Facility When a resident that is auto-assigned or self-selected the MCO and needs a NJ Choice. &174; 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. The New Jersey Association of Health Plans is a non-profit association representing leading. Representatives are available. OMNIA Health Plans give enrolled members the flexibility to use any hospital participating in our Horizon Hospital Network and any physician, other health care professional or ancillary provider participating in our Horizon Managed Care Network. to 5 p. Begin Enrollment. You will need your Tax Identification Number (TIN), National Provider Identifier. To this end Horizon. Weekdays, 8 a. Number One. Welcome to the NJ FamilyCare website. Call Provider Services at 1-800-682-9091, weekdays, from 8 a. BACK back to www. Find the phone number for Horizon NJ Health, a health plan for New Jersey residents, and other contact options for member services, claims, benefits and more. J FamilyCareN Answer The toll-free number is. Newark, NJ 07105. com website. Appeals must be received within 90 days from the date of denial or remittance advice. 3 Penn Plaza East. Michele Havens, BA Positive Development Medical of New Jersey Professional Corporation. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update Prescription. Horizon NJ Health MemberProvider Correspondence PO Box 24077 Newark, NJ 07101-0406; All claim appeals must be submitted on the New Jersey Department of Banking and Insurance Health Care Provider Application to Appeal a Claims Determination Form. Lynnelle Newell was board certified by the American Board of Ophthalmology. For detailed information on Horizon NJ Health policies and procedures, please refer to the Provider Manual or visit horizonNJhealth. Dental Policies. The Managed Long Term Services & Supports (MLTSS) program promotes independence, dignity and choice. Dental Applications Please send information to Horizon NJ Health Attn Credentialing PO BOX 2059 Milwaukee, WI 53201 Phone 1-855-812-9211 Fax 1-866-396-5686 Email credentialingSKYGENUSA. ABA Services Provider Directory for Horizon NJ Health members. Member Services may ask you to send the bill to Horizon NJ Health. Find a Doctor in New Jersey Area Find Care Outside New Jersey For Enrollment 1-833-713-1313 (TTY 711) For Member Services 1-833-272-8360 (TTY 711) MEMBER SIGN IN; Find a Doctor in New Jersey Area Find Care Outside New Jersey For Enrollment 1-833-713-1313 (TTY 711) For Member Services 1-833-272-8360 (TTY 711). to 6 p. If you&x27;re considering dental coverage as part of your overall health strategy, see what we have to offer. You can apply for NJ FamilyCare online. BACK back to www. If you have any questions about this claims crossover, please contact Provider Services at 1-800-682-9091. (dba Horizon NJ Health for. Completing this form is not part of the credentialing application and should not be completed by physicians (i. Los Angeles, CA 90071. Division of Developmental Disabilities (DDD) Members 1-800-682-9090 (TTY 711) Managed Long Term Services & Supports (MLTSS) Members 1-844-444-4410 (TTY 711) Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Members 1-800-543-5656 (TTY 711) If you are not enrolled with DDD, MLTSS or FIDE-SNP, you should call your local Medical. Medicaid and NJ Familycare. Telehealth services available. OMNIA Health Plans give enrolled members the flexibility to use any hospital participating in our Horizon Hospital Network and any physician, other health care professional or ancillary provider participating in our Horizon Managed Care Network. COVID-19 resources Who to Contact When You Have a Question Horizon Blue Cross Blue Shield of New Jersey wants you to have the information you need, when you need it. Member Handbook (English) Member Handbook (Spanish) MLTSS Member Handbook (English) MLTSS Member Handbook (Spanish) Quick Reference Guide (QRG) 1700 American Blvd. If you are having an urgent mental health crisis, call 911 or visit an. For questions, call the Utilization Management Department at 1-800-664-BLUE (2583). Products are provided by Horizon NJ Health. 714 Bergen Ave,. The only time you should get a bill from a Provider is when you have. , Eastern Time. Enrollment in Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal. We have over 30 years of experience serving Medicaid populations including children, adults and people with disabilities or other serious health conditions. In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. Begin Enrollment. