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 – 8pm LOCAL TIME, 7 days a week
- Member Services: 8am – 8pm LOCAL TIME, 7 days a week from October 1st – March 31st, 5 days a week from April 1st – September 30th.
For Deaf or Hard of Hearing customers, please dial 1-833-312-0044.
General Provider Inquiries
Provider Portal
- Phone:1-844-637-4770 (TTY 1-833-312-0044)
- Web Address: https://ehealth-smp.healthsuiteadvantage.com
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
- Web Address: www.Navitus.com
- Phone: 1-866-270-3877 (TTY 711)
Network Support
- Phone:1-844-637-4770 (TTY 1-833-312-0044)
- Email: networksupport@simpra.com
Compliance
- Contact: Sandy Blair, Chief Compliance Officer
- Email: cassandra.blair@acvcorp.com
- Phone: 205-739-4100
- 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: Sandy Blair, Chief Compliance Officer
- Email: cassandra.blair@acvcorp.com
- Phone: 205-739-4100
- 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 Addres: 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 Addres: Simpra Advantage
Attn: Compliance Department
PO Box 1847
Birmingham, AL 35201
Speak With an Agent
Complete the boxes below to have a plan representative contact you.