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Phone Numbers
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Fax Numbers
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Professional Contracting
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Southwest (Cincinnati)
Counties: Adams, Brown, Butler, Clermont, Clinton,Hamilton, Pike, Ross, Scioto
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800/589-2583 or 513/684-8140
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513/684-8121
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Northeast (Cleveland)
Counties: Ashtabula, Belmont, Caroll, Columbiana,Cuyahoga, Geauga, Guernsey, Harrison, Holmes,Jefferson, Lake, Lorain, Mahoning, Medina, Mercer,Portage, Stark, Summit, Trumbull, Tuscarawas, Wayne
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800/625-2583 or 216/687-6064
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216/687-7994
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Central (Columbus)
Counties: Athens, Coshocton, Delaware, Fairfield,Gallia, Hocking, Jackson, Knox, Lawrence, Licking,Marion, Meigs, Monroe, Morgan, Morrow, Muskingum,Noble, Perry, Vinton, Washington
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800/235-4026 or 614/932-7270
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614/932-7254
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Southwest (Dayton)
Counties: Champaign, Clark, Clinton, Darke, Fayette,Greene, Hardin, Highland, Madison, Miami, Pickaway,Preble, Shelby, Union, Warren
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800/422-8339 or 937/898-3350
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937/898-3401
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Northwest (Toledo)
Counties: Allen, Ashland, Auglaize, Crawford, Defiance,Erie, Fulton, Hancock, Henry, Huron, Logan, Lucas,Mercer, Ottawa, Paulding, Putnam, Richland, Sandusky,Seneca, Van Wert, Williams, Wood, Wyandot
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888/258-3482 or 419/473-7455
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419/473-7024
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Provider Inquiry
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Benefit, Eligibility, Claim Status Inquiry for all PPO, POS and HMO products
Voice Connect
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800/362-1279
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Care Management
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Utilization Management Inpatient Prior Approval/Cleveland
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800/258-2873
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Utilization Management Inpatient Prior Approval/Toledo
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800/338-4114
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Behavioral Health Utilization Management/Case Management Prior Approval
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800/258-3186
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Home Health/Skilled Nursing Prior Approval
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800/258-2873 or 800/338-4114
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MRI/MRA/PET Prior Approval
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800/258-2873 or 800/338-4114
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Corporate Medical Policy for
Services/Procedures/DME Requiring
Prior Approval
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Cleveland
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800/516-2583
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Case Management
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800/258-3175
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Clinical Quality Improvement Department
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800/586-4523
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216/687-7787
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Workers’ Compensation
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CareWorks Customer Service
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888/627-7586
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BWC Certification Update
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800/477-2292
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BWC Provider Access Line
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800/644-6292
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CareWorks (C-9 Referral)
(Fax request for authorizations [C-0 forms])
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888/627-0074
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CareWorks FROI (First Report of Injury)
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888/627-6586
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888/711-9282
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Others
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Coordination of Benefits
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800/782-5868 or 216/687-7630
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216/687-2696
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Electronic Claims
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800/321-7223
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Subrogation
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800/442-2911
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Emdeon (to register)
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877/469-3263
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