Call (602) 659-1977 or (800) 888-1477, option 2 or option 3.

Call CONTACT Utilization Management at (602) 659-1977 or (800) 888-1477, option 2, option 1 to verify eligibility, co-pay, number of allowed visits, and to determine if an authorization is required.

You may call Utilization Management at (602) 659-1977 or (800) 888-1477, option 2, option 1.

Your HCFA form 1500 must be received by CONTACT within 60 calendar days of the earliest date of service billed on the form. Late submission of claims will result in denial.

First check whether you sent the claim to the correct address. Many, but not all, claims are paid by CONTACT. Most claims are paid within two weeks of receipt. If you have not received payment within a month, call Claims Inquiry at (602) 659-1977 or (800) 888-1477, option 2, option 2 to check on the status of your claim.

There are two types of appeals: clinical and claims. A clinical appeal is an appeal of a denial for a level of care. For example, a request is made for an inpatient stay, but an alternative of a partial stay is authorized. A claims appeal is made on any result of a claims decision. For example, underpayment or when a claim is denied for any reason.

To verify that your claim was processed correctly or for clarification of information before initiating an appeal, please call Claims Inquiry at (602) 659-1977 or (800) 888-1477, option 2, option 2.

For Claims Resubmission and Reconsideration:

Mark at the top of the claim "resubmission" or "reconsideration" and submit:

• Nature of request;
• Member's name, date of birth, member ID number;
• Service/admission date;
• Location of treatment, service, or procedure;
• Documentation supporting request;
• Copy of claim; and
• Copy of the remittance advice on which the claim was denied or incorrectly paid.

Please note: CONTACT must receive claims resubmission no later than 90 days from the date of the Provider Remittance Advice.

Request for Resubmission and Reconsideration MUST be sent to:

To file a formal written appeal, submit:

• Nature of request (legal and factual basis for appeal);
• Member's name, date of birth, member ID number;
• Service/admission date;
• Location of treatment, service, or procedure;
• Clinical information and/or medical records/documentation supporting request;
• Copy of claim; and
• Copy of the remittance advice on which the claim denied or incorrectly paid.

Please note: Claims appeals must be filed within 12 months from date of service, 12 months after the date of eligibility posting or within 60 days after the date of a timely claim submission, whichever is less. Claims appeals challenging an adverse decision must be filed within 60 days.

Claims appeals MUST be sent to:

For information on becoming a CONTACT EAP provider, please call (602) 659-1977 or (800) 888-1477, option 2, option 3.

For information on companies/organizations with CONTACT EAP services, please call (800) 222-8335.

EAP does not include any psychiatric (M.D.) or medical services.

Mail the completed CONTACT EAP Client Information form to:

The EAP claim form must be received by CONTACT within 60 calendar days from the date of service billed on the form. Late submission of claims will result in denial.

No EAP client organizations currently require co-payments.

To verify that your claim was processed correctly or for clarification of information before initiating an appeal, please call Claims Inquiry at (602) 659-1977 or (800) 888-1477, option 2, option 2.

For Claims Resubmission and Reconsideration:

Mark at the top of the claim "resubmission" or "reconsideration" and submit:

• Nature of request;
• Member's name, date of birth, member ID number;
• Service/admission date;
• Location of treatment, service, or procedure;
• Documentation supporting request;
• Copy of claim; and
• Copy of the remittance advice on which the claim was denied or incorrectly paid.

Please note: CONTACT must receive claims resubmission no later than 90 days from the date of the Provider Remittance Advice.

Request for Resubmission and Reconsideration MUST be sent to:

To file a formal written appeal, submit:

• Nature of request (legal and factual basis for appeal);
• Member's name, date of birth, member ID number;
• Service/admission date;
• Location of treatment, service, or procedure;
• Documentation supporting request;
• Copy of claim; and
• Copy of the remittance advice on which the claim denied or incorrectly paid.

Please note: Claims appeals must be filed within 12 months from date of service, 12 months after the date of eligibility posting or within 60 days after the date of a timely claim submission, whichever is less. Claims appeals challenging an adverse decision must be filed within 60 days.

Claims appeals MUST be sent to: