Contact Us
- Claims - General Information
- Claims Submission/ Address
- Member Benefits, Eligibility, and Authorizations
- Member Customer Service
- E-Support Services/ EDI Helpdesk
- Option 1 to request software
- Option 2 to leave a voice mail
- Option 3 to speak to an EDI Helpdesk Analyst
- Credentialing Status
- Fraud and Abuse
- Clinical Appeals
- Administrative Appeal
- Complaints/Grievances
- Adverse Incident
- Duty to Warn
- Provider Coverage During Absences
- Changing your Provider Profile (e.g. Name, address)
If you have questions about claims in general, call (800) 888-3944.
Reference the address on the member's identification card, as the address may vary based on payment location.
If you have a question about authorization or benefits, call the (800) number on the back of the member's identification card.
To reach Member Customer Service, call the (800) number on the back of the member's identification card.
If you have a technical question about EDI (Electronic Data Interchange), our Electronic Claims software, please contact the EDI Help Desk at (888) 247-9311 from 8 am – 6 pm Eastern Standard Time. Please use the following options:
Fax: (866) 698-6032
E-mail: e-supportservices@valueoptions.com
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Mailing Address:
ValueOptions
Attn: EDI Helpdesk
PO Box 1287
Latham, NY 12110
To obtain information pertaining to your network status, contact our National Provider Line at (800) 397-1630 from 8 am - 5 pm Eastern Standard Time.
Reports of fraud and abuse, or suspicions thereof, can be made in writing to:
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Mailing Address:
ValueOptions
Corporate Headquarters
ATTN: Special Investigations Unit
240 Corporate Boulevard
Norfolk, VA 23502
To request a clinical appeal on a member's behalf, call the (800) number included in the adverse determination letter you received.
To request an administrative appeal, call the (800) number included in the administrative denial letter you received.
To file a complaint/grievance, call the (800) number on the back of the member's identification card to speak to Customer Service.
Report all adverse incidents to the Clinical Care Manager with whom you conduct reviews.
Report all potential situations to the Clinical Care Manager with whom you conduct reviews.
Contact the Clinical Care Manager with whom you conduct reviews during absences (i.e. coverage while on vacation).
"Change of Address" forms can be found at www.valueoptions.com and may be submitted by using one of the following options:
Fax: 757/412-6425 or 757/412-6592
Fax: 757/412-6425 or 757/412-6592
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Mail Address:
ValueOptions
c/o Practitioner Maintenance
P.O. Box 4080
Virginia Beach, VA 23454
Interested in joining the network? Please call 1-800-397-1630.