Health Plan Directory by Region Revised 12-20-2017 aetna


VA Premier updated 11/28/17



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VA Premier updated 11/28/17

Health Plan Payer ID: Availity: Use Payer ID: VPEP1 for All Claim Types

Change Healthcare: Use Payer ID: 1244 for Institutional Claims; Use Payer ID: 4573 for Professional


Hospitals, Ancillary, Physicians

Tidewater

Central

Charlottesville/Western

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Authorizations

Referrals and Authorizations

Phone: 888-251-3063



Referrals and Outpatient Authorization

Fax: 800-827-7192



Inpatient Authorization

Fax: 877-739-1365




Referrals and Authorizations

Phone: 888-251-3063



Referrals and Outpatient Authorization

Fax: 800-827-7192



Inpatient Authorization Fax:

877-739-1365




Referrals and Authorizations

Phone: 888-251-3063




Referrals and Outpatient Authorization

Fax: 800-827-7192



Inpatient Authorization Fax:

877-739-1365




Care Coordination

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Stephanie Collazo
Email: Stephanie.collazo@vapremier.com
Phone: (804) 819-5151 ext. 55581

Main Toll Free Number: 877-719-7358; Prompt: 3 - 3 - 4 - 1
Escalation: Freda Wilkins

Email: freda.wilkins1@vapremier.com

Phone: (804) 819-5151 ext. 55210


Main Toll Free Number: 877-719-7358; Prompt: 3 - 3 - 4 - 1
Escalation: Pamela Aldridge

Email: pamela.aldridge@vapremier.com

Phone: (804) 819-5151 ext. 55427


Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


VA Premier updated 11/28/17

Health Plan Payer ID: Availity: Use Payer ID: VPEP1 for All Claim Types

Change Healthcare: Use Payer ID: 1244 for Institutional Claims; Use Payer ID: 4573 for Professional


Hospitals, Ancillary, Physicians

Tidewater

Central

Charlottesville/Western

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Authorizations

Referrals and Authorizations

Phone: 888-251-3063



Referrals and Outpatient Authorization

Fax: 800-827-7192



Inpatient Authorization

Fax: 877-739-1365




Referrals and Authorizations

Phone: 888-251-3063



Referrals and Outpatient Authorization

Fax: 800-827-7192



Inpatient Authorization Fax:

877-739-1365




Referrals and Authorizations

Phone: 888-251-3063




Referrals and Outpatient Authorization

Fax: 800-827-7192



Inpatient Authorization Fax:

877-739-1365




Care Coordination

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Stephanie Collazo
Email: Stephanie.collazo@vapremier.com
Phone: (804) 819-5151 ext. 55581

Main Toll Free Number: 877-719-7358; Prompt: 3 - 3 - 4 - 1
Escalation: Freda Wilkins

Email: freda.wilkins1@vapremier.com

Phone: (804) 819-5151 ext. 55210


Main Toll Free Number: 877-719-7358; Prompt: 3 - 3 - 4 - 1
Escalation: Pamela Aldridge

Email: pamela.aldridge@vapremier.com

Phone: (804) 819-5151 ext. 55427


Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


VA Premier updated 11/28/17

Health Plan Payer ID: Availity: Use Payer ID: VPEP1 for All Claim Types

Change Healthcare: Use Payer ID: 1244 for Institutional Claims; Use Payer ID: 4573 for Professional

Skilled Nursing Facility

Tidewater

Central

Charlottesville/Western

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation Earnest T. Poole

Phone 804-819-5151 ext. 55579

Earnest.poole@vapremier.com


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: John Strube

Phone 804-819-5151 ext. 56091

John.strube@vapremier.com


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Rebecca Frango

Phone: 540-344-8838 Ext. 55876

Email: Rebecca.Frango@vapremier.com


Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com

Authorizations

Inpatient Authorization

Fax: 877-739-1365



Inpatient Authorization

Fax: 877-739-1365



Inpatient Authorization

Fax: 877-739-1365



Care Coordination

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation Stephanie Collazo
Email: Stephanie.collazo@vapremier.com
Phone: (804) 819-5151 ext. 55581

Main Toll Free Number: 877-719-7358; Prompt: 3 - 3 - 4 - 1
Escalation: Freda Wilkins

Email: freda.wilkins1@vapremier.com

Phone: (804) 819-5151 ext. 55210


Main Toll Free Number: 877-719-7358; Prompt: 3 - 3 - 4 - 1
Escalation: Pamela Aldridge

Email: pamela.aldridge@vapremier.com

Phone: (804) 819-5151 ext. 55427


Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


VA Premier updated 11/28/17

Health Plan Payer ID: Availity: Use Payer ID: VPEP1 for All Claim Types

Change Healthcare: Use Payer ID: 1244 for Institutional Claims; Use Payer ID: 4573 for Professional