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update Prescription. Products are provided by Horizon NJ Health. Find providers numbers for claims, correspondence, managed care and traditional products and more. 1-800-682-9090 (TTY 711) to request a copy. No upcoming availability on Zocdoc at this location for the appointment type selected. Find Horizon Blue Cross Blue Shield New Jersey (BCBSNJ) medicare medical insurance plans online and enroll in Medicare Advantage, Medicare Supplement plans (Medigap) and Medicare Prescription (Part D) plans. After CMS has made a determination on the claim, Horizon NJ Health will process the claim, considering any member cost-share amounts as well as any amounts not covered by Medicare. Horizon NJ Health 1700 American Blvd. Should you have questions regarding billing or appeals, please contact the Physician and Health Care Hotline at 1-800-682-9091 andor your Professional Relations Representative. , Eastern Time. if approved, be added to the Horizon NJ Health Provider Network. Thank you for your interest in joining our networks. The healthcare provider is registered in the NPI registry with number 1508281056 assigned on February 2014. Toggle menu. Always confirm. Upon acceptance, the provider will be notified of the credentialing committees decision and, if approved, be added to the Horizon NJ Health Provider Network. 2020 PROVIDER DIRECTORY Southern New Jersey Region Directory of participating physicians and other health care professionals Regi&243;n Sur de Nueva Jersey Directorio de m&233;dicos y otros profesionales de atenci&243;n de la salud participantes Horizon Medicare Blue Advantage (HMO) Horizon Medicare Blue Select (HMO-POS). LogistiCare, the non-emergency medical transportation vendor for NJ FamilyCare members, is now Modivcare. Review your monthly member panel listing. com; PROVIDERS ; COVID-19 Information COVID-19 Information. New Jersey State Health Benefits Coordinator (HBC) New Jersey State Health Benefits Coordinator (HBC) For questions about the status of your application, please call 1-800-701-0710. For more information about COBA, please visit CMS. Read more. Please refer to benefit matrix to determine specific member coverage. Authorization is available 24 hours a day, seven days a week. Completing this form is not part of the credentialing application and should not be completed by physicians (i. Horizon NJ Health has updated its Electronic Funds Transfer (EFT) forms for providers who wish to use EFT to receive payments. appeal by calling the Horizon NJ Health Appeals Coordinator at 1-800-682-9094, x89606, select prompt 2 (TTYTDD 711). If you require hard copies of any of this information please call the Physician and. Other Forms. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending. Home - Horizon Blue Cross Blue Shield of New Jersey - NJ Health Insurance Plans. Dental Visit UHCDental. and 5 p. The Credentialing Department will, within two weeks, review the providers application and contact the prospective provider if any discrepancies arise or if more information is required from the provider. Members not enrolled with the DDD, MLTSS or FIDE-SNP should call their local Medical Assistance Customer Center (MACC) for mental health. read more. Dont forget to schedule your return ride home; but if you did not schedule a ride, you can do so once your appointment is over. Call 1-800-637-2997 (TTY 711). There are hundreds of items to choose from. - 500 P. If the message refers the caller to a second phone number, that second line must be answered by a live voice. com; PROVIDERS ; COVID-19 Information COVID-19 Information. The 247 Nurse Line is not an insurance program and may be discontinued at any time. Effective November 8, 2016, certain precertificationprior authorization requests that may have formerly been submitted via fax by physicians, other health care professionals or ancillary providers must be submitted using our online utilization management request tool. NJHelps is a basic screening tool. Horizon Healthcare of New Jersey, andor Horizon Healthcare Dental, Inc. read more. If you are a Direct Primary Care (DPC) member, you can earn your reward by having a well visit and follow-up visit with your provider (700 points) and taking the health assessment (100 points). COVID-19 resources Who to Contact When You Have a Question Horizon Blue Cross Blue Shield of New Jersey wants you to have the information you need, when you need it. 8 a. Workers&39; Compensation & Personal Injury. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Effective November 8, 2016, certain precertificationprior authorization requests that may have formerly been submitted via fax by physicians, other health care professionals or ancillary providers must be submitted using our online utilization management request tool. , ET. docx Created Date 20191030172918Z. Welcome to Horizon NJ Healths Managed Long Term Services & Supports (MLTSS) program. Call Provider Services at 1-800-682-9091, weekdays, from 8 a. It will take up to 90 days for the credentialing process to be completed. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending. Use this card for the following Over-The-Counter (OTC) Catalog Benefit. Diversity is part of who we are as a company, and the diversity of our employees represents the richness of our culture. 