PROVIDERS: Effective 4/20/23 at 5pm CT – Submit ALL claims with 2022 or 2023 Dates of Service to Change Healthcare OR to a clearinghouse that has a relationship with Change Healthcare. Mail ALL paper claims to: Simpra Advantage Claims, PO Box 981843, El Paso, TX 79998-1843. Visit the Claims page for more information.

Contact Information

 

Hours of Operation:

  • Member Services: 8am –  8pm LOCAL TIME, 7 days a week from October 1st – March 31st, 5 days a week from April 1st – September 30th. 
    • Note: Member Services is closed on the following Holidays: Memorial Day, Independence Day, Thanksgiving, and Christmas
  • Provider Services: 8am – 6pm LOCAL TIME
  • Utilization Management: 8am – 5pm Central Time, Monday-Friday 

TTY Services:

  • Please Dial 1-833-312-0044.

General Provider Inquiries

  • Phone:1-844-637-4770 (TTY 1-833-312-0044)

Provider Portal

Claims Helpdesk

  • Phone:1-844-637-4770 (TTY 1-833-312-0044)
  • Mailing Address: Simpra Advantage
    Attn: Claims Department
    PO Box 981843
    El Paso, TX 79998-1843

 

Utilization Management

  • Phone:1-844-637-4770 (TTY 1-833-312-0044)
  • Fax: 251-725-5099
  • Call to start an authorization, check the status of an authorization, provide clinical information over the phone, or get referrals for specialists.

Navitus Pharmacy Helpdesk

Network Support

Compliance

  • Contact: Celeste Panaro, Chief Compliance Officer
  • Email: celeste.panaro@acvcorp.com
  • Phone: 832-278-3988
  • General Email:compliance@simpra.com
  • Mailing Address:Simpra Advantage
    Attn: Compliance Department
    PO Box 1847
    Birmingham, AL 35201
  • Hotline:1-833-416-5035 (toll free)
  • Fax: 205-994-7028

Member Services

  • Phone: 1-844-637-4770 (TTY 1-833-312-0044)
  • Email: customerservice@simpra.com
  • Mailing Address:Simpra Advantage
    PO Box 981843
    El Paso, TX 79998-1843

Enrollment Services

  • Phone: 1-844-637-4770 (TTY 1-833-312-0044)
  • Email: enrollment@simpra.com
  • Mailing Address: Simpra Advantage
    PO Box 981843
    El Paso, TX 79998-1843

Compliance

  • Contact: Celeste Panaro, Chief Compliance Officer
  • Email: celeste.panaro@acvcorp.com
  • Phone: 832-278-3988
  • General Email: compliance@simpra.com
  • Mailing Address:Simpra Advantage
    Attn: Compliance Department
    PO Box 1847
    Birmingham, AL 35201
  • Hotline: 1-833-416-5035 (toll free)
  • Fax:205-994-7028

Appeals and Grievances

  • Phone:1-844-637-4770 (TTY 1-833-312-0044)
  • Email:A_G@simpra.com
  • Mailing Address: Simpra Advantage
    Appeals and Grievances Department
    PO Box 981842
    El Paso, TX 79998-1842

 

Medicare

  • URL:  www.medicare.gov
  • Phone:  1-800-MEDICARE (1-800-633-4277)
    TTY users can call 1-877-486-2048.

Privacy or HIPAA

  • Phone:1-833-416-5035 (toll free)
  • Email:compliance@simpra.com
  • Mailing Address: Simpra Advantage
    Attn: Compliance Department
    PO Box 1847
    Birmingham, AL 35201

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