Advicare and providers working on Care Coordination.
Advicare, in concert with its provider network, focuses on care coordination, case management and disease management.
This clinical focus will be to identify Medicaid members with health characteristics that are associated with high health risks, and have the primary care provider, case manager and disease management working together as a team to manage the patients’ health to produce a better quality of life and better outcomes.
Advicare Formerly Palmetto Physician Connections
Advicare began operating as a managed care organization (MCO) on January 1, 2014.
For your convenience, Advicare offers a Provider Portal to review patient rosters, claims status, and claims payments.
If you have any claims, claim inquires, payment issues, or general billing issues for services rendered on or after 1/1/14 for an Advicare member, contact us using one of the following:
Advicare Corp. Attn: Claims Department
PO Box 5547 Hauppauge NY 11788
Provider Fax: 646-417-5836
Electronic Claims- Emdeon
Payor ID: 45423
If you are a customer of Emdeon and you are having problems with signing up or submitting claims via Emdeon, you can call Emdeon helpdesk for assistance:
Professional Providers: 877-271-0054
Institutional Providers: 877-469-3263
If you are is not a customer of Emdeon and submit claims via another clearinghouse, please contact your clearinghouse for assistance.