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NMHC strives to continually increase communications with its providers regarding our new clients and plan design
changes.
If you need to request prior authorization on a medication for a current NMHC member, please download the
appropriate Prior Authorization Request Form and fax the completed
form to the toll free fax number located at the
top of the PA form,
or submit a
Prior Authorization Online Request.
Our Provider Relations FAQ section provides answers to some commonly asked questions regarding
claims adjudication through NMHC. If you have a specific question, or if you would like to request
a contract, please call the NMHC Provider Relations department at (877) 877-3075. The Provider
Relations department is open Monday through Friday from 8:30AM to 5PM ET. You can also
contact us online.
For answers to claims questions you may contact our Provider Service call
center and speak with a Customer Care Professional (CCP). You can also
reference our Provider Manual and Pharmacy Payer Sheets by clicking a link below:
The Provider Service call center can be reached by calling: (800) 510-8980.
- The hours of call center operation are 24 hours a day - 7 days a week.
At NMHC, we strive for service excellence. Please complete our Provider Relations Survey and let
us know how we are doing.
- Fraud, Waste and Abuse Educational Materials
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