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    OpenPayerToolsPayer Contact DirectoryNeighborhood Health Plan of Rhode Island

    Neighborhood Health Plan of Rhode Island Contact Directory

    11 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

    4 rows

    ContactPurposeLine of BusinessHoursNotesSource
    800-459-6019PharmacyMedicaidN/ANumber is titled Provider Services and used for verbal pharmacy coverage / prior authorization requests by prescribers - Pharmacy coverage / prior authorization requests submitted verbally – MedicaidView source
    844-812-6896PharmacyMedicareN/ANumber is titled Provider Services and used for verbal pharmacy coverage / prior authorization requests by prescribers - Pharmacy coverage / prior authorization requests submitted verbally – Neighborhood INTEGRITY for Duals / Neighborhood Dual CONNECTView source
    855-321-9244PharmacyCommercialN/ANumber is titled Provider Services and used for verbal pharmacy coverage / prior authorization requests by prescribers - Pharmacy coverage / prior authorization requests submitted verbally – CommercialView source
    800-963-1001Provider ServicesAllN/AProvider Services phone line referenced in a commercial migration notice.View source

    Fax

    4 rows

    ContactPurposeLine of BusinessHoursNotesSource
    401-709-7005Appeals DisputesAllN/AAppeals/grievances fax appears on the member grievance and appeals page; no provider-specific appeals fax was found in the retrieved sources. - grievances and appeals departmentView source
    855-829-2875PharmacyMedicareN/APharmacy benefit prior authorization fax – Neighborhood INTEGRITY for Duals and Neighborhood Dual CONNECT membersView source
    866-423-0945PharmacyMedicaidN/APharmacy benefit prior authorization fax – Medicaid membersView source
    401-459-6023Prior Authorization, Medical ManagementAllN/AMedical prior authorization / utilization management fax for all product lines | Utilization Management fax – medical management/prior authorization for all product linesView source

    Mailing Addresses

    2 rows

    ContactPurposeLine of BusinessHoursNotesSource
    Neighborhood Health Plan of Rhode Island, Grievances and Appeals Department, 910 Douglas Pike, Smithfield, RI 02917Appeals Disputes, Prior Authorization, Medical ManagementAllN/AAppeals/grievances mailing address appears on the member grievance and appeals page; no provider-specific appeals address was found in the retrieved sources. - grievances and appeals department | Medical prior authorization / utilization management mailing address for all product lines | Utilization Management mailing address – medical management/prior authorization for all product linesView source
    Neighborhood Health Plan of Rhode Island, Attention: Claims Department, P.O. Box 28259, Providence, RI 02908-3700Claims SubmissionAllN/APaper claims submission address. | Paper claims submission address appears without the Attention line in the provider quick reference guide.View source

    Email

    1 rows

    ContactPurposeLine of BusinessHoursNotesSource
    EDISupport@nhpri.orgEdi Electronic ClaimsAllN/AFor clearinghouse issues with electronic claim submission.View source

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    More from Neighborhood Health Plan of Rhode Island

    • Neighborhood Health Plan Of Rhode Island prior authorization
    • Neighborhood Health Plan Of Rhode Island timely filing
    • Neighborhood Health Plan Of Rhode Island coverage criteria
    • All Neighborhood Health Plan Of Rhode Island policy updates

    More from Neighborhood Health Plan of Rhode Island

    • Neighborhood Health Plan Of Rhode Island prior authorization
    • Neighborhood Health Plan Of Rhode Island timely filing
    • Neighborhood Health Plan Of Rhode Island coverage criteria
    • All Neighborhood Health Plan Of Rhode Island policy updates

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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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