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Attention: Prevent the spread of coronavirus and protect yourself. Zing Health Plan Members and our AmaZING health community can learn more here. Attention: Prevent the spread of coronavirus and protect yourself. Zing Health Plan Members and our AmaZING health community can learn more here. Attention: Prevent the spread of coronavirus and protect yourself. Zing Health Plan Members and our AmaZING health community can learn more here. Attention: Prevent the spread of coronavirus and protect yourself. Zing Health Plan Members and our AmaZING health community can learn more here.

Quick Reference Guide

ZING CHOICE IL

Monday through Friday 8:00am - 5:00pm

Phone: 1-866-946-4458 | Fax: 1-866-946-4458

IMPORTANT PHONE NUMBERS

TTY:711

Prior Authorizations: 1-844-946-4458

Fax Number: 1-844-946-4458

Email: prior_auth@myzinghealth.com

Pharmacy (Navitus): 1-866-270-3877

Behavioral Health: 1-844-946-4458

Eligibility & PCP Changes 1-866-946-4458

CLAIMS - MEDICAL AND BEHAVIORAL HEALTH CLAIMS

PAPER CLAIM SUBMISSIONS

ZING HEALTH

P.O. Box 981718

El Paso, TX 79998-1718

ELECTRONIC SUBMISSIONS:

EDI TRADING PARTNER - CHANGE HEALTH

1-844-217-1199

https://www.changehealthcare.com/

TIMELY FILING NOTICE

Timely filing is 365 days from the date of service or the date of discharge unless otherwise specified in the provider agreement.

EDI TRADING PARTNER – CHANGE HEALTHCARE

PAYOR: ZING HEALTH

PAYOR ID: 83248

PHONE:1-844-217-1199

Clearinghouse Connectivity:

Zing Health has partnered with Change Healthcare as our preferred EDI Clearinghouse. You may connect directly to Change Healthcare, or in some cases your existing clearinghouse, billing service, or trading partner may maintain existing reciprocal agreements with Change Healthcare.

We encourage you to contact your claims vendor and determine if they have connectivity to Change Healthcare.

To contract directly with Change Healthcare, as your EDI Clearing House, please complete the Sales Inquiry form online (https://www.changehealthcare.com/contact/sales) or contact Sales directly at 1-844-217-1199.

SUBMITTING CORRECTED CLAIMS

PAPER CORRECTED CLAIMS

ATTN: Claims

ZING HEALTH

P.O. Box 981718

El Paso, TX 79998-1718

Timeframe: 60 days from the date of denial EOP

CLAIM PAYMENT DISPUTES

ATTN: Claim Payment Dispute

ZING HEALTH

303 West Madison Street, Suite 800

Chicago, IL 60606

FAX: 1-866-946-4458

Timeframe: 90 days from date of EOP

VENDOR PHONE NUMBERS

American Specialty Health, Inc. (ASH)

ASH-Silver Fit: 1-877-427-4788

ASH-PT/OT/ST/CHIRO: 1-800-678-7133

Canary Telehealth 24 Hour Nursing Hotline: 1-855-494-6877

DentaQuest: 1-855-209-3155

EyeQuest: 1-855-209-3155

Nations Hearing: 1-877-391-8637

MDLive: 1-800-657-6169

SAMPLE MEMBER ID CARD
SERVICES REQUIRING PRIOR PLAN AUTHORIZATION

INPATIENT

  • Acute Care
  • Acute Psychiatric
  • Acute Rehab
  • Skilled Nursing
  • Transplant

OUTPATIENT

  • Ambulatory Surgery & Procedures
  • Advanced Radiology Services
  • Chemo
  • Dialysis
  • Genetic Testing
  • Other Outpatient Hospital Services

ANCILLARY SERVICES

  • Home Health Care
  • Home Health Care PT, OT, ST > 8 visits
  • Home Infusion
  • Diabetic Supplies > $500
  • Durable Medical Equipment > $500
  • Medical Supplies > $250
  • Medicare covered Part B Drugs
  • Orthotics, Prosthetics
  • Therapeutic Shoes for People with Diabetes

BEHAVIORAL HEALTH/SUBSTANCE ABUSE

  • Acute Psych
  • Outpatient Group Therapy
  • Outpatient Individual Therapy
  • Partial Hospitalization

Additional Resources are available on our website www.myzinghealth.com

Due to COVID-19, Zing Health now offers two
new benefits for members:

1. Mail Order pharmacy service. To sign up, call 1-866-946-4458 (TTY: 711) or click here

2. MDLive Virtual Healthcare click here