Skilled Nursing Facility

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: Rebecca Frango

Phone: 540-344-8838 Ext. 55876

Email: Rebecca.Frango@vapremier.com


Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: Rebecca Frango

Phone: 540-344-8838 Ext. 55876

Email: Rebecca.Frango@vapremier.com


Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube

Phone 804-819-5151 Ext 56091

John.strube@vapremier.com


Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Authorizations

Inpatient Authorization

Fax: 877-739-1365



Inpatient Authorization

Fax: 877-739-1365



Inpatient Authorization

Fax: 877-739-1365



Care Coordination

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1

Escalation: Traci Nagy

Email: Traci.Nagy@vapremier.com


Phone: (804) 819-5151 ext. 55873

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Donna Brock

Email: Donna.Brock@VaPremier.com; Phone: (804) 819-5151 ext. 55616



Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Solange Nana

Email: Solange.Nana@vapremier.com

Phone: (804) 819-5151 ext. 53963


Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

VA Premier updated 11/28/17

Health Plan Payer ID: Availity: Use Payer ID: VPEP1 for All Claim Types

Change Healthcare: Use Payer ID: 1244 for Institutional Claims; Use Payer ID: 4573 for Professional




Community Mental Health Rehabilitation Service

Tidewater

Central

Charlottesville/Western

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube
Phone: (804) 819-5151 ext. 56091;
Email: John.Strube@VaPremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube
Phone: (804) 819-5151 ext. 56091;
Email: John.Strube@VaPremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube
Phone: (804) 819-5151 ext. 56091;
Email: John.Strube@VaPremier.com

Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com



Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com



Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com



Authorizations

Fax: 1-888-237-3997 
Call: 1-844-513-4951

Fax: 1-888-237-3997 
Call: 1-844-513-4951

Fax: 1-888-237-3997 
Call: 1-844-513-4951

Care Coordination

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 – 1
Escalation Stephanie Collazo
Email: Stephanie.collazo@vapremier.com
Phone: (804) 819-5151 ext. 55581

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 – 1
Escalation: Freda Wilkins

Email: freda.wilkins1@vapremier.com

Phone: (804) 819-5151 ext. 55210


Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 – 1
Escalation: Pamela Aldridge

Email: pamela.aldridge@vapremier.com

Phone: (804) 819-5151 ext. 55427


Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager



VA Premier updated 11/28/17

Health Plan Payer ID: Availity: Use Payer ID: VPEP1 for All Claim Types

Change Healthcare: Use Payer ID: 1244 for Institutional Claims; Use Payer ID: 4573 for Professional


Community Mental Health Rehabilitation Service

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube
Phone: (804) 819-5151 ext. 56091;
Email: John.Strube@VaPremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube
Phone: (804) 819-5151 ext. 56091;
Email: John.Strube@VaPremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Escalation: John Strube
Phone: (804) 819-5151 ext. 56091;
Email: John.Strube@VaPremier.com

Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com



Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com



Main Toll Free Number: 877-719-7358; Provider Services Prompt

Email: vphpnetdev@vapremier.com



Authorizations

Fax: 1-888-237-3997 
Call: 1-844-513-4951

Fax: 1-888-237-3997 
Call: 1-844-513-4951

Fax: 1-888-237-3997 
Call: 1-844-513-4951

Care Coordination

Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Traci Nagy

Email: Traci.Nagy@vapremier.com

Phone: (804) 819-5151 ext. 55873


Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Donna Brock

Email: Donna.Brock@VaPremier.com; Phone: (804) 819-5151 ext. 55616



Main Toll Free Number: 877-719-7358;

Prompt: 3 - 3 - 4 - 1
Escalation: Solange Nana

Email: Solange.Nana@vapremier.com

Phone: (804) 819-5151 ext. 53963


Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager


VA Premier added 12/04/17


DME AT and EM

Tidewater

Central

Charlottesville/Western

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Authorizations

Laura Hourani
Email: Laura.Hourani@VaPremier.com

Phone: (804) 819-5151 ext. 54026



Laura Hourani
Email: Laura.Hourani@VaPremier.com

Phone: (804) 819-5151 ext. 54026



Laura Hourani
Email: Laura.Hourani@VaPremier.com

Phone: (804) 819-5151 ext. 54026



Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Care Coordination

Dana Lawson
Email: dana.lawson@vapremier.com

Phone: 855-338-6467 ext. 55542



Dana Lawson
Email: dana.lawson@vapremier.com

Phone: 855-338-6467 ext. 55542



Dana Lawson
Email: dana.lawson@vapremier.com

Phone: 855-338-6467 ext. 55542




VA Premier added 12/04/17



DME AT and EM

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Main Toll Free Number: 877-719-7358; Provider Services Prompt
Escalation: Assigned Provider Services Representative


Credentialing

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Main Toll Free Number: 877-719-7358; Provider Services Prompt
Email: vphpnetdev@vapremier.com

Authorizations

Laura Hourani
Email: Laura.Hourani@VaPremier.com

Phone: (804) 819-5151 ext. 54026



Laura Hourani
Email: Laura.Hourani@VaPremier.com

Phone: (804) 819-5151 ext. 54026



Laura Hourani
Email: Laura.Hourani@VaPremier.com

Phone: (804) 819-5151 ext. 54026



Claims

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Main Toll Free Number: 877-719-7358; Claims Customer Service Prompt

Escalation: Claims Resolution Manager

Care Coordination

Dana Lawson
Email: dana.lawson@vapremier.com

Phone: 855-338-6467 ext. 55542



Dana Lawson
Email: dana.lawson@vapremier.com

Phone: 855-338-6467 ext. 55542



Dana Lawson
Email: dana.lawson@vapremier.com

Phone: 855-338-6467 ext. 55542





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