Key Contacts
Below is a list of key contacts at Preferred Care Partners. CLICK HERE to download a printable PDF verion. NOTE requires Adobe Acrobat Reader.
Network Management Services - Provider Contact Center
Contracting, orientation and follow-up, changes (demographic and contractual), requests for additional forms
| Telephone | 305-670-8432 | Miami-Dade |
| 954-369-3438 | Broward | |
| Fax | 786-888-1291 | All Areas |
Utilization Management/Case Management
Pre-certification of services, outpatient referrals, inpatient admission, discharge planning, case management and after hours emergency calls
| Telephone | 305-670-8444 | Miami-Dade |
| 954-369-3439 | Broward | |
| 800-995-0480 | Toll Free | |
| Fax | 305-670-2166 | Miami-Dade |
| 866-567-0144 | Toll Free |
Member Services
General Benefit Information, Select or Change Primary Care Physician, Assistance with Prescriptions and Transportation
| Telephone | 305-670-8446 | Miami-Dade |
| 954-369-3440 | Broward | |
| 866-231-7201 | Toll Free | |
| Fax | 305-670-2308 | Miami-Dade |
| 954-369-9441 | Broward | |
| 866-567-0144 | Toll Free | |
| Hearing Impaired (TTY) | 800-406-8076 | Toll Free |
Verify Eligibility & Benefits - Providers Only
Verify Benefits & Eligibility, General Claims Information
| Telephone | 800-587-5114 | Toll Free |
| Fax | 305-670-2308 | All Areas |
Claims
Claims submissions, encounters, claim inquiries, claim status
| Telephone | 305-670-8434 | Miami-Dade |
| 954-272-4495 | Broward | |
| Fax | 305-670-0832 | All Areas |
Credentialing
Credentialing, re-credentialing, document changes
| Telephone | 305-670-8433 | Miami-Dade |
| 954-272-4496 | Broward | |
| Fax | 305-670-1379 | All Areas |
Marketing
Medicare beneficiaries interested in plan information and/or enrolling in the health plan
| Telephone | 305-670-8437 | Miami-Dade |
| 954-369-3437 | Broward | |
| 866-473-0218 | Toll Free | |
| Fax | 786-787-0060 | All Areas |
Grievance & Appeals
Grievance and appeals procedures, forms & Status
| Telephone | 305-670-8435 | Miami-Dade |
| 954-272-4497 | Broward | |
| 888-291-5721 | Toll Free | |
| Fax | 786-888-2273 | Miami-Dade |
| 866-261-1474 | Toll Free |
Pharmacy
Pharmacy benefits/ Eligibility, claims/ Adjudication inquiries, and prior authorization request inquiries
| Telephone | 786-787-0031 | Miami-Dade |
| 954-575-7730 | Broward | |
| 800-591-6144 | Toll Free | |
| Fax | 786-888-1964 | Miami-Dade |
| 954-880-8330 | Broward | |
| 800-203-1664 | Toll Free |
Preferred Care Partners’ Fraud, Waste & Abuse Hotline
| Telephone | 866-678-8822 | Toll Free |
