Contact Us

Important Contacts

View and download our Contact Aid to use in your office.

Main Corporate Telephone Number & Directory

Monday through Friday, from 8:30 a.m. to 5:30 p.m.

(516) 746-2200

Customer Engagement Center

(800) 877-7587 available 24/7

Email: provrel@hcpipa.com

Real-Time Resolution™ Line

Assistance with urgent, time-sensitive clinical needs

(866) 925-0199; available 24/7

Credentialing Department

Phone: (516) 746-2200

Fax: (516) 515-8843

Email: credentialing@hcpipa.com

EZ-Net Help Desk

Monday through Friday, from 8:30 a.m. to 5:30 p.m.

(516) 394-5639

EZNetHelpDesk@hcpipa.com

Authorizations

Authorization Submission

Information on how to submit a request for services.

• Submit a Prior Authorization Request

• Submit an Authorization via FAX: (888) 746-6433

Authorization Status

To check the status of previously submitted services. (Please allow at least two business days for processing of non-urgent requests).

• EZ-Net

• EmblemHealth HCP Direct patients: (800) 877-7587

• Anthem: (800) 676-2583

Fast Track Referrals

Immediate referral authorization needs.

• Specialist Referral Process

• Fast Track Line: (855) 324-9400

Peer-to-Peer Review

Speak with an HCP Medical Director to discuss an authorization denial or for a consultation about a patient’s medical condition.

• Peer-to-Peer

• Peer-to-Peer Review Line: (516) 394-5790

Notification of Hospital Admissions

Notify HCP of scheduled/emergency hospital admissions.

• Prior Authorization of Hospital and Facility-Based Services

• Hospital Admission Notification via FAX (516) 515-8808

Claims Submission

Information on how to submit claims electronically or by mail.

Claims Submission for EmblemHealth Patients

EmblemHealth HCP Direct

• EDI via Availity
  Payer ID: 11328

• Paper:

  HealthCare Partners, MSO
  Attn: Claims
  501 Franklin Avenue, Suite 300
  Garden City, NY 11530

EmblemHealth Behavioral Health

• Paper:

  EmblemHealth Behavioral Health Claim Services
  P.O. Box 1850
  Hicksville, NY 11802-1850

Claims Submission for Anthem Medicare Advantage Patients

Anthem HCP DIRECT Medicare Advantage

• EDI via Availity
  Professional Billing Payer ID: 00803
  Hospital/Facility Billing Payer ID: 00303

• Paper:

  Elevance Health
  P.O. Box 1407
  Church Street Station
  New York, NY 10008-1407

Claims Status

To check claim status and receive an explanation of processing for previously submitted claims. Please allow 30 days from the date of submission for processing.

• EZ-Net

• Emblem Health HCP Direct: (800) 877-7587

• Anthem: (800) 676-2583

• Email: claims@hcpipa.com (secure email only)

Membership Eligibility

To verify the eligibility of a member, including effective dates and the assigned PCP.

• EZ-Net

• Emblem Health HCP DIRECT: (800) 877-7587

• Anthem: (800) 676-2583

Managing Patient Care

Case Management

Connect with a nurse case manager to receive timely assistance in managing patients with a higher-than-normal risk of developing a particular disease defined by a measurable parameter.

(888) 258-0309

Hospice and Palliative Care

Information about referring patients for a Hospice or Palliative Care Evaluation

(516) 214-8253

Pharmacy Help Desk

(516) 515-8861

Quality Support Team

Inquiries & support for physicians and members related to achieving HEDIS, STAR, and quality measures

(833) 989-1358

Risk Adjustment

Connect with a dedicated team of specialists, analysts, clinicians, and other personnel committed to ensuring that risk scores for HCP members appropriately represent their acuity.

(516) 394-5660

Social Work/Behavioral Health

(516) 394-5650

Catholic Health Specialist Referral Line

Call the HCP-dedicated referral line to schedule an appointment with a preferred Catholic Health specialist.

(631) 396-8670

New York Home Health Care (NYHHC)

NYHHC strives to provide quality medical equipment & supplies to customers across the NY metropolitan area.

Phone: (516) 506-0823

FAX: (516) 740-2868

Accessibility Assistance

While HCP strives to adhere to overall standards for accessibility and usability, it is not always possible to do so in every area of the website. We will continue to seek out solutions to maintain a high level of accessibility. Should you experience any issues navigating this website, please contact us at (800) 877-7587, Monday through Friday, from 8:30 a.m. to 5:30 p.m.

If you have a hearing or speech impairment, call the TTY/TDD number at 711. You can dial 711 to access all telecommunications relay services anywhere in the United States. The relay service is free. In the event of an emergency, TDD or TTY users can call 911 directly and do not need to make a TRS call via 711.

For language assistance, please contact us at (800) 877-7587 and request an interpreter in your preferred language, free of charge.