Provider Service Resources
Zing Health Customer Service can assist providers with prior authorizations, eligibility, PCP changes, and more.
- Phone:1-866-946-4458 (TTY 711)
- Fax:1-844-946-4458
- Email: [email protected]
- Portal: Availity Provider Portal
Learn how to get registered and access Availity today.
Print the Provider Quick Reference Guide to have the information you need most often at your fingertips.
If there are any changes to your practice, please fill out the Provider Change of Information Form so we may keep your directory entry up-to-date.
Model of care training is required for providers within 90 days of contracting with Zing Health and annually thereafter.
Claim Resources
Timely filing is 365 days from the date of service or date of discharge
unless otherwise specified in the provider agreement.
Electronic Claims
Our payor ID is 83248. Zing Health has partnered with Change Healthcare as our preferred EDI clearinghouse. You may connect directly to Change Healthcare, or your existing clearinghouse, billing service, or trading partner may have existing reciprocal agreements with Change Healthcare. For questions regarding EDI, you may call Change Healthcare at1-866-371-9066.
Non-Contracted Provider Payment Reconsideration
A non-contracted provider may request a reconsideration for a denied claim within 60 calendar days from the remittance notification date.
Paper Claims
- Send paper claim submissions to Zing Health, P.O. Box 981718, El Paso, TX, 79998-1718
- Corrected claims must be submitted to the same address within 60 days from the date of the denial explanation of payment (EOP)
- For claim payment disputes, provide the information in this form and send to Zing Health by Email: [email protected], Fax:844-918-4458, or Mail ATTN: Provider Disputes, Zing Health, Inc., 225 W Washington St Suite 450, Chicago, IL 60606
Utilization and Prior Authorization Resources
- Prior Authorization Form
- Prior Authorization List
- Prior Authorization Email: [email protected]
- Prior Authorization Fax:1-844-946-4458
- Physician Referral Form
- Appeals (Prior Auth) Email: [email protected]
- Appeals (Prior Auth) Fax:1-844-917-4458
- Transition of Care/Continuity of Care
- Case Management and Disease Management Reference Forms
- Medical Necessity Clinical Criteria
- Diabetes Testing Supplies Policy
- Diabetes Testing Supplies Form
- Continuous Glucose Monitor Policy
- Continuous Glucose Monitor Form
- COVID Communication Update
- Zing Provider Notice - PBM Transition Elixir
- Inflation Reduction Act Provider Notice
Locate Participating Providers
The Zing provider network grows each day. Help your clients see if their current providers are in the network or help them locate new providers.
Customer Service/Provider Service:1-866-946-4458
Provider Service Email: [email protected]
Fax:1-844-946-4458
Compliance Hotline: 1-844-919-4458
Compliance Website: MyComplianceReport.com
Access Code ID:ZHC
Prior Authorization Fax:1-844-946-4458
Prior Authorization Email: [email protected]
Appeals (Prior Auth) Fax: 1-844-917-4458
Appeals (Prior Auth) Email: [email protected]
Zing Choice and Zing Open Access IL and MI and Zing Signature Care IL and IN
Zing Choice and Zing Open Access IN
Zing Essential Wellness IL and MI
Zing Dual Complete Plus and Zing Dual Platinum Plus
Electronic Submission through CoverMyMeds
Electronic Submission through SureScripts
Electronic Submission through Elixir
Medication Therapy Management (MTM) Program Description
Liberty Dental (dental benefits):1-866-946-4458
EyeMed (vision benefits):1-866-946-4458
NationsHearing (hearing benefits):1-877-391-8637
Silver&Fit (fitness benefits):1-877-427-4788
Kaizen (transportation benefits):1-866-946-4458
Elixir (pharmacy benefits):1-866-946-4458
Weight Watchers (weight loss benefits):1-866-946-4458
NationsOTC (over-the-counter benefits):1-866-946-4458
MD Live (telehealth benefits):1-800-657-6169
24/7 Nurse Advice Line:1-855-494-6877
Papa (in-home support benefits):1-866-946-4458
2023 Prescription Drug Coverage Determination
2023 Prescription Drug Policies & Procedures
Interactive Drug Cost Calculator
Find out how much a drug will cost your patient on a monthly and annual basis. Select the plan type and enter the drug information in the drug cost calculator to get cost information specific to your patient’s coverage.
