For Providers
Policies & Procedures
Page last updated: November 21, 2023
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For Providers
Availity Provider Portal Login
Benefits & Eligibility Verification
Claims Status & Details
Plan Specific Information
IVR (Automated Service)
844-806-8215
HIPAA Eligibility Transactions
(270/271 Benefits & Eligibility Files): For set up, your IT & clearinghouse must contact Change Healthcare (CNC clearinghouse vendor).
Customer Service
844-806-8216 (M-F 7:30 a.m. – 5:00 p.m.)
Availity Registration
Providers can now register for the new Provider Portal service with Availity at availity.com/provider-portal-registration.
How to get assistance with the Availity Provider Portal?
Availity Provider Portal users, please contact Availity at 1-800-282-4548.
Summary of Benefits
2024
2023
Evidence of Coverage
2024
2023
Additional Benefits
2024
2023
How to verify Claims Status?
Claims Payer ID:
66010
Mailing Address:
Care N’ Care Insurance Company
Attention Claims
P.O. Box 4375
Scranton, PA 18505
Clearinghouse
Electronic Payments EFT (Electronic Funds Transfer)
*Note: Providers must enroll for ERA’s in order to receive EFT at Change Healthcare.
How to send a refund check payable to Care N’ Care?
Please send a letter on company letterhead informing Care N’ Care of the refund to include:
Mailing Address:
Care N’ Care Insurance Co Inc
P.O. Box 674534
Dallas, TX 75267-4534
How to return a check in error?
Please send a letter on company letterhead informing Care N’ Care of the refund to include:
Mailing Address:
Care N’ Care Insurance Company
Attention Claims
P.O. Box 4375
Scranton, PA 18505
In-Network (INN) Disputes
Providers have 60 days from the date of notification of the claims decision to file a written dispute to Care N’ Care to include:
Mailing Address:
Care N’ Care Insurance Company
Attention Appeals & Grievances Department
1603 Lyndon B. Johnson Freeway, Suite 300
Farmers Branch, TX 75234
Out-of-Network (OON) for Non-Contracted Provider Appeals
Providers have 60 days from the date of notification of the claims decision to file a written dispute to Care N’ Care to include:
OON Appeals may be faxed or mailed to Appeals & Grievances Department:
How to obtain In-Network (INN) Provider Dispute/Out-of-Network (OON) Appeal Status?
Provider can fill out the Provider Dispute/Appeal Status Request Form
The status request forms can be faxed to A&G at 817-810-5214