Avera Health Plans Contact Directory
22 contact channels across 4 types (Email, Fax, Mailing Address, Phone) for claims, prior authorization, provider services, and more.
Last verified Aug 25, 2026 from the payer's published directories.
Phone
11 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 605-322-5700 | Behavioral Health | All | N/A | Avera Medical Group University Psychiatry Associates – behavioral health specialty site directory listing | View source |
| 605-322-6000 | Edi Electronic Claims, General | All | Portal help desk | Portal help desk line; not a claims inquiry line. - Portal help desk – support for provider portal access used for eligibility, claims, and preauthorizations | portal help desk | View source |
| 605-322-4545 | General | All | 8 a.m. to 5 p.m. CT, Monday through Friday | Service center / customer care line published in appeal form. - service center / coverage or appeal rights questions | View source |
| 833-464-7663 | Pharmacy | All | N/A | Provider pharmacy team – questions regarding pharmacy services and preauthorizations | View source |
| 800-249-8035 | Prior Authorization | All | N/A | Delegated utilization management vendor for preauthorizations via portal as described in provider manual - Cohere Health Customer Service – assistance with portal registration or submitting preauthorizations | View source |
| 866-668-8295 | Prior Authorization | All | 7 a.m. to 7 p.m. CT, Monday through Friday | Delegated utilization management vendor for certain services as indicated in provider manual - eviCore (CareCore National) – ordering provider or designee to obtain preauthorization for designated services | View source |
| 888-605-1331 | Prior Authorization, Medical Management | All | N/A | Urgent medical preauthorization requests for medical services | General health services / medical management contact via Health Services email and fax as listed on preauthorization page | View source |
| 605-322-4640 | Provider Services | All | N/A | Provider Relations Specialist contact listed on claims system update tip sheet. - claims/EDI transition | View source |
| 605-322-4634 | Provider Services | All | N/A | Provider Relations Team contacts listed on claims system update tip sheet. - claims/EDI transition | View source |
| 605-322-3643 | Provider Services | All | N/A | Provider Relations Specialist contact listed on claims system update tip sheet. - claims/EDI transition | View source |
| 888-322-2115 | Provider Services, General | All | 8 a.m. to 5 p.m. CT, Monday through Friday | Provider Relations line. | Toll-free service center line published in appeal form. - service center / coverage or appeal rights questions | View source |
Fax
3 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 605-322-5704 | Behavioral Health | All | N/A | Avera Medical Group University Psychiatry Associates – behavioral health specialty site directory listing fax | View source |
| 800-269-8561 | Prior Authorization, Medical Management | All | N/A | Submission of preauthorization forms and clinical documentation for medical services | Fax for clinical documentation and preauthorization submissions, applicable to medical management | View source |
| 605-322-4540 | Provider Services | All | N/A | Provider Relations fax for NPI listings. - attn: Provider Relations | View source |
Mailing Addresses
1 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| Avera Health Plans, Attention: Complaint and Appeals Coordinator, 5300 S Broadband Ln, Sioux Falls, SD 57108-2221 | Appeals Disputes, Claims Submission | All | N/A | Appeals mailing address. | Paper claims filing address. - claim appeal / complaint and appeals coordinator | manual/paper claims | paper claims; alternate formatting in source uses "Broadband Lane" | View source |
7 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| Service@AveraHealthPlans.com | General | All | N/A | Service Center email. - customer care / service center | View source |
| HealthServices@AveraHealthPlans.com | Prior Authorization, Medical Management | All | N/A | Submission of preauthorization forms and clinical documentation for medical services via secure email | Health Services – used for clinical documentation and preauthorization submissions, applicable to medical management | View source |
| steven.grogan@Avera.org | Provider Services | All | N/A | Provider Relations Specialist email listed on claims system update tip sheet. - claims/EDI transition | View source |
| AHP.Providers@avera.org | Provider Services | All | N/A | Provider Relations email. | View source |
| Providers@AveraHealthPlans.com | Provider Services | All | N/A | Provider contact email used for NPI listings. - submit listing of NPIs for providers in your office/organization | View source |
| maggie.pauley@Avera.org | Provider Services | All | N/A | Provider Relations Specialist email listed on claims system update tip sheet. - claims/EDI transition | View source |
| mike.dooley@Avera.org | Provider Services | All | N/A | Provider Relations Team email listed on claims system update tip sheet. - claims/EDI transition | View source |
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Sources
Where this data comes from
Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.
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