Customer Service/Provider Service:1-866-946-4458
Provider Service Email: [email protected]
Fax:1-844-946-4458
Compliance Hotline: 1-844-919-4458
Compliance Website: MyComplianceReport.com
Access Code ID:ZHC
Prior Authorization Fax:1-844-946-4458
Prior Authorization Email: [email protected]
Appeals (Prior Auth) Fax: 1-844-917-4458
Appeals (Prior Auth) Email: [email protected]
Zing Choice and Zing Open Access IL and MI and Zing Signature Care IL and IN
Zing Choice and Zing Open Access IN
Zing Essential Wellness IL and MI
Zing Dual Complete Plus and Zing Dual Platinum Plus
Electronic Submission through CoverMyMeds
Electronic Submission through SureScripts
Electronic Submission through Elixir
Medication Therapy Management (MTM) Program Description
Liberty Dental (dental benefits):1-866-946-4458
EyeMed (vision benefits):1-866-946-4458
NationsHearing (hearing benefits):1-877-391-8637
Silver&Fit (fitness benefits):1-877-427-4788
Kaizen (transportation benefits):1-866-946-4458
Elixir (pharmacy benefits):1-866-946-4458
Weight Watchers (weight loss benefits):1-866-946-4458
NationsOTC (over-the-counter benefits):1-866-946-4458
MD Live (telehealth benefits):1-800-657-6169
24/7 Nurse Advice Line:1-855-494-6877
Papa (in-home support benefits):1-866-946-4458
What Makes Zing Different?
Our Mission
Founded by African American physicians, Zing Health has a singular mission: Providing managed care Medicare Advantage plans that address social determinants of health to reduce healthcare disparities among historically underserved populations.
Given that 80 percent of clinical outcomes are attributable to social determinants of health, Zing Health’s unique approach acknowledges the importance of understanding a patient’s circumstances outside of a clinical setting.
Zing’s plans integrate Medicare Parts A and B benefits with Part D prescription drug coverage, along with providing robust extra benefits.
Because we look at the whole person, benefits for dental, vision, hearing, fitness, telehealth, transportation, and OTC supplies are an important part of keeping our members well. We even provide meals for members who were recently discharged from the hospital.
Zing Health utilizes an innovative, personalized model of care that keeps the member and their primary care provider at the center, while supporting them with a holistic care team that includes nurse care managers, behavioral health clinicians, social workers, and connections to community organizations.
Zing accomplishes this while also reducing health care expenses and eliminating financial barriers for its members.
Model of care training is required for providers within 90 days of contracting with Zing Health and annually thereafter.
Because Zing Health only offers Medicare Advantage plans, our tight focus allows us to take the time to get to know our members; partner with them and their providers to develop comprehensive, customized care plans; connect them with resources relating to social determinants of health; and provide concierge-level customer service.
We believe that providers should be able to spend more time with patients and less on paperwork and administration, and our payment model reflects that. After all, you can’t address the social determinants of health affecting your patients if you are too rushed to have a conversation with them about their lives outside of the clinical setting.
That’s why we are actively looking for provider partners who embrace value-based contacting. Our innovative payment model rewards providers for improved outcomes at lower costs instead of offering incentives for increased utilization.
We help providers achieve these goals by promoting use of preventive care and ancillary care to keep members well. Our data-driven, tech-enabled platform simplifies identifying gaps in this care for their patients. We’ve also developed novel results-oriented utilization management methods that help providers improve outcomes for their patients while reducing paperwork burdens.
Where is Zing Health Available?
Illinois
2023 Zing Health
Service Areas
- - Cook
- - Boone
- - DeKalb
- - DuPage
- - Kane
- - Kankakee
- - Lake
- - McHenry
- - Ogle
- - Will
- - Winnebago
Zing Choice HMO 
-
Zing Open Access HMO-POS
-
Zing Essential Wellness HMO-CSNP
-
Zing Signature Care HMO-POS IL (Cook County)
-
Zing Premium Give-Back HMO
Have questions? Chat with an expert now.
Michigan
2023 Zing Health
Service Areas
- - Genesee
- - Oakland
- - Wayne
-
Zing Choice HMO
-
Zing Open Access HMO-POS
-
Zing Essential Wellness HMO-CSNP
-
Zing Complete Plus MI HMO-DSNP
-
Zing Premium Give-Back HMO
Have questions? Chat with an expert now.
Indiana
2023 Zing Health
Service Areas
- - Allen
- - Lake
- - Marion
-
Zing Choice HMO
-
Zing Essential Wellness HMO-CSNP
-
Zing Open Access HMO-POS
-
Zing Complete Plus IN POS-DSNP
-
Zing Signature Care HMO-POS
(Marion County only)
-
Zing Dual Platinum Plus POS-DSNP
(Marion County only)
-
Zing Premium Give-Back HMO
Have questions? Chat with an expert now.
How Can I Become a Zing Health Provider?
Send an email to [email protected] call our Provider Services team at1-866-946-4458 or fill out the form at right.