8 a. Ofice 1-888-866-6205. BACK back to www. You may also email your questions to HorizonEDIHorizonBlue. You may also fax the completed form to 1-585-425-5296, or send it by email to stateappealseastmaximus. If you have any questions regarding ERA, please call the EDI Service Desk at 1-888-334-9242, weekdays, 8 a. You can visit your health plans website or contact your health plan directly through Member Services and asking for a list of in-network providers. Beginning August 21, 2023, the Horizon UM after-hours phone number will change to 1-844-778-6673. Email providercaversanthealth. This material is presented to ensure that Physicians and Health Care Professionals have the information required to provide benefits and services for Horizon NJ Health members. NJ 08816. Find the phone numbers for various provider services and contacts at Horizon NJ Health, a health insurance company for New Jersey residents. PO Box 63000. The Blue Cross&174; and Blue Shield&174; names and symbols are registered marks of the Blue Cross Blue Shield Association. A physical member ID card is not a guarantee of member eligibility. PLEASE NOTE This contact should be used by individuals including news reporters, broadcasters and other jounalists seeking company information. The web page lists the numbers for behavioral health, care management, maternity, DDD, MLTSS, FIDE-SNP, and more. Please refer to benefit matrix to determine specific member coverage. and health care professionals who provide. The NJ FamilyCare program allows eligible children, single adults and families to get affordable, quality health care through Horizon NJ Health. If you want to email the completed application, please send to HNJHPPPApplicationsHorizonBlue. 1-800-682-9090 (TTY 711) to request a copy. For questions, check application status or verify acceptance of new providers, call 1-800-682-9091 PCPs or Specialists MLTSS providers Behavioral Health 1-800-682-9094 x52670 1. Claims Addresses Referral Forms, Claims and other billing. Prior authorization shall be conducted by a currently licensed New Jersey dentist, who is appropriately. MEMBER ID NUMBER YKU12345678 PCP PHONE OFFICE VISIT SPECIALIST. Note As a participating physician or other health care professional, it is your responsibility to make sure all authorization procedures are followed. , each an independent licensee of the Blue Cross. com opens a dialog window. Horizon Blue Card Blue Shield PPO plan is a premier national BCBS PPO plan that links more than 600,000 network doctors and 6,000. 8 a. m to 8 p. Call Provider Services at 1-800-682-9091, weekdays, from 8 a. To discuss care coordination, individualized plans of care, or to provide additional. BACK back to www. Be sure to include the member's complete ID number when you submit the claim. Physicians who do not have admitting privileges at a network hospital use this form to advise us of an established arrangement with other participating physiciansgroups to care for patients requiring acute care at a network hospital. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. Horizon Healthcare of New Jersey, andor Horizon Healthcare Dental, Inc. Diversity is part of who we are as a company, and the diversity of our employees represents the richness of our culture. Newark, NJ 07105. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. UnitedHealthcare Community Plan. 3 Penn Plaza East. , each an independent licensee of the Blue Cross. This person works with you to make sure any questions about your MLTSS benefits, services and decisions are answered. , ET. You may also email your questions to HorizonEDIHorizonBlue. We have a Provider Directory that shows you who participates in our network. Requirements Billing, Rendering, and Attending Providers need to be registered on the master file with the state. Find Horizon Blue Cross Blue Shield NJ behavioral health coverage, counseling and benefits. 2020 Horizon NJ Health Provider Administrative Manual as well as important Horizon NJ Health. Toggle menu. com Nursing Facility When a resident that is auto-assigned or self-selected the MCO and needs a NJ Choice. Provider Services The Physician and Health Care Hotline at 1-800-682-9091. Through the MLTSS program, Horizon NJ. After CMS has made a determination on the claim, Horizon NJ Health will process the claim, considering any member cost-share amounts as well as any amounts not covered by Medicare. Medicare Supplement plans are provided by Horizon Insurance Company. Provider Data Maintenance Tool Your NaviNet Security Officer can access the Provider Data Maintenance Tool to quickly and conveniently make changes to your provider information which we display to your Horizon BCBSNJ and Horizon NJ Health patients. Published on June 20, 2022, 0125 AM ET. and 5 p. Since 1932, Horizon BCBSNJ has offered quality health insurance products and services to New Jersey families and businesses. If you are having an urgent mental health crisis, call 911 or visit an emergency room as soon as possible. BACK back to www. You will receive a status of your inquiry within two business days. UTILIZATION MANAGEMENT POLICY Notification of Authorization Determination EFFECTIVE DATE December 01, 1999 LAST REVIEWED DATE October 11, 2023 PURPOSE To define the timeframes for notification of authorization determinations to the member, member representative, ordering physician, and provider will receive timely notification of hisher. Call 1-800. Horizon NJ Health Care Case Manager To speak with a Horizon NJ Health CareCase Manager or learn about a Disease Management Program, please call 1-800-682-9094. