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

For Deaf or Hard of Hearing customers, please dial 1-833-312-0044.

When calling Provider Services, first select option #2.

General Provider Inquiries

Provider Portal (Prior Authorizations)

EZ-Net Portal (Check Status of a Claim or Eligibility)

Claims Helpdesk

  • Phone:1-844-637-4770 (TTY 1-833-312-0044)
  • Mailing Address: Simpra Advantage
    Attn: Claims Dept
    PO Box 2190
    Glen Allen, VA 23058

 

Utilization Management

  • Phone:1-844-637-4770 (TTY 1-833-312-0044)
  • Fax: 1-833-610-2399
  • 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

EZ-Net Support/Provider Services

Network Support

SSI Claimsnet Customer Support

Compliance

  • Chief Compliance: Sandy Blair
  • Email: cassandra.blair@acvcorp.com
  • Phone: 205-739-4100
  • General Email:compliance@simpra.com
  • Mailing Address:Simpra Advantage
    Attn: Compliance Department
    3008 7th Avenue South
    Birmingham, AL 35233
  • Hotline:1-833-416-5035 (toll free)
  • Fax: 205-994-7028

When calling Member Services, first select option #1.

Member Services

Enrollment Services

  • Phone: 1-844-637-4770 (TTY 1-833-312-0044)
  • Fax: 1-833-610-2390
  • Email:  simpracustomerservice@allyalign.com
  • Mailing Address: Simpra Advantage
    PO Box 2190
    Glen Allen, VA 23058

Compliance

  • Chief Compliance: Sandy Blair
  • Email: cassandra.blair@acvcorp.com
  • Phone: 205-739-4100
  • General Email: compliance@simpra.com
  • Mailing Address:Simpra Advantage
    Attn: Compliance Department
    3008 7th Avenue South
    Birmingham, AL 35233
  • Hotline: 1-833-416-5035 (toll free)
  • Fax:205-994-7028

Appeals and Grievances

  • Call to submit or check on an authorization request, or ask about authorization denials
  • Phone:1-844-637-4770 (TTY 1-833-312-0044)
  • Fax:  1-833-610-2380

 

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
    3008 7th Avenue South
    Birmingham, AL 35233

Speak With an Agent

Complete the boxes below to have a plan representative contact you.

    I would like to be contacted by: