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    OpenPayerToolsPayer Contact DirectoryThe Health Plan (Upper Ohio Valley)

    The Health Plan (Upper Ohio Valley) Contact Directory

    17 contact channels across 3 types (Email, Fax, Phone) for claims, prior authorization, provider services, and more.

    Last verified Aug 25, 2026 from the payer's published directories.

    Phone

    12 rows

    ContactPurposeLine of BusinessHoursNotesSource
    877-221-9295Behavioral HealthAllN/ABehavioral health provider line; listed as 24/7. - Behavioral Health (24/7) provider support for behavioral / mental health services.View source
    877-791-4104Medical ManagementAllN/AeviCore healthcare is listed as a contact in the Provider Quick Reference Guide, indicating delegated utilization management for certain services. - eviCore healthcare contact for services delegated to eviCore (prior authorization / utilization management for specific services as defined by The Health Plan).View source
    800-624-6961 ext. 7644Medical ManagementAllN/AClinical Services Department contact for questions related to prior authorization requirements and processes. - Clinical Services Department; providers instructed to contact for additional questions about prior authorization and clinical services.View source
    800-304-9101Medical ManagementAllN/AUrgent and emergent admissions notification line for providers, listed as 24/7. - Urgent and Emergent Admissions (24/7) notification line for providers.View source
    800-922-1557PharmacyAllN/AExpress Scripts is identified as the PBM; this is the Express Scripts Pharmacy Help Desk for pharmacy-related issues. - Express Scripts Pharmacy Help Desk; providers and pharmacies can call for assistance related to Express Scripts-administered pharmacy benefits.View source
    304-639-8591PharmacyAllN/AAfter-hours pharmacy contact for urgent pharmacy issues. - After-hours pharmacy contact for questions or concerns processing pharmacy claims.View source
    866-687-7347Prior Authorization, Medical ManagementAllAvailable 24 hours a day / 7 days a weekPhysician-only line to reach medical director after hours for prior authorization-related issues; identified as 1.866.NURSEHP. | Physician Access Line (24/7) listed in Provider Quick Reference Guide; separate from general customer service. - Medical director after-hours line; physician access only for urgent clinical/prior auth discussions. | Physician Access Line (24/7) for providers to reach clinical support and medical management resources.View source
    800-624-6961 ext. 7914Prior Authorization, PharmacyAllN/AGeneral provider clinical services and prior authorization line; pharmacy prior authorization also routed here per prior authorization page. | Pharmacy Services line for providers; also used for prior authorization per prior authorization page and contact page. - To obtain prior authorization for services identified on The Health Plan’s prior authorization list; providers instructed to call this number. Fax available for pharmacy-specific requests. | Pharmacy Services; providers call for pharmacy claims processing questions, general pharmacy inquiries, and pharmacy prior authorizations.View source
    888-816-3096Prior Authorization, Provider ServicesCommercialAvailable 8:00 am to 5:00 pm, Monday through FridayCustomer service / prior authorization contact for self-funded (ASO, employer-funded) plans. | General Customer Service for self-funded network providers; also listed on self-funded network provider page for provider questions. - Self-Funded (ASO, employer-funded) prior authorization options; also serves as customer service line for these plans. | Self-Funded / Administrative Services Only (ASO) general provider customer service and provider questions.View source
    877-847-7907Prior Authorization, Provider ServicesMedicareAvailable 8:00 am to 5:00 pm, Monday through FridayCustomer service / prior authorization contact for Medicare plans. | General Customer Service for Medicare providers per contact / quick reference information. - Medicare prior authorization options; providers may contact this number for Medicare-related prior authorization and benefit questions. | Medicare provider customer service line.View source
    888-613-8385Prior Authorization, Provider ServicesMedicaidAvailable 8:00 am to 5:00 pm, Monday through FridayCustomer service / prior authorization contact for Medicaid plans (including Mountain Health Trust / WV Medicaid and CHIP). | General Customer Service for Medicaid providers (including Mountain Health Trust / WV Medicaid and CHIP). - Medicaid prior authorization options; providers may contact this number for Medicaid-related prior authorization and benefit questions. | Medicaid provider customer service line.View source
    888-847-7902Prior Authorization, Provider ServicesAllAvailable 8:00 am to 8:00 pm, Monday through FridayCustomer service / prior authorization contact for fully insured commercial plans (HMO, PPO, POS). | Behavioral health and general provider service contacts consolidated in quick reference guide. - Commercial fully insured plans (HMO, PPO, POS) prior authorization options; also serves as customer service line for these plans. | General Customer Service for providers – Fully Funded (including Commercial).View source

    Fax

    2 rows

    ContactPurposeLine of BusinessHoursNotesSource
    740-699-6163Claims SubmissionAllN/ADedicated fax line for submitting required claims documentation. - Claims-related documentation faxView source
    304.885.7592 Attn: PharmacyPrior AuthorizationAllN/AFax for pharmacy-related prior authorization requests; attention Pharmacy. - Pharmacy prior authorization fax; providers instructed to fax PA requests Attn: Pharmacy.View source

    Email

    3 rows

    ContactPurposeLine of BusinessHoursNotesSource
    pdq@healthplan.orgEdi Electronic ClaimsAllN/AFor Billing and EDI Enrollment form submission and provider data quality updates. - Billing and EDI Enrollment; Provider Data Quality teamView source
    edi@healthplan.orgEdi Electronic ClaimsAllN/AFor issues with missing EDI files or reports or claims status related to EDI submissions. - EDI Support Center for electronic claim files/reportsView source
    pharmacyservices@healthplan.orgPharmacyAllN/AEmail for pharmacy services, including questions or concerns processing pharmacy claims. - Pharmacy services email for provider inquiries about pharmacy claims processing and related issues.View source

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    More from The Health Plan (Upper Ohio Valley)

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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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