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. Attention Member Bills. The healthcare provider is registered in the NPI registry with number 1508281056 assigned on February 2014. 1-888-621-5894 , prompt 2 (TTY 711), Weekdays, 830 a. Claims Addresses Referral Forms, Claims and other billing. Up to 1,600. Call Provider Services at 1-800-682-9091, weekdays, from 8 a. Up to 1,600. We have over 30 years of experience serving Medicaid populations including children, adults and people with disabilities or other serious health conditions. Published on June 20, 2022, 0125 AM ET. View profile. Phone 8. (TTY call 711) Help is available from. NJ DIRECT HD1500 and NJ DIRECT HD4000 are High Deductible Health Plans (HDHPs) that combine a high deductible health plan with a health savings account (HSA). Horizon NJ Health MemberProvider Correspondence PO Box 24077 Newark, NJ 07101-0406 We are pleased to present your NEW identification card. The only way to know for sure if you qualify is to apply. For more information, refer to the Provider Administrative Manual, Section 9. com; PROVIDERS ; COVID-19 Information COVID-19 Information. Member Handbook (English) Member Handbook (Spanish) MLTSS Member Handbook (English) MLTSS Member Handbook (Spanish) Quick Reference Guide (QRG) 1700 American Blvd. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jerseys Health Insurance Marketplace. There are several ways to determine a members eligibility for benefits Verify on NaviNet&174; NaviNet&174; opens a dialog window. to 5 p. costco gas price st peters mo, mike luckovich twitter
If a copy of the External Appeal Application is not included with your Internal Appeal outcome letter, please call Member Services at. . Horizon nj health provider phone number
Representatives are available. 1-888-621-5894 , prompt 2 (TTY 711), Weekdays, 830 a. If you have questions about the 21st Century Cures Act registration, please call Gainwell Technologies Provider Enrollment at 1-609-588-6036. Mail Horizon NJ Health. The Credentialing Department will, within two weeks, review the providers application and contact the prospective provider if any discrepancies arise or if more information is required from the provider. Provider Services 1-800-682-9091 www. The Horizon Panorama V plan includes an eye examination for 10. If you require hard copies of any of this information please call the Physician and. For more information, refer to the Provider Administrative Manual, Section 9. Members not enrolled with the DDD, MLTSS or FIDE-SNP should call their local Medical Assistance Customer Center (MACC) for mental health. com opens a dialog window. Mar 25, 2021 Check number. Plus, when you purchase frames through Visionworks&174;, youll receive a 50. NCQA HP UM3 A3, NCQA HP UM3 A1, NCQA HP UM3 A2, NCQA HP UM3 A4. com; PROVIDERS ; COVID-19 Information COVID-19 Information. The only way to know for sure if you qualify is to apply. With your Horizon Blue Cross Blue Shield of New Jersey health plan, you can talk with a doctor in a matter of minutes from wherever you are, anywhere in the United States, 247. BACK back to www. Mar 25, 2021 OMNIA Health Plans. Must include NPI number and Taxonomy Code. Published on June 20, 2022, 0125 AM ET. BACK back to www. You will earn the 700 points for the two visits. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. Horizon BCBSNJ Subject Provider Quick Contact Guide. You may also write to Horizon NJ Health at Horizon NJ Health MLTSS Member Services 210 Silvia Street West Trenton, NJ 08628. Box 63000 Newark, NJ 07101-8064 Provider Name Contact Number Member Name DOS You may provide additional information in an attachment to explain why you are disputing Our handling of the claim. , each an independent licensee of the Blue Cross. Attn PPP Department - PPP-HL-01M. You must activate your card before use. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its. We bring our national experience to your communities. or call our staff weekdays from 8 a. Completing this form is not part of the credentialing application and should not be completed by physicians (i. Attn PPP Department - PPP-HL-01M. Horizon provides interpreter services for members andor providers who speak. Horizon Healthcare of New Jersey, andor Horizon Healthcare Dental, Inc. Horizon NJ Health MemberProvider Correspondence PO Box 24077 Newark, NJ 07101-0406; All claim appeals must be submitted on the New Jersey Department of Banking and Insurance Health Care Provider Application to Appeal a Claims Determination Form. Horizon Vision plans can help you save on all your vision-related needs. com opens a dialog window. NJ DIRECT HD1500 and NJ DIRECT HD4000 are High Deductible Health Plans (HDHPs) that combine a high deductible health plan with a health savings account (HSA). You may also fax the completed form to 1-585-425-5296, or send it by email to stateappealseastmaximus. To obtain prior authorization, or for printed copies of any pharmaceutical management procedure, please call our Pharmacy Department at 1-800-682-9094. , Eastern Time. Login to BCBSNJ member portal and find your wellness ID card or lost card and more. You can apply for NJ FamilyCare online. net or call Provider Services at 1-800-682-9091. The Interactive Voice Response (IVR) system for our physicians and other health care professionals make it easy for you to do business with us over the phone, 24 hours a day, seven days a week, generally including weekends and holidays. For Enrollment 1-800-637-2997 Hearing or speech impaired TTY 711; For Member Services 1-800-682-9090 (TTY 711). COVID Vaccine Form. Eligible preventive services are covered at 100 if in network and do not have a deductible. Horizon NJ Health has updated its Electronic Funds Transfer (EFT) forms for providers who wish to use EFT to receive payments. Member Services Someone is available 24 hours a day, seven days a week to help you, please call 1-800-682-9090 (TTY 711). The NJ FamilyCare telephone number is 1-800-701-0710 (TTY 1-800-701-0720). OMNIA Health Plans give enrolled members the flexibility to use any hospital participating in our Horizon Hospital Network and any physician, other health care professional or ancillary provider participating in our Horizon Managed Care Network. OTC Benefit Grocery. SKYGEN USA administers dental services for Horizon NJ Health members and coordinates all precertification for the provision of inpatient dental care. View, download or request a new member ID card. Products are provided by Horizon NJ Health. Applicable ProductsCommercial PPOEPO &Exchange POSEPO Applicable Products Commercial HMO & POS . resources and more. m ET every day. If you require hard copies of any of this information please call the Physician and Health Care Hotline. BACK back to www. Call Provider Services at 1-800-682-9091, weekdays, from 8 a. Directions Directions Driving Directions. Review your monthly member panel listing. Your coverage includes doctor and therapy visitsin-person, online and over the phoneand digital tools that offer ways to help you take care of your emotional health and deal with stress and other more serious mental health conditions. (TTY call 711) Help is available from. To get answers to other customer inquiries, brokers should call 1-800-355-BLUE (2583) Broker Contacts Our broker partners have access to the Horizon Broker Portal to access client information and perform. Members will not receive new member ID cards. Remember do not call an ambulance for routine transportation needs. if approved, be added to the Horizon NJ Health Provider Network. Call Horizon NJ Health Provider Services at 1-800-682-9091. Members enrolled in Braven Health plans have in-network access to providers in our Horizon Managed Care Network and. 299 CHERRY HILL RD STE 108 Parsippany, NJ 07054 Phone (833)-587-1784. Horizon Blue Cross Blue Shield of New Jersey. No upcoming availability on Zocdoc at this location for the appointment type selected. OMNIA Silver. Connect with us Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, andor Horizon Healthcare Dental, Inc. Communications may. Mar 25, 2021 The Interactive Voice Response (IVR) system for our physicians and other health care professionals make it easy for you to do business with us over the phone, 24 hours a day, seven days a week, generally including weekends and holidays. View Transcript. Member Services. Start making your updates on Line 3. 299 CHERRY HILL RD STE 108 Parsippany, NJ 07054 Phone (833)-587-1784. For our system to appropriately read your template, you must format the name as follows Replace PROVIDER with your group or practice name (up to 20 characters). By fax to 1-609-584-1192. Horizon NJ Health P. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. The PCPs will be contacted after business hours and on weekends. Providers can also call 1-800-682-9091. Insured by Horizon Healthcare of New Jersey, Inc. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update. 1-800-701-0710 (TTY. Horizon NJ Health has one of the largest networks of doctors, hospitals and specialists available in New Jersey. Health Plan. Medicare Advantage and Community Plan. NCQA HP UM3 A3, NCQA HP UM3 A1, NCQA HP UM3 A2, NCQA HP UM3 A4. Forms to Join Our Networks. Department Contact information Provider Services 1-800-682-9091. 1 HardwareSoftware. If you have questions about the 21st Century Cures Act registration, please call Gainwell Technologies Provider Enrollment at 1-609-588-6036. . theroomplace